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Form 5500 · Employee benefit plan · SUMMERSVILLE, WV

ADMINISTRATION SERVICES INC

The filing calls this plan ADMINISTRATION SERVICES INC HEALTH CARE PLAN.

Public Form 5500 records show how ADMINISTRATION SERVICES INC of SUMMERSVILLE, WV, a administrative and support services employer, structures its employee benefits. Its broker of record is GARLOW INSURANCE AGENCY INC. Coverage is written through GERBER LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in November.

Benefits broker of record
Policy year ends
Novemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0055117 · plan 501 · plan year 2024, filed Nov 26, 2025

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
109
Active at start of year
109
Active at end of year
122
Disclosed commissions
$48,829
Typical renewal
December 1

Benefits declared on this filing

Healthinsured — GERBER LIFE INSURANCE COMPANY183 of 109 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA183 of 109 participants
Visionnot declared on this filing
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA183 of 109 participants
Disabilitynot declared on this filing

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 2 insured contracts covering health, dental and life; the largest, with GERBER LIFE INSURANCE COMPANY, covers 183 people.

Reported premium across the insured contracts is $578,456, with $48,829 in disclosed broker commissions — about 8.4% of premium.

The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.

GARLOW INSURANCE AGENCY INC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: GERBER LIFE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
GERBER LIFE INSURANCE COMPANYHealth183Dec 1, 2024$460,168$32,269
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Life183Dec 1, 2024$118,288$16,560

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ADMINISTRATION SERVICES INC
EIN 20-0055117

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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