Insurance contract or identification number | GLTD0C27M |
Number of Individuals Covered | 169 |
Insurance policy start date | 2022-01-01 |
Insurance policy end date | 2022-12-31 |
Total amount of commissions paid to insurance broker | USD $1,836 |
Total amount of fees paid to insurance company | USD $5,841 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT |
Welfare Benefit Premiums Paid to Carrier | USD $296,165 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Amount paid for insurance broker fees | 5841 |
Additional information about fees paid to insurance broker | ADMINISTRATION |
Insurance broker organization code? | 5 |
Commission paid to Insurance Broker | USD $1,836 |