| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLDEO, OH 43604 | INTERMEDIARY INSURANCE SERVICE | — | $72K | $72K | 44.70% |
| CYPRESS BENEFIT ADMINISTRATORS, LLC5 | 5560 W. GRANDE MARKET DRIVE APPLETON, WI 54913 | INTERMEDIARY INSURANCE SERVICE | — | $30K | $30K | 18.61% |
| HST TECHNOLOGY SOLUTIONS0 Filed as: HST TECHNOLOGY SOLUTIONS INC | 3857 BIRCH STREET SUITE 586 NEWPORT BEACH, CA 92660 | INTERMEDIARY INSURANCE SERVICE | — | $10K | $10K | 6.18% |
| NARUS HEALTH INC.0 Filed as: NARUS HEALTH INC | 424 CHURCH STREET SUITE 2300 NASHVILLE, TN 37219 | INTERMEDIARY INSURANCE SERVICE | — | $5K | $5K | 3.21% |
| MEDWATCH LLC0 Filed as: MEDWATCH | PO BOX 21796 TAMPA, FL 33630 | INTERMEDIARY INSURANCE SERVICE | — | $5K | $5K | 3.03% |
| HEALTH SMART PREFERRED NETWORK0 Filed as: HEALTH SMART (INTERPLAN HEALTH) | PO BOX 207102 DALLAS, TX 753207102 | INTERMEDIARY INSURANCE SERVICE | — | $3K | $3K | 1.79% |
| PHCS0 Filed as: HEALTH EOS BY