Insurance contract or identification number | GUDH0BFYS |
Number of Individuals Covered | 134 |
Insurance policy start date | 2023-01-01 |
Insurance policy end date | 2023-12-31 |
Total amount of commissions paid to insurance broker | USD $15,731 |
Total amount of fees paid to insurance company | USD $2,396 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | Yes |
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 | ACCIDENT,CRITICAL ILLNESS,ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $119,654 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |