Insurance contract or identification number | 411975 |
Number of Individuals Covered | 152 |
Insurance policy start date | 2021-03-01 |
Insurance policy end date | 2022-02-28 |
Total amount of commissions paid to insurance broker | USD $18,856 |
Total amount of fees paid to insurance company | USD $10,544 |
Dental Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS, HOSPITAL |
Welfare Benefit Premiums Paid to Carrier | USD $172,429 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $17,116 |
Amount paid for insurance broker fees | 10544 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |