Blackhawk Bank Welfare Benefit Plan — Form 5500 plan (Blackhawk Bank)
Plain-English plan 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, Blackhawk Bank Welfare Benefit Plan is a benefit plan reported by Blackhawk Bank under EIN 39-0159130 and plan number 501. The latest loaded filing year is 2023. The filing reports 215 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Blackhawk Bank
- EIN
- 39-0159130
- Plan number
- 501
- Plan type
- 2
- Location
- Beloit, WI
- Latest filing year
- 2023
- Participants
- 215
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 215 | C | 20240726161933NAL0016367025001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Prairie States Enterprises, Inc | CLAIM PROCESSING | $183,679 | not reported in the loaded dataset | 2023 |
| Phcs | CLAIMS PROCESSING | $44,404 | not reported in the loaded dataset | 2023 |
| Delta Dental Of Wisconsin | TPA (DENTAL BENEFIT) | $8,662 | $0 | 2023 |
| Tricor LLC | INSURANCE AGENT OR BROKER | $1,883 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Blackhawk Bank
- 2023 Form 5500 filing
- Form 5500 filings in WI
- 401(k) and benefit plan filings in Beloit, WI
- Prairie States Enterprises, Inc — Schedule C compensation
- Phcs — Schedule C compensation
- Delta Dental Of Wisconsin — Schedule C compensation
- Tricor LLC — Schedule C compensation