Insurance contract or identification number | 281384 |
Number of Individuals Covered | 120 |
Insurance policy start date | 2019-11-01 |
Insurance policy end date | 2020-10-31 |
Total amount of commissions paid to insurance broker | USD $56,250 |
Total amount of fees paid to insurance company | USD $457 |
Health Insurance Welfare Benefit | Yes |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $763,472 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $52,497 |
Amount paid for insurance broker fees | 0 |
Insurance broker organization code? | 3 |
Additional information about fees paid to insurance broker | FEES |