Insurance contract or identification number | 00561275 |
Number of Individuals Covered | 104 |
Insurance policy start date | 2022-05-01 |
Insurance policy end date | 2023-04-30 |
Total amount of commissions paid to insurance broker | USD $16,619 |
Total amount of fees paid to insurance company | USD $4,179 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
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, ACCIDENT, CRITICAL ILLNESS |
Welfare Benefit Premiums Paid to Carrier | USD $163,460 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $4,488 |
Amount paid for insurance broker fees | 4179 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |