Insurance contract or identification number | 843177 |
Number of Individuals Covered | 101 |
Insurance policy start date | 2021-01-01 |
Insurance policy end date | 2021-12-31 |
Total amount of commissions paid to insurance broker | USD $19,782 |
Total amount of fees paid to insurance company | USD $3,192 |
Health Insurance Welfare Benefit | Yes |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $553,385 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $19,782 |
Amount paid for insurance broker fees | 3192 |
Additional information about fees paid to insurance broker | BONUS |
Insurance broker organization code? | 3 |