Plan Ledger DOL Form 5500 · updated monthly

Country Club Bankbenefits

Country Club Bank Cafeteria Plan · OMAHA, NE · plan year 2025

Broker compensation reported · 2025
$28,575

Country Club Bank's benefits plans covered — active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $28,575 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. Broker pay fell 16% from $33,851 in 2024.

Insurance contracts · 20255
CURALINC LLCpremiums n/a · 448 covered
GUARDIAN · life std ltdpremiums n/a · 356 covered
FRESHBENIESpremiums n/a · 120 covered
EYEMED VISION CARE · visionpremiums n/a · 424 covered
DELTA DENTAL OF MISSOURI · dentalpremiums n/a · 491 covered
Brokers & agents paid · 20252
LOCKTON COMPANIES LLC$18,291 · incl $6,115 fees
LOCKTON COMPANIES LLC - KC SERIES$10,284 · incl $2,316 fees
Also brokered by Lockton5
Banner Health AZ$3,486,058
Peraton, Inc. VA$2,031,509
Dollar Tree, Inc. VA$1,645,687

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 440574255 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.