Schedule A (Form 5500) 2012

This document is about the Schedule A form that is required to be filed under section 104 of the Employee Retirement Income Security Act of 1974 (ERISA). It provides information on insurance contract coverage, fees, and commissions paid in connection with an employee benefit plan. The form collects data on the name of the insurance carrier, employer identification number, NAIC code, contract identification number, number of persons covered, and the total amount of fees and commissions paid.