Insurance contract or identification number | 00534369 |
Number of Individuals Covered | 2 |
Insurance policy start date | 2017-01-01 |
Insurance policy end date | 2017-12-31 |
Total amount of commissions paid to insurance broker | USD $2,136 |
Total amount of fees paid to insurance company | USD $0 |
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 $21,136 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $2,054 |
Amount paid for insurance broker fees | 0 |
Insurance broker organization code? | 3 |
Insurance broker name | CENTERSTONE INS. AND FIN. SERVICES |