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Form 5500 · Employee benefit plan · FINDLAY, OH

GVS FILTRATION, INC.

The filing calls this plan GVS FILTRATION, INC. GROUP BENEFITS PLAN.

GVS FILTRATION, INC. of FINDLAY, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MARSH & MCLENNAN. Coverage is written through DELTA DENTAL OF OHIO and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-2676797 · plan 501 · plan year 2025, filed Jun 11, 2026

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How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
230
Active at start of year
230
Active at end of year
268
Disclosed commissions
$52,239
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — ANTHEM HEALTH PLANS OF MAINE, INC.425 of 230 participants
Dentalinsured — DELTA DENTAL OF OHIO484 of 230 participants
Visioninsured — ANTHEM HEALTH PLANS OF MAINE, INC.425 of 230 participants
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA321 of 230 participants
Disabilityinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA268 of 230 participants

Also declared: 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 5 insured contracts covering health, dental, vision, life and disability; the largest, with DELTA DENTAL OF OHIO, covers 484 people.

Reported premium across the insured contracts is $446,955, with $52,239 in disclosed broker commissions — about 12% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

MARSH & MCLENNAN is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including DELTA DENTAL OF OHIO, LIFE INSURANCE COMPANY OF NORTH AMERICA and ANTHEM HEALTH PLANS OF MAINE, INC.. DELTA DENTAL OF OHIO writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
LIFE INSURANCE COMPANY OF NORTH AMERICALife321Jan 1, 2026$166,312$24,947
DELTA DENTAL OF OHIODental484Jan 1, 2026$188,713$9,343
LIFE INSURANCE COMPANY OF NORTH AMERICADisability268Jan 1, 2026$53,318$7,998
ANTHEM HEALTH PLANS OF MAINE, INC.Health, Vision425Jan 1, 2026$25,224$7,943
LIFE INSURANCE COMPANY OF NORTH AMERICA—292Jan 1, 2026$13,388$2,008

Premium and claims on this contract

DELTA DENTAL OF OHIO, contract 0000266. For the contract year on this filing, the carrier reported $188,713 in premium earned and $144,260 in claims incurred. Dividing one by the other gives 76%.

  • DELTA DENTAL OF OHIO, contract 0000266 reported $31,382 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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
GVS FILTRATION, INC.
EIN 45-2676797

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

Reported to OSHA

Reported to OSHA for 2025: 129 employees, 1 recordable cases, 180 days away from work.

EmployeesThe company's own average for the year
129
Hours worked
334,727
Recordable cases
1
Days away from work
180

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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