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Sponsor portfolioWelfare / HealthEIN 36-1465165

FIRST STATE BANK

706 WASHINGTON STREET · MENDOTA, IL 61342
8155382265
Plans filed
1
Years active
2015–2025
Industry
NAICS 52
Latest filing
2025
Total premiums (latest)
$3.0M
No prior year
Persons covered
375
No prior year
Total participants
210
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$3.0M
FIRST STATE BANK WELFARE BENEFIT PLAN
Fully insured375 covered·4 carriers
Primary: HEALTH CARE SERVICE CORPORATION

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$2.8M46.1%
Dental$2.8M46.1%
Other$149K2.4%
Life$145K2.4%
Long-term disability$145K2.4%
Vision$37K0.6%

Carrier overview

4 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 361236610
HD
$2.8M93.8%11375
DEARBORN LIFE INSURANCE COMPANY
EIN 362598882
LLTDOth
$145K4.8%11203
STANDARD INSURANCE COMPANY
EIN 930242990
V
$37K1.2%11207
HARTFORD LIFE AND ACCIDENT
EIN 060838648
Oth
$5K0.2%11204

Broker overview

4 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
BENEFIT PLANNING ASSOCIATESBLOOMINGTON, ILHEALTH CARE SERVICE CORPORATION$118K$7K$125K73.9%1
HUB INTERNATIONAL MIDWEST LIMITEDBLOOMINGTON, ILDEARBORN LIFE INSURANCE COMPANY$29K$7K$36K21.3%1
MARK TELLKAMPPERU, ILSTANDARD INSURANCE COMPANY$7K$0$7K4.4%1
FIRST STATE INSURANCE LLCMENDOTA, ILHARTFORD LIFE AND ACCIDENT INSURANCE CO$690$0$6900.4%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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