Insurance contract or identification number | 1109095 |
Number of Individuals Covered | 202 |
Insurance policy start date | 2022-04-01 |
Insurance policy end date | 2023-03-31 |
Total amount of commissions paid to insurance broker | USD $12,174 |
Total amount of fees paid to insurance company | USD $3,334 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS |
Welfare Benefit Premiums Paid to Carrier | USD $139,335 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $12,174 |
Amount paid for insurance broker fees | 3334 |
Additional information about fees paid to insurance broker | BONUS |
Insurance broker organization code? | 3 |