Insurance contract or identification number | 133102 |
Number of Individuals Covered | 311 |
Insurance policy start date | 2008-10-01 |
Insurance policy end date | 2009-01-01 |
Total amount of commissions paid to insurance broker | USD $4,564 |
Total amount of fees paid to insurance company | USD $0 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | No |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | AD&D |
Welfare Benefit Premiums Paid to Carrier | USD $26,139 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
Commission paid to Insurance Broker | USD $4,564 |
Insurance broker organization code? | 3 |
Insurance broker name | BOWEN MICLETTE & BRITT INC. |