Form 5500 · Employee benefit plan · HOLMDEL, NJ
HYLAN SERVICES LLC
The filing calls this plan HYLAN HEALTH AND WELFARE PLAN.
HYLAN SERVICES LLC of HOLMDEL, NJ insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is GIS BENEFITS INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-5064569 · plan 501 · plan year 2025, filed Jul 13, 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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 251 people.
Reported premium across the insured contracts is $1,917,627, with $29,563 in disclosed broker commissions — about 1.5% 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.
GIS BENEFITS INC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 248 | Jan 1, 2026 | $205,048 | $20,228 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 10 | Jan 1, 2026 | $18,514 | $6,280 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 85 | Jan 1, 2026 | $14,741 | $2,057 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Vision | 251 | Jan 1, 2026 | $1,571,649 | $998 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 171 | Jan 1, 2026 | $107,675 | $0 |
Premium and claims on this contract
CIGNA HEALTH AND LIFE INSURANCE COMPANY, contract 00651912. For the contract year on this filing, the carrier reported $1,571,649 in premium earned and $1,733,558 in claims incurred. Dividing one by the other gives 110%.
- CIGNA HEALTH AND LIFE INSURANCE COMPANY, contract 00651912 reported $116,209 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
How this plan compares
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