Insurance contract or identification number | 549786 |
Number of Individuals Covered | 57 |
Insurance policy start date | 2020-05-01 |
Insurance policy end date | 2021-04-30 |
Total amount of commissions paid to insurance broker | USD $17,497 |
Total amount of fees paid to insurance company | USD $7,095 |
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 | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS, HOSPITAL |
Welfare Benefit Premiums Paid to Carrier | USD $170,314 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $17,497 |
Amount paid for insurance broker fees | 7095 |
Additional information about fees paid to insurance broker | FEES |
Insurance broker organization code? | 3 |