Insurance contract or identification number | 5949627 |
Number of Individuals Covered | 192 |
Insurance policy start date | 2019-01-01 |
Insurance policy end date | 2019-12-31 |
Total amount of commissions paid to insurance broker | USD $7,420 |
Total amount of fees paid to insurance company | USD $2,818 |
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 $72,319 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $7,420 |
Amount paid for insurance broker fees | 2818 |
Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION SUPPLEMENTAL COMPENSATION |
Insurance broker organization code? | 3 |