# FIRST NORTHERN BANK OF WYOMING MEDICAL PLAN

Health and welfare plan sponsored by **FIRST NORTHERN BANK OF WYOMING**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | FIRST NORTHERN BANK OF WYOMING |
| EIN | 830107485 |
| Plan number | 503 |
| Plan year | 2024 |
| Location | BUFFALO, WY |
| Industry | banking |
| Funding | fully insured |
| Total premiums | $712K |
| Participants | 0 |
| Persons covered | 189 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health |

## Brokers

| Broker | Placed with |
|---|---|
| ACRISURE LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |

## 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/830107485-503
- Cite as: PlanOptica, https://planoptica.com/welfare/830107485-503
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