Form 5500 · Employee benefit plan · VICTOR, NY
FIRST AMERICAN COMMERCIAL BANCORP, INC.
FIRST AMERICAN COMMERCIAL BANCORP, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is TITAN INS. DBA US EMPL BEN SERV GR. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 11 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-4014671 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 198 | December | $88,670 |
| PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | Dental | 211 | December | $8,794 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 293 | December | $5,372 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Disability | 293 | December | $2,639 |
| COMPANION LIFE INSURANCE COMPANY | Life | 107 | December | $2,053 |
| EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. NY | Vision | 148 | December | $1,940 |
| COMPANION LIFE INSURANCE COMPANY | Life | 293 | December | $1,393 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 36 | December | $768 |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life | 293 | December | $661 |
| MUTUAL OF OMAHA INSURANCE COMPANY | — | 72 | December | $502 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 36 | December | $455 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 36 | December | $226 |
Questions
Who is FIRST AMERICAN COMMERCIAL BANCORP, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FIRST AMERICAN COMMERCIAL BANCORP, INC.'s broker of record is TITAN INS. DBA US EMPL BEN SERV GR.
What insurance carrier does FIRST AMERICAN COMMERCIAL BANCORP, INC. use?
FIRST AMERICAN COMMERCIAL BANCORP, INC.'s benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 12 disclosed carriers.
When does FIRST AMERICAN COMMERCIAL BANCORP, INC.'s group plan renew?
The most recent Schedule A policy period for FIRST AMERICAN COMMERCIAL BANCORP, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FIRST AMERICAN COMMERCIAL BANCORP, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.