Form 5500 · Employee benefit plan · MENDOTA, IL
FIRST STATE BANK
Public Form 5500 records show how FIRST STATE BANK (MENDOTA, IL) structures its employee benefits. Its broker of record is BENEFIT PLANNING ASSOC, INC. Coverage is written through HEALTH CARE SERVICE CORPORATION and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-1465165 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HEALTH CARE SERVICE CORPORATION | Health, Dental | 375 | December | $118,308 |
| DEARBORN LIFE INSURANCE COMPANY | Life, Disability | 203 | December | $28,942 |
| STANDARD INSURANCE COMPANY | Vision | 207 | December | $7,444 |
| HARTFORD LIFE AND ACCIDENT INSURANCE CO | — | 204 | December | $690 |
Questions
Who is FIRST STATE BANK's benefits broker?
Per its most recent Form 5500 Schedule A, FIRST STATE BANK's broker of record is BENEFIT PLANNING ASSOC, INC.
What insurance carrier does FIRST STATE BANK use?
FIRST STATE BANK's benefit plan is written through HEALTH CARE SERVICE CORPORATION, among 4 disclosed carriers.
When does FIRST STATE BANK's group plan renew?
The most recent Schedule A policy period for FIRST STATE BANK ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FIRST STATE BANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.