2023 Form 5500 filing — County National Bank Group Insurance 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 20240729161905NAL0019105041001) for County National Bank Group Insurance Plan, reported by County National Bank under EIN 38-0650660 and plan number 501. It reports 189 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240729161905NAL0019105041001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- County National Bank
- EIN
- 38-0650660
- Plan number
- 501
- Location
- Hillsdale, MI
- Participants
- 189
- 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. |
|---|---|---|---|
| Blue Cross Blue Shield Of Michigan | TPA | $155,500 | $1,124 |
| Blue Cross Blue Shield Of Michigan | TPA | $122,632 | $811 |
| Blue Cross Blue Shield Of Michigan | TPA | $121,672 | $922 |
| James F. Pickford | BROKER | $13,955 | not reported in the loaded dataset |
| James F. Pickford | BROKER | $11,829 | not reported in the loaded dataset |
| James F. Pickford | BROKER | $11,593 | not reported in the loaded dataset |
| Jfp Benefit Management, Inc | BROKER | $3,483 | not reported in the loaded dataset |