Insurance contract or identification number | 5372214 |
Number of Individuals Covered | 334 |
Insurance policy start date | 2022-07-01 |
Insurance policy end date | 2023-06-30 |
Total amount of commissions paid to insurance broker | USD $17,196 |
Total amount of fees paid to insurance company | USD $5,499 |
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 $80,337 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $17,196 |
Amount paid for insurance broker fees | 3235 |
Additional information about fees paid to insurance broker | TPA ADMIN FEES |
Insurance broker organization code? | 5 |