Form 5500 · Employee benefit plan · VERNON HILLS, IL
GEWALT HAMILTON ASSOCIATES INC
The filing calls this plan GEWALT HAMILTON ASSOCIATES MEDICAL.
Public Form 5500 records show how GEWALT HAMILTON ASSOCIATES INC of VERNON HILLS, IL, a professional services employer, structures its employee benefits. Its broker of record is RELATION INS SVCS GREAT LAKES, INC.. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-3426053 · plan 501 · plan year 2025, filed Apr 23, 2026
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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.
Benefits declared on this filing
Also declared: death benefits, other welfare.
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 3 insured contracts covering health, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 254 people.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $2,132,470, with $90,193 in disclosed broker commissions — about 4.2% 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.
RELATION INS SVCS GREAT LAKES, INC. is the broker of record on all 3 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 254 | Dec 1, 2025 | $2,024,583 | $80,794 |
| DEARBORN LIFE INSURANCE COMPANY | Life, Disability | 148 | Dec 1, 2025 | $93,689 | $8,567 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 123 | Dec 1, 2025 | $14,198 | $832 |
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.
Administrator and service providers
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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