| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $0 | $20K | 5.00% |
| ADP INC5 Filed as: AUTOMATIC DATA PROCESSING INC | PO BOX 842875 BOSTON, MA 02284 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 1.25% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.73% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $18K | $0 | $18K | 5.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.80% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $0 | $16K | 5.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.91% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $28K | $810 | $29K | 15.43% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 5.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, MI 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.21% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 5.00% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.00% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.00% |
| HYLANT GROUP INC3 | 85 CAMPAU AVENUE NW, SUITE 100 GRAND RAPIDS, MI 49503 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $7K | $17K | 19.27% |
| WATCHTOWER BENEFITS, LLC3 | 306 WEST ERIE STREET, SUITE 300 CHICAGO, IL 60654 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $3K | $3K | 3.62% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $262 | $7K | 15.56% |
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY SUITE 100 FORT WAYNE, IN 46804 | ANTHEM LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.08% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER AGENCY INC | 3831 SOUTH DIXIE DRIVE DAYTON, OH 45439 | ANTHEM LIFE INSURANCE COMPANY | $450 | $0 | $450 | 1.03% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | $220 | $6K | 17.16% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 15.00% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| TY DAVIDSON MAYBERRY3 | 1717 MORRE ROAD OWENSVILLE, MO 65066 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $970 | $7 | $977 | 5.19% |
| ERIN WEESE3 | 608 WASHINGTON STREET, SUITE A JEFFERSON CITY, MO 65101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $237 | $1 | $238 | 1.26% |
| GABRIEL W HULSEY3 Filed as: GABRIEL W. HULSEY | 1500 PLEASANT VALLED ROAD JEFERSON CITY, MO 65109 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $196 | $1 | $197 | 1.05% |
| SUSAN MARIE WEITKAMP3 | 246 FIDDLECREEK RIDGE ROAD WENTZVILLE, MO 63385 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $194 | $2 | $196 | 1.04% |
| DIANA RUNE OFLYNNE3 | 12920 WHIPPOORHILL LANE ST LOUIS, MO 63128 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.03% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $823 | $3K | 14.91% |
| UNKNOWN3 | UNKNOWN FORT WAYNE, IN 46845 | AMERICAN UNITED LIFE INSURANCE COMPANY | $2K | $0 | $2K | 12.32% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $160 | $160 | 1.10% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $155 | $155 | 1.11% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, MI 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $140 | $140 | 1.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $63 | $2K | 12.21% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 12.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $601 | $2K | 15.20% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $883 | $428 | $1K | 14.85% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE MIDWEST | 1111 CHESTNUT HILLS PARKWAY FORT WAYNE, IN 46814 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $157 | $329 | $486 | 7.28% |
| LUCIDO MORRIS ASSOCIATES, LLC3 | UNKNOWN FORT WAYNE, IN 46845 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3 | $0 | $3 | 0.04% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $582 | $0 | $582 | 10.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $853 | $0 | $853 | 14.80% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $564 | $66 | $630 | 11.17% |
| UNKNOWN3 | UNKNOWN FORT WAYNE, IN 46845 | AMERICAN UNITED LIFE INSURANCE COMPANY | $610 | $0 | $610 | 12.07% |
| UNKNOWN3 | UNKNOWN FORT WAYNE, IN 46845 | AMERICAN UNITED LIFE INSURANCE COMPANY | $469 | $0 | $469 | 12.22% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $383 | $193 | $576 | 15.05% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $382 | $0 | $382 | 10.01% |
| HYLANT GROUP INC3 | 201 DEPOT STREET, SUITE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $257 | $0 | $257 | 10.01% |
| HYLANT GROUP INC3 Filed as: HYLANT OF INDIANA LLC | 6714 POINTE INVERNESS WAY SUITE 100 FORT WAYNE, IN 46804 | SUN LIFE ASSURANCE COMPANY OF CANADA | $194 | $0 | $194 | 10.03% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $28 | $28 | 1.45% |
| HYLANT GROUP INC3 | 1050 CROWN POINTE PARKWAY ATLANTA, GA 30338 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $28 | $28 | 1.45% |
| R & R INSURANCE SERVICES INC3 Filed as: R&R INSURANCE SERVICES INC | N14 W23900 STONE RIDGE DRIVE WAUKESHA, WI 53188 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $284 | $0 | $284 | 20.03% |
No Schedule C service providers reported on this filing.
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 | 1,783 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,783 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 49 | $38K |
| Life insurance(22 contracts, 8 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,783 | $1.1M |
| Short-term disability(13 contracts, 6 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 875 | $609K |
| Long-term disability(16 contracts, 7 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 704 | $938K |
| Other(24 contracts, 10 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,783 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,783 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.