Insurance contract or identification number | 00036403 |
Number of Individuals Covered | 297 |
Insurance policy start date | 2022-06-01 |
Insurance policy end date | 2023-05-31 |
Total amount of commissions paid to insurance broker | USD $45,692 |
Total amount of fees paid to insurance company | USD $6,361 |
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 | AD&D,OPTIONAL AD&D,OPTIONAL LIFE,VOLUNTARY CRITICAL ILLNESS,SHORT TERM DISABILITY,ACCIDENT |
Were dividends or retroactive rate refunds paid in cash? | No |
Were dividends or retroactive rate refunds paid as a credit? | No |
Welfare Benefit Premiums Paid to Carrier | USD $271,456 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $45,692 |
Amount paid for insurance broker fees | 6361 |
Additional information about fees paid to insurance broker | TOTAL FEES |
Insurance broker organization code? | 3 |