Insurance contract or identification number | TM05926674 |
Number of Individuals Covered | 410 |
Insurance policy start date | 2017-03-01 |
Insurance policy end date | 2018-02-28 |
Total amount of commissions paid to insurance broker | USD $13,124 |
Total amount of fees paid to insurance company | USD $3,074 |
Dental Insurance Welfare Benefit | Yes |
Vision Insurance Welfare Benefit | Yes |
Life Insurance Welfare Benefit | Yes |
Temporary Disability Insurance Welfare Benefit | Yes |
Long Term Disability Insurance Welfare Benefit | Yes |
Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT |
Welfare Benefit Premiums Paid to Carrier | USD $142,674 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $13,103 |
Amount paid for insurance broker fees | 51 |
Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION |
Insurance broker organization code? | 3 |
Insurance broker name | JOHNSON AND BRYAN, INC. |