Insurance contract or identification number | GLUG0ATIU |
Number of Individuals Covered | 90 |
Insurance policy start date | 2016-10-01 |
Insurance policy end date | 2017-09-30 |
Total amount of commissions paid to insurance broker | USD $2,107 |
Total amount of fees paid to insurance company | USD $143 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | No |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | No |
Long Term Disability Insurance Welfare Benefit | Yes |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $14,047 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $1,034 |
Amount paid for insurance broker fees | 143 |
Additional information about fees paid to insurance broker | AGENT OR BROKER OF RECORD OTHER COMPENSATION |
Insurance broker organization code? | 3 |
Insurance broker name | ASSURANCE AGENCY LTD |