Insurance contract or identification number | 5931248 |
Number of Individuals Covered | 111 |
Insurance policy start date | 2018-11-01 |
Insurance policy end date | 2019-10-31 |
Total amount of commissions paid to insurance broker | USD $6,206 |
Total amount of fees paid to insurance company | USD $747 |
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 |
Welfare Benefit Premiums Paid to Carrier | USD $34,663 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $4,337 |
Amount paid for insurance broker fees | 454 |
Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION |
Insurance broker organization code? | 3 |