Insurance contract or identification number | 800388 |
Number of Individuals Covered | 31 |
Insurance policy start date | 2012-01-01 |
Insurance policy end date | 2012-12-31 |
Total amount of commissions paid to insurance broker | USD $5,410 |
Total amount of fees paid to insurance company | USD $0 |
Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No |
Contracts With Unallocated Funds Deposit Administration | 0 |
Health Insurance Welfare Benefit | Yes |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Welfare Benefit Premiums Paid to Carrier | USD $95,854 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $5,410 |
Insurance broker organization code? | 3 |
Amount paid for insurance broker fees | 0 |
Insurance broker name | MARC D DIFIORE |