401k Plan data: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN plan

FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

FNB BANK, INC. has sponsored the creation of one or more 401k plans.

Company Name: FNB BANK, INC.

Employer identification number (EIN): 610273337

NAIC Classification: 522120
NAIC Description: Savings Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-12-01 CRYSTAL BALENTINE 2024-03-19
501 2021-12-01 CRYSTAL BALENTINE 2023-05-16
501 2020-12-01 CRYSTAL BALENTINE 2022-05-12
501 2019-12-01 CRYSTAL BALENTINE 2021-05-17
501 2018-12-01 CRYSTAL BALENTINE 2020-04-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-12-01	CRYSTAL BALENTINE	2024-03-19
501	2021-12-01	CRYSTAL BALENTINE	2023-05-16
501	2020-12-01	CRYSTAL BALENTINE	2022-05-12
501	2019-12-01	CRYSTAL BALENTINE	2021-05-17
501	2018-12-01	CRYSTAL BALENTINE	2020-04-06

Plan Statistics for FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-12-01 111
Total number of active participants reported on line 7a of the Form 5500 2022-12-01 110
Total of all active and inactive participants 2022-12-01 110
2021: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 103
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 111
Total of all active and inactive participants 2021-12-01 111
2020: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-12-01 103
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 103
Total of all active and inactive participants 2020-12-01 103
2019: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-12-01 103
Total number of active participants reported on line 7a of the Form 5500 2019-12-01 103
Total of all active and inactive participants 2019-12-01 103
2018: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2018-12-01 103
Total of all active and inactive participants 2018-12-01 103

Measure	Date	Value
2022: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-12-01	111
Total number of active participants reported on line 7a of the Form 5500	2022-12-01	110
Total of all active and inactive participants	2022-12-01	110
2021: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	103
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	111
Total of all active and inactive participants	2021-12-01	111
2020: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-12-01	103
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	103
Total of all active and inactive participants	2020-12-01	103
2019: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-12-01	103
Total number of active participants reported on line 7a of the Form 5500	2019-12-01	103
Total of all active and inactive participants	2019-12-01	103
2018: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2018-12-01	103
Total of all active and inactive participants	2018-12-01	103

Form 5500 Responses for FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN

2022: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-12-01	Type of plan entity	Single employer plan
2022-12-01	Plan funding arrangement – Insurance	Yes
2022-12-01	Plan benefit arrangement – Insurance	Yes
2021: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2020: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2019: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2018: FNB BANK, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	First time form 5500 has been submitted	Yes
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E5741871

Policy instance

Insurance contract or identification number	E5741871
Number of Individuals Covered	20
Insurance policy start date	2022-12-01
Insurance policy end date	2023-11-30
Total amount of commissions paid to insurance broker	USD $3,997
Total amount of fees paid to insurance company	USD $1,438
Other welfare benefits provided	ACCIDENT, CANCER, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $15,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,944
Amount paid for insurance broker fees	346
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1125099

Policy instance

Insurance contract or identification number	1125099
Number of Individuals Covered	225
Insurance policy start date	2022-12-01
Insurance policy end date	2023-11-30
Total amount of commissions paid to insurance broker	USD $8,327
Total amount of fees paid to insurance company	USD $2,203
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $71,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,327
Insurance broker organization code?	3
Amount paid for insurance broker fees	2203
Additional information about fees paid to insurance broker	BONUS

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

52111612FNB

Policy instance

Insurance contract or identification number	52111612FNB
Number of Individuals Covered	208
Insurance policy start date	2022-12-01
Insurance policy end date	2023-11-30
Total amount of commissions paid to insurance broker	USD $6,567
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $65,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,567
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

W26564

Policy instance

Insurance contract or identification number	W26564
Number of Individuals Covered	201
Insurance policy start date	2022-12-01
Insurance policy end date	2023-11-30
Total amount of commissions paid to insurance broker	USD $25,237
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $787,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,237
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

W26564

Policy instance

Insurance contract or identification number	W26564
Number of Individuals Covered	212
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $24,811
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $599,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $24,811
Insurance broker organization code?	3

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

52111612FNB

Policy instance

Insurance contract or identification number	52111612FNB
Number of Individuals Covered	211
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $6,212
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $62,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,212
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1125099

Policy instance

Insurance contract or identification number	1125099
Number of Individuals Covered	199
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $7,147
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $61,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,147
Insurance broker organization code?	3

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E5741871

Policy instance

Insurance contract or identification number	E5741871
Number of Individuals Covered	20
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $5,545
Total amount of fees paid to insurance company	USD $1,932
Other welfare benefits provided	ACCIDENT, CANCER, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $10,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,456
Amount paid for insurance broker fees	719
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1125099

Policy instance

Insurance contract or identification number	1125099
Number of Individuals Covered	177
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $6,290
Total amount of fees paid to insurance company	USD $1,675
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $55,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,290
Amount paid for insurance broker fees	1675
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

