Form 5500 · Employee benefit plan · VICTOR, NY
LSI SOLUTIONS INC
LSI SOLUTIONS INC of VICTOR, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is DIGITAL INS NOVEM BENEFITS. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1300434 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 460 | December | $144,997 |
| EXCELLUS BLUE CROSS BLUE SHIELD | Dental | 437 | August | $17,718 |
| AMERITAS LIFE INSURANCE CORP OF NEW YORK | Vision | 818 | August | $2,555 |
Questions
Who is LSI SOLUTIONS INC's benefits broker?
Per its most recent Form 5500 Schedule A, LSI SOLUTIONS INC's broker of record is DIGITAL INS NOVEM BENEFITS.
What insurance carrier does LSI SOLUTIONS INC use?
LSI SOLUTIONS INC's benefit plan is written through EXCELLUS BLUE CROSS BLUE SHIELD, among 3 disclosed carriers.
When does LSI SOLUTIONS INC's group plan renew?
The most recent Schedule A policy period for LSI SOLUTIONS INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LSI SOLUTIONS INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.