Insurance contract or identification number | 00556848 |
Number of Individuals Covered | 127 |
Insurance policy start date | 2019-01-01 |
Insurance policy end date | 2019-12-31 |
Total amount of commissions paid to insurance broker | USD $12,329 |
Total amount of fees paid to insurance company | USD $0 |
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 | AD&D, OPTIONAL AD&D, OPTIONAL LIFE |
Welfare Benefit Premiums Paid to Carrier | USD $93,124 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $8,607 |
Insurance broker organization code? | 3 |