| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNITEDHEALTHCARE INSURANCE COMPANY | $306K | — | $306K | 15.16% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $39K | — | $39K | 4.06% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $13K | $13K | 1.75% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $24K | $24K | 3.88% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $51K | $9K | $60K | 11.75% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 0.87% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $1K | $6K | 9.41% |
| HYLANT GROUP INC3 | PO BOX 1687 TOLEDO, OH 43606 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 9.66% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITEDHEALTHCARE SERVICES INC EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | 9700 HEALTH CARE LN MINNETONKA, MN 55343 | $2.0M |
| HYLANT GROUP INC EIN 34-1880368 BROKER | Other commissions Service code 55 | 811 MADISON AVE TOLEDO, OH 43604 | $327K |
| MAGELLAN RX MANAGEMENT LLC EIN 46-3708039 PHARMACY BENEFIT MGMT | Claims processing; Direct payment from the plan; Other fees Service code 12 | 6870 SHADOWRIDGE DR #111 ORLANDO, FL 32812 | $102K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,374 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 4,165 | $971K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 3,488 | $14K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,910 | $770K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,910 | $770K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 2,267 | $2.0M |
| Other(5 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,910 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,165 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.