Form 5500 · Employee benefit plan · BATH, NY
DON SIMMONS INC
DON SIMMONS INC of BATH, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN & BROWN INS SVCS INC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1664884 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 113 | December | $38,223 |
| LINCOLN LIFE AND ANNUITY COMPANY OF NEW YORK | Disability | 54 | June | $5,544 |
| EXCELLUS BLUE CROSS BLUE SHIELD PLAN | Dental | 152 | December | $4,593 |
| LINCOLN LIFE AND ANNUITY COMPANY OF NEW YORK | — | 114 | June | $3,422 |
| LINCOLN LIFE AND ANNUITY COMPANY OF NEW YORK | — | 83 | June | $2,767 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | 47 | June | $798 |
| LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | 24 | June | $605 |
| VISION SERVICE PLAN | Vision | 64 | December | $145 |
Questions
Who is DON SIMMONS INC's benefits broker?
Per its most recent Form 5500 Schedule A, DON SIMMONS INC's broker of record is BROWN & BROWN INS SVCS INC.
What insurance carrier does DON SIMMONS INC use?
DON SIMMONS INC's benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 8 disclosed carriers.
When does DON SIMMONS INC's group plan renew?
The most recent Schedule A policy period for DON SIMMONS INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DON SIMMONS INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.