Insurance contract or identification number | 1068652 |
Number of Individuals Covered | 111 |
Insurance policy start date | 2022-10-01 |
Insurance policy end date | 2023-09-30 |
Total amount of commissions paid to insurance broker | USD $8,871 |
Total amount of fees paid to insurance company | USD $1,871 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Welfare Benefit Premiums Paid to Carrier | USD $101,708 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $6,071 |
Amount paid for insurance broker fees | 1871 |
Additional information about fees paid to insurance broker | BONUS |
Insurance broker organization code? | 3 |