Insurance contract or identification number | GLTD0BJY7 |
Number of Individuals Covered | 98 |
Insurance policy start date | 2019-06-01 |
Insurance policy end date | 2020-05-31 |
Total amount of commissions paid to insurance broker | USD $9,019 |
Total amount of fees paid to insurance company | USD $1,402 |
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 |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT |
Welfare Benefit Premiums Paid to Carrier | USD $57,257 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $9,019 |
Amount paid for insurance broker fees | 1402 |
Additional information about fees paid to insurance broker | OTHER COMPENSATION |
Insurance broker organization code? | 3 |