Insurance contract or identification number | 579645 |
Number of Individuals Covered | 129 |
Insurance policy start date | 2021-12-01 |
Insurance policy end date | 2022-11-30 |
Total amount of commissions paid to insurance broker | USD $12,054 |
Total amount of fees paid to insurance company | USD $1,934 |
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, HOSPITAL |
Welfare Benefit Premiums Paid to Carrier | USD $64,926 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $12,054 |
Amount paid for insurance broker fees | 1934 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |