Insurance contract or identification number | 768107G |
Number of Individuals Covered | 112 |
Insurance policy start date | 2019-01-01 |
Insurance policy end date | 2019-12-31 |
Total amount of commissions paid to insurance broker | USD $5,142 |
Total amount of fees paid to insurance company | USD $5,384 |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $47,835 |
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 | 5384 |
Additional information about fees paid to insurance broker | BONUS |
Insurance broker organization code? | 3 |