Insurance contract or identification number | 201008 |
Number of Individuals Covered | 408 |
Insurance policy start date | 2018-01-01 |
Insurance policy end date | 2018-12-31 |
Total amount of commissions paid to insurance broker | USD $23,810 |
Total amount of fees paid to insurance company | USD $578 |
Health Insurance Welfare Benefit | No |
Dental Insurance Welfare Benefit | No |
Vision Insurance Welfare Benefit | No |
Life Insurance Welfare Benefit | No |
Temporary Disability Insurance Welfare Benefit | No |
Long Term Disability Insurance Welfare Benefit | No |
Unemployment Insurance Welfare Benefit | No |
Other welfare benefits provided | CRITICAL ILLNESS,ACCIDENT |
Welfare Benefit Premiums Paid to Carrier | USD $61,074 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
Commission paid to Insurance Broker | USD $11,905 |
Amount paid for insurance broker fees | 450 |
Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION, NON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION |
Insurance broker organization code? | 3 |