# FARMERS STATE BANK EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **FARMERS STATE BANK**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FARMERS STATE BANK |
| EIN | 350303690 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | LAGRANGE, IN |
| Industry | Finance and Insurance |
| Funding | fully insured |
| Total premiums | $427K |
| Participants | 108 |
| Persons covered | 104 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| TOKIO MARINE HCC | Stop-loss, Health, Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| GIBSON INSURANCE AGENCY, INC. | VISION SERVICE PLAN |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/350303690-502
- Cite as: PlanOptica, https://planoptica.com/welfare/350303690-502
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