| Insurance contract or identification number | 309361 |
| Number of Individuals Covered | 993 |
| Insurance policy start date | 2023-10-01 |
| Insurance policy end date | 2023-12-31 |
| Total amount of commissions paid to insurance broker | USD $9,180 |
| Total amount of fees paid to insurance company | USD $26,072 |
| Health Insurance Welfare Benefit | Yes |
| 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 | No |
| Unemployment Insurance Welfare Benefit | No |
| Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
| Welfare Benefit Premiums Paid to Carrier | USD $593,134 |
| Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |