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Form 5500 · Employee benefit plan · SEYMOUR, IN

JACKSON COUNTY BANK

JACKSON COUNTY BANK's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is ERTEL & COMPANY, INC.. Coverage is written through SIHO INSURANCE SERVICES and 5 other carriers. The plan's most recent policy period ended in April.

Benefits broker of record
Insurance carrier
Plan renews
April

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-0418300 · plan 503 · as of Jul 2026

Participants
194
Carriers on file
6
Disclosed commissions
$58,506
Renewal month
April

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
SIHO INSURANCE SERVICESHealth191April$42,149
DELTA DENTAL OF INDIANADental198April$5,116
UNITED OF OMAHA LIFE INSURANCE COMPANYLife199December$3,991
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability174December$3,182
UNITED OF OMAHA LIFE INSURANCE COMPANYLife60December$3,102
VISION SERVICE PLANVision108April$966

Questions

Who is JACKSON COUNTY BANK's benefits broker?

Per its most recent Form 5500 Schedule A, JACKSON COUNTY BANK's broker of record is ERTEL & COMPANY, INC..

What insurance carrier does JACKSON COUNTY BANK use?

JACKSON COUNTY BANK's benefit plan is written through SIHO INSURANCE SERVICES, among 6 disclosed carriers.

When does JACKSON COUNTY BANK's group plan renew?

The most recent Schedule A policy period for JACKSON COUNTY BANK ended in April. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from JACKSON COUNTY BANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.