Form 5500 · Employee benefit plan · DAYTON, TN
SIMPLYBANK
Public Form 5500 records show how SIMPLYBANK (DAYTON, TN) structures its employee benefits. Its broker of record is BRENT WICK. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 12 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0123640 · plan 503 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health, Dental, Vision | 66 | December | $629,715 | $36,842 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 67 | April | $3,985 | $598 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 119 | April | $3,908 | $586 |
| UNITED OF OMAHA LFE INSURANCE COMPANY | Disability | 109 | June | $3,683 | $552 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 119 | April | $3,524 | $529 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 109 | June | $3,316 | $497 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 45 | April | $2,700 | $405 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 34 | June | $2,047 | $307 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 31 | June | $1,723 | $258 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 49 | April | $1,195 | $239 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 119 | April | $1,762 | $176 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 43 | June | $876 | $175 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 108 | June | $1,668 | $167 |
Questions
Who is SIMPLYBANK's benefits broker?
Per its most recent Form 5500 Schedule A, SIMPLYBANK's broker of record is BRENT WICK.
What insurance carrier does SIMPLYBANK use?
SIMPLYBANK's benefit plan is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC., among 13 disclosed carriers.
When does SIMPLYBANK's group plan renew?
The most recent Schedule A policy period for SIMPLYBANK ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SIMPLYBANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.