Insurance contract or identification number | 5393321 |
Number of Individuals Covered | 384 |
Insurance policy start date | 2022-01-01 |
Insurance policy end date | 2022-12-31 |
Total amount of commissions paid to insurance broker | USD $30,474 |
Total amount of fees paid to insurance company | USD $16,677 |
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 | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | AD&D |
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 $393,784 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $16,530 |
Amount paid for insurance broker fees | 2345 |
Additional information about fees paid to insurance broker | SUPPLEMENTAL/NON-MONETARY COMPENSATION |
Insurance broker organization code? | 3 |