Insurance contract or identification number | 620736 |
Number of Individuals Covered | 180 |
Insurance policy start date | 2019-12-01 |
Insurance policy end date | 2020-11-30 |
Total amount of commissions paid to insurance broker | USD $0 |
Total amount of fees paid to insurance company | USD $59,345 |
Health Insurance Welfare Benefit | Yes |
Welfare Benefit Premiums Paid to Carrier | USD $1,258,158 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $0 |
Amount paid for insurance broker fees | 59345 |
Additional information about fees paid to insurance broker | BENEFIT ADVISOR FEE |
Insurance broker organization code? | 3 |
Dental Insurance Welfare Benefit | No |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | No |
Temporary Disability Insurance Welfare Benefit | No |
Long Term Disability Insurance Welfare Benefit | No |
Unemployment Insurance Welfare Benefit | No |