78380

Policy instance

Insurance contract or identification number	78380
Number of Individuals Covered	8
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $652
Total amount of fees paid to insurance company	USD $20
Other welfare benefits provided	ACCIDENT, CANCER, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $4,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $164
Insurance broker organization code?	3
Amount paid for insurance broker fees	14
Additional information about fees paid to insurance broker	FEES

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

52111612FNB

Policy instance

Insurance contract or identification number	52111612FNB
Number of Individuals Covered	199
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $5,806
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $58,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,806
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

W26564

Policy instance

Insurance contract or identification number	W26564
Number of Individuals Covered	189
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $24,897
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $698,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $24,897
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1125099

Policy instance

Insurance contract or identification number	1125099
Number of Individuals Covered	187
Insurance policy start date	2020-03-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $4,832
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $41,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,832
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

78380

Policy instance

Insurance contract or identification number	78380
Number of Individuals Covered	11
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $995
Other welfare benefits provided	ACCIDENT, CANCER, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $6,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $241
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0B3VW

Policy instance

Insurance contract or identification number	GLTD0B3VW
Number of Individuals Covered	103
Insurance policy start date	2019-12-01
Insurance policy end date	2020-03-01
Total amount of commissions paid to insurance broker	USD $251
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $251
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B3VW

Policy instance

Insurance contract or identification number	GUG 0B3VW
Number of Individuals Covered	103
Insurance policy start date	2019-12-01
Insurance policy end date	2020-03-01
Total amount of commissions paid to insurance broker	USD $245
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $245
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0B3VW

Policy instance

Insurance contract or identification number	GVTL0B3VW
Number of Individuals Covered	58
Insurance policy start date	2019-12-01
Insurance policy end date	2020-03-01
Total amount of commissions paid to insurance broker	USD $465
Other welfare benefits provided	VOLUNTARY TERM LIFE
Welfare Benefit Premiums Paid to Carrier	USD $4,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $465
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B3VW

Policy instance

Insurance contract or identification number	GLUG0B3VW
Number of Individuals Covered	103
Insurance policy start date	2019-12-01
Insurance policy end date	2020-03-01
Total amount of commissions paid to insurance broker	USD $434
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $4,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $434
Insurance broker organization code?	3

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

52111612FNB

Policy instance

Insurance contract or identification number	52111612FNB
Number of Individuals Covered	199
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $5,806
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $58,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,806
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

W26564

Policy instance

Insurance contract or identification number	W26564
Number of Individuals Covered	197
Insurance policy start date	2019-12-01
Insurance policy end date	2020-11-30
Total amount of commissions paid to insurance broker	USD $22,892
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $538,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,892
Insurance broker organization code?	3

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )

Policy contract number

W26564

Policy instance

Insurance contract or identification number	W26564
Number of Individuals Covered	186
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $21,950
Total amount of fees paid to insurance company	USD $5,953
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $653,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,950
Amount paid for insurance broker fees	5953
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0B3VW

Policy instance

Insurance contract or identification number	GLUG0B3VW
Number of Individuals Covered	103
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $1,539
Total amount of fees paid to insurance company	USD $1,209
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $15,385
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,539
Amount paid for insurance broker fees	806
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0B3VW

Policy instance

Insurance contract or identification number	GVTL0B3VW
Number of Individuals Covered	57
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $1,481
Total amount of fees paid to insurance company	USD $1,281
Other welfare benefits provided	VOLUNTARY TERM LIFE
Welfare Benefit Premiums Paid to Carrier	USD $14,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,481
Amount paid for insurance broker fees	854
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG 0B3VW

Policy instance

Insurance contract or identification number	GUG 0B3VW
Number of Individuals Covered	103
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $817
Total amount of fees paid to insurance company	USD $635
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $817
Amount paid for insurance broker fees	423
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0B3VW

Policy instance

Insurance contract or identification number	GLTD0B3VW
Number of Individuals Covered	103
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $958
Total amount of fees paid to insurance company	USD $744
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $9,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $958
Amount paid for insurance broker fees	496
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

78380

Policy instance

Insurance contract or identification number	78380
Number of Individuals Covered	13
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $918
Other welfare benefits provided	ACCIDENT, CANCER, HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $6,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $317
Insurance broker organization code?	3

HEALTH RESOURCES INC (National Association of Insurance Commissioners NAIC id number: 96687 )

Policy contract number

52111612FNB

Policy instance

Insurance contract or identification number	52111612FNB
Number of Individuals Covered	188
Insurance policy start date	2018-12-01
Insurance policy end date	2019-11-30
Total amount of commissions paid to insurance broker	USD $5,153
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $51,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,153
Insurance broker organization code?	3

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Company Name:	FNB BANK, INC.
Employer identification number (EIN):	610273337
NAIC Classification:	522120
NAIC Description:	Savings Institutions