# UNITED BANKERS' BANK, INC. WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **UNITED BANKERS' BANK, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | UNITED BANKERS' BANK, INC. |
| EIN | 411254571 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BLOOMINGTON, MN |
| Industry | banking |
| Funding | mixed |
| Total premiums | $1.8M |
| Participants | 111 |
| Persons covered | 229 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Rx |
| DELTA DENTAL OF MINNESOTA | Dental |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| ZURICH AMERICAN INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | UNITEDHEALTHCARE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | DELTA DENTAL OF MINNESOTA |
| LOCKTON COMPANIES, LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| LOCKTON COMPANIES, LLC | VISION SERVICE PLAN |
| STEVEN BAKER | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| LOCKTON COMPANIES, LLC | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| LOCKTON COMPANIES, LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## 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/411254571-501
- Cite as: PlanOptica, https://planoptica.com/welfare/411254571-501
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