Insurance contract or identification number | 0475797 |
Number of Individuals Covered | 229 |
Insurance policy start date | 2021-07-01 |
Insurance policy end date | 2022-06-30 |
Total amount of commissions paid to insurance broker | USD $14,274 |
Total amount of fees paid to insurance company | USD $3,806 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | No |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM |
Welfare Benefit Premiums Paid to Carrier | USD $95,157 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $9,516 |
Amount paid for insurance broker fees | 3806 |
Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION |
Insurance broker organization code? | 3 |