Insurance contract or identification number | 5466810 |
Number of Individuals Covered | 339 |
Insurance policy start date | 2016-10-01 |
Insurance policy end date | 2017-09-30 |
Total amount of commissions paid to insurance broker | USD $14,686 |
Total amount of fees paid to insurance company | USD $0 |
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 | ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT, CRITICAL ILLNESS |
Welfare Benefit Premiums Paid to Carrier | USD $152,270 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $14,686 |
Amount paid for insurance broker fees | 0 |
Insurance broker organization code? | 3 |
Insurance broker name | GREGORY B JOHNSON |