The following table provides disaggregated commissions and fees revenue by major source:



	For the Three Months Ended March 31,
(in thousands)	2020		2019
Direct bill revenue⁽¹⁾	$	28,109	$	19,602
Agency bill revenue⁽²⁾	16,429		4,570
Profit-sharing revenue⁽³⁾	5,124		4,453
Policy fee and installment fee revenue⁽⁴⁾	3,382		—
Consulting and service fee revenue⁽⁵⁾	715		647
Other income⁽⁶⁾	400		565
Total commissions and fees	$	54,159	$	29,837

__________


(1)	Direct bill revenue represents commission revenue earned by facilitating the arrangement between individuals or businesses and Insurance Company Partners by providing insurance placement services to Clients, primarily for private risk management, commercial risk management, employee benefits and Medicare insurance types.


(2)	Agency bill revenue primarily represents commission revenue earned by facilitating the arrangement between individuals or businesses and Insurance Company Partners by providing insurance placement services to Clients. The Company acts as an agent on behalf of the Client for the term of the insurance policy.


(3)	Profit-sharing revenue represents bonus-type revenue that is earned by the Company as a sales incentive provided by certain Insurance Company Partners.

(4)

Policy fee revenue represents revenue earned for acting in the capacity of an MGA on behalf of the Insurance Company Partner and fulfilling certain services including delivery of policy documents, processing payments and other administrative functions. Installment fee revenue represents revenue earned by the Company for providing payment processing services on behalf of the Insurance Company Partner related to policy premiums paid on an installment basis.


(5)	Service fee revenue is earned by receiving negotiated fees in lieu of a commission and consulting revenue is earned by providing specialty insurance consulting.


(6)	Other income consists primarily of Medicare marketing income that is based on agreed-upon cost reimbursement for fulfilling specific targeted marketing campaigns.