Insurance contract or identification number | 152473 |
Number of Individuals Covered | 75 |
Insurance policy start date | 2018-05-01 |
Insurance policy end date | 2019-04-30 |
Total amount of commissions paid to insurance broker | USD $27,819 |
Total amount of fees paid to insurance company | USD $0 |
Health Insurance Welfare Benefit | Yes |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $445,484 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $20,703 |
Amount paid for insurance broker fees | 0 |
Insurance broker organization code? | 3 |