Insurance contract or identification number | 26HB |
Number of Individuals Covered | 105 |
Insurance policy start date | 2018-05-01 |
Insurance policy end date | 2019-04-30 |
Total amount of commissions paid to insurance broker | USD $46,131 |
Total amount of fees paid to insurance company | USD $14,723 |
Health Insurance Welfare Benefit | Yes |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Welfare Benefit Premiums Paid to Carrier | USD $922,602 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $46,131 |
Amount paid for insurance broker fees | 4454 |
Additional information about fees paid to insurance broker | MEDICAL CONTRACTS X PCPM DENTAL CONTRACTS X PCPM VISION CONTRACTS X PCPM NON-MONETARY COMPENSATION |
Insurance broker organization code? | 3 |