Insurance contract or identification number | GLTD0BQRR |
Number of Individuals Covered | 195 |
Insurance policy start date | 2023-07-01 |
Insurance policy end date | 2024-06-30 |
Total amount of commissions paid to insurance broker | USD $18,729 |
Total amount of fees paid to insurance company | USD $3,821 |
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, EMPLOYEE ASSISTANCE PROGRAM,ACCIDENT,CRITICAL ILLNESS, CANCER |
Welfare Benefit Premiums Paid to Carrier | USD $124,860 |
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |