2023 Form 5500 filing — First National Bank And Trust Medical Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20250731093730NAL0002958691001) for First National Bank And Trust Medical Plan, reported by First National Bank And Trust Company under EIN 39-0159135 and plan number 504. It reports 275 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250731093730NAL0002958691001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- First National Bank And Trust Company
- EIN
- 39-0159135
- Plan number
- 504
- Location
- Beloit, WI
- Participants
- 275
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Compcare Health Services Insurance | not reported in the loaded dataset | $15,474 | $103,262 |
| Hausmann Group | not reported in the loaded dataset | not reported in the loaded dataset | $80,935 |
| Blue Cross & Blue Shield Of Wiscons | not reported in the loaded dataset | $79,305 | not reported in the loaded dataset |