Form 5500 · Employee benefit plan · CORYDON, IN
FIRST HARRISON BANK
FIRST HARRISON BANK of CORYDON, IN insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is ERTEL & COMPANY, INC.. Coverage is written through DELTA DENTAL OF INDIANA and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-0634720 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF INDIANA, covers 242 people.
Reported premium across the insured contracts is $259,880, with $33,236 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in June, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
ERTEL & COMPANY, INC. is the broker of record on all 6 contracts.
Two carriers split the book: DELTA DENTAL OF INDIANA and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 172 | June | $77,531 | $11,630 |
| DELTA DENTAL OF INDIANA | Dental | 242 | May | $99,761 | $9,946 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 96 | June | $41,636 | $6,245 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 172 | June | $15,996 | $2,399 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 172 | June | $10,361 | $1,554 |
| DELTA DENTAL OF INDIANA | Vision | 238 | May | $14,595 | $1,462 |
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