Insurance contract or identification number | 448422 |
Number of Individuals Covered | 679 |
Insurance policy start date | 2022-05-01 |
Insurance policy end date | 2023-04-30 |
Total amount of commissions paid to insurance broker | USD $10,760 |
Total amount of fees paid to insurance company | USD $26,904 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | No |
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 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $10,760 |
Amount paid for insurance broker fees | 26904 |
Additional information about fees paid to insurance broker | CONTINGENT COMPENSATION |
Insurance broker organization code? | 3 |