Insurance contract or identification number | 1104627 |
Number of Individuals Covered | 227 |
Insurance policy start date | 2022-01-01 |
Insurance policy end date | 2022-12-31 |
Total amount of commissions paid to insurance broker | USD $14,921 |
Total amount of fees paid to insurance company | USD $2,913 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Welfare Benefit Premiums Paid to Carrier | USD $132,216 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $8,862 |
Amount paid for insurance broker fees | 1847 |
Additional information about fees paid to insurance broker | BONUS |
Insurance broker organization code? | 3 |