Insurance contract or identification number | GLUG0B9LJ |
Number of Individuals Covered | 577 |
Insurance policy start date | 2020-09-01 |
Insurance policy end date | 2021-08-31 |
Total amount of commissions paid to insurance broker | USD $18,458 |
Total amount of fees paid to insurance company | USD $0 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | No |
Long Term Disability Insurance Welfare Benefit | Yes |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $187,797 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $18,458 |
Amount paid for insurance broker fees | 0 |
Insurance broker organization code? | 3 |