Home |  Help |  My Account |  Logout |  Contacts |  Links
AGENT COMPENSATION UNIT
450 COLUMBUS BLVD - 9NB
HARTFORD CT 06103-1801
Fax #: (860) 702 6807
FOR COMMISSION SERVICE PLEASE CALL 888-641-9147 BETWEEN 8AM AND 6PM EASTERN TIME
T
Producer ID:
011039
Producer Name:
TEST USER
Compensation Period Start Date:
Compensation Period End Date:
11/29/2006
12/12/2006
EFT Settlement Date:
EFT Account Number:  %
12/21/2006
Amount
9999999
100
$642.45
Producer Address:
1121 MAIN STREET
AUSTIN, TX 78759-7353
Commission Statement Summary
Commission Statement Detail
Current Commission
YTD Commission
$642.45
$4,578.12
Beginning Balance:
$0.00
Base Detail
Small Business
Cov Type
Bill Eff
Date
Paid
Premium
Sub
Count
Adj Reason
Method
Rate
Split %
Amount
Renewal
Writing Agent:
2222-22
TEST USER
Customer:
888888
ABC COMPANY
Orig Eff Date:
6/1/2001
Medical
12/01/2006
$12,849.03
23
PMT
POP
5.00%
100%
$642.45
1
2
6
1
$642.45
Total:
$642.45
Total:
Base Detail Total:
$642.45
Detail Total:
$642.45
Statement Total:
$642.45
Payment:
$642.45
Ending Balance:
$0.00
Page 1 of 1