Insurance contract or identification number | 01-20469-00 |
Number of Individuals Covered | 151 |
Insurance policy start date | 2022-07-01 |
Insurance policy end date | 2023-06-30 |
Total amount of commissions paid to insurance broker | USD $17,831 |
Total amount of fees paid to insurance company | USD $1,045 |
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 $59,437 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
Commission paid to Insurance Broker | USD $17,831 |
Amount paid for insurance broker fees | 1045 |
Additional information about fees paid to insurance broker | GROUP VOLUME BONUS |
Insurance broker organization code? | 3 |