Insurance contract or identification number | F024591 |
Number of Individuals Covered | 95 |
Insurance policy start date | 2018-09-01 |
Insurance policy end date | 2019-08-31 |
Total amount of commissions paid to insurance broker | USD $1,133 |
Total amount of fees paid to insurance company | USD $1,191 |
Life Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS |
Welfare Benefit Premiums Paid to Carrier | USD $21,077 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $1,133 |
Amount paid for insurance broker fees | 1191 |
Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION |
Insurance broker organization code? | 3 |