Insurance contract or identification number | 225103 |
Number of Individuals Covered | 115 |
Insurance policy start date | 2020-01-01 |
Insurance policy end date | 2020-12-31 |
Total amount of commissions paid to insurance broker | USD $14,797 |
Total amount of fees paid to insurance company | USD $5,203 |
Health Insurance Welfare Benefit | Yes |
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 | CRITICAL ILLNESS |
Welfare Benefit Premiums Paid to Carrier | USD $78,050 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $8,296 |
Amount paid for insurance broker fees | 123 |
Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
Insurance broker organization code? | 3 |