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jns <br />Compensation I► • �! ��� <br />11 <br />• <br />Compensation Disclosure — Attachment Sheet 2 of 5 Sheet(s) <br />Lockton believes it is or may be entitled to receive the compensation listed below, from the insurance companies and/or other entities <br />listed below, attributable to the insurance and/or administrative service contracts placed with those insurers and/or other entities on <br />your behalf. <br />Client Name: <br />INDIAN RIVER COUNTY <br />Insurer or TPA: <br />EyeMed Vision Care <br />Policy or Benefit Type: <br />Vision <br />Plan Name: <br />Vision Plan <br />Policy / Contract Year: <br />Effective Date 10/1/2021 to Expiration Date 9/30/2025 <br />Base Commissions: <br />Vision Plan Rate - Indian River County - Net of commission <br />Additional <br />This insurer/TPA does not have an Additional Compensation program in place that might apply to the placement of your <br />Compensation: <br />policy(ies) or administrative -services -only contract(s). <br />Client Name: <br />INDIAN RIVER COUNTY <br />Insurer or TPA: <br />Ameritas Life Insurance Corp <br />Policy or Benefit Type: <br />Dental PPO <br />Plan Name: <br />LOW Option Plan <br />Policy / Contract Year: <br />Effective Date 10/1/2022 to Expiration Date 9/30/2023 <br />Base Commissions: <br />LOW Option Plan Rate - Net of commission <br />Additional <br />This insurer/TPA does not have an Additional Compensation program in place that might apply to the placement of your <br />Compensation: <br />policy(ies) or administrative -services -only contract(s). <br />Client Name: <br />INDIAN RIVER COUNTY <br />Insurer or TPA: <br />Ameritas Life Insurance Corp <br />Policy or Benefit Type: <br />Dental PPO <br />Plan Name: <br />HIGH Option Plan <br />Policy / Contract Year: <br />Effective Date 10/1/2022 to Expiration Date 9/30/2023 <br />Base Commissions: <br />HIGH Option Plan Rate - Net of commission <br />Additional <br />This insurer/TPA does not have an Additional Compensation program in place that might apply to the placement of your <br />Compensation: <br />policy(ies) or administrative -services -only contract(s). <br />Client Name: <br />INDIAN RIVER COUNTY <br />Insurer or TPA: <br />Health Advocate <br />Policy or Benefit Type: <br />Employee Assistance Program (EAP) <br />Plan Name: <br />EAP <br />Policy / Contract Year: <br />Effective Date 8/1/2022 to Expiration Date 9/30/2024 <br />Base Commissions: <br />EAP Rate - Net of commission <br />Additional <br />This insurer/TPA does not have an Additional Compensation program in place that might apply to the placement of your <br />Compensation: <br />policy(ies) or administrative -services -only contract(s). <br />Client Name: <br />INDIAN RIVER COUNTY <br />Insurer or TPA: <br />Health Advocate <br />Policy or Benefit Type: <br />Core Advocacy <br />Plan Name: <br />Core Advocacy <br />Policy / Contract Year: <br />Effective Date 8/1/2022 to Expiration Date 7/31/2024 <br />Base Commissions: <br />Rate - Net of commission <br />Additional <br />This insurer/TPA does not have an Additional Compensation program in place that might apply to the placement of your <br />Compensation: <br />policy(ies) or administrative -services -only contract(s). <br />L Copyright 2022 Lockton Companies, U.C. All rights reserved. The contents of this document are proprietary and confidential. <br />Unauthorized duplication of this document is prohibited. <br />LOCKTON Page 12 of 15 <br />