| Insurance contract or identification number | LTD134607 |
| Number of Individuals Covered | 129 |
| Insurance policy start date | 2023-01-01 |
| Insurance policy end date | 2023-12-31 |
| Total amount of commissions paid to insurance broker | USD $33,706 |
| Total amount of fees paid to insurance company | USD $5,784 |
| 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,CRITICAL ILLNESS,ACCIDENT |
| Welfare Benefit Premiums Paid to Carrier | USD $109,726 |
| Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
