BenefitsLedger
Employer health plan record · Plan year 2025 (latest filing) · Form 5500

Black Label Services, Inc.

Updated Filing received by DOL

Black Label Services, Inc., a manufacturing — metal, equipment, transportation employer in Windsor, Colorado, reported 422 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 2 insurance contracts with no premium reported and $51,488 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on June 3, 2026, before the deadline.

Participants
422
+45.0% vs 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$51,488
+26.3% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on Black Label Services, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Black Label Services, Inc. filed for 2025.

Broker or agentCommissionsFeesTotalContracts
Shirazi-Miller Benefits. LLC · Greeley, CO$38,406$0$38,4062
Alera Group, Inc. · Deerfield, IL$0$10,038$10,0381
T2b Solutions, Inc. · Indianola, IA$0$3,044$3,0441

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
The Guardian Life Insurance Company of Americavision, life, short-term disability, long-term disability447—$42,356—
Cigna Health and Life Insurance Companycoverage not coded417—$9,132—

Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Black Label Services, Inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Black Label Services, Inc.
$51,488
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$40,780$51,488Broker pay20242025
Black Label Services, Inc.: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants291422+45.0%
Premiums filed$0$0—
Broker commissions + fees$40,780$51,488+26.3%
Commission rate———

Source: DOL Form 5500 filings for plan years 2024 and 2025.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Black Label Services, Inc. Welfare Benefit Plan#501 · insurance, general assetsDecember 31, 2025June 3, 2026before deadline422

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Black Label Services, Inc. pay in health insurance broker commissions in 2025?

Black Label Services, Inc.'s 2025 Form 5500 reports $51,488 in broker commissions and fees across 2 insurance contracts ($38,406 in commissions, $13,082 in fees), with Shirazi-Miller Benefits. LLC receiving the largest share.

Is Black Label Services, Inc.'s health plan self-funded or fully insured?

The 2025 filing indicates the plan is self-funded (the employer pays claims itself).

How does Black Label Services, Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Black Label Services, Inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.