# F&M BANK EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **F&M BANK**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | F&M BANK |
| EIN | 620198065 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CLARKSVILLE, TN |
| Industry | Finance and Insurance |
| Funding | mixed |
| Total premiums | $504K |
| Participants | 179 |
| Persons covered | 266 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF TENNESSEE | Dental, Vision, Indemnity |
| DELTA DENTAL OF TENNESSEE | Dental, Vision |
| USABLE LIFE | Life, LTD, STD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| KAREN TOKARZ | BLUERE OF TENNESSEE |
| FINANCIAL PRODUCTS AND SERVICE | DELTA DENTAL OF TENNESSEE |
| FINANCIAL PRODUCTS AND SERVICE | USABLE LIFE |
| GROUP INSURANCE SERVICES INC | USABLE LIFE |
| BLUE CROSS BLUE SHIELD OF FLORIDA | USABLE LIFE |
| GROUP INSURANCES SERVICES INC | USABLE LIFE |

## 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/620198065-501
- Cite as: PlanOptica, https://planoptica.com/welfare/620198065-501
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