Insurance contract or identification number | 0010641490 |
Number of Individuals Covered | 144 |
Insurance policy start date | 2015-07-01 |
Insurance policy end date | 2016-06-30 |
Total amount of commissions paid to insurance broker | USD $35,776 |
Total amount of fees paid to insurance company | USD $2,670 |
Are there contracts with allocated funds for individual policies? | No |
Are there contracts with allocated funds for group deferred annuity? | No |
Are there contracts with allocated funds for types other than group deferred annuity or individual? | No |
Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No |
Contracts With Unallocated Funds Deposit Administration | 0 |
Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No |
Are there contracts with unallocated funds for contracts of type guaranteed investment? | No |
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No |
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 | No |
Long Term Disability Insurance Welfare Benefit | No |
Unemployment Insurance Welfare Benefit | No |
Were dividends or retroactive rate refunds paid in cash? | No |
Were dividends or retroactive rate refunds paid as a credit? | No |
Welfare Benefit Premiums Paid to Carrier | USD $39,751 |
Commission paid to Insurance Broker | USD $25,015 |
Amount paid for insurance broker fees | 1869 |
Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION PAID |
Insurance broker organization code? | 3 |
Insurance broker name | SMITH, THOMAS, CHRISTOPHER |