Insurance contract or identification number | 540398 |
Number of Individuals Covered | 111 |
Insurance policy start date | 2021-07-01 |
Insurance policy end date | 2022-06-30 |
Total amount of commissions paid to insurance broker | USD $14,403 |
Total amount of fees paid to insurance company | USD $5,807 |
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, EMPLOYEE ASSISTANCE PROGRAM |
Welfare Benefit Premiums Paid to Carrier | USD $165,520 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $14,403 |
Amount paid for insurance broker fees | 5807 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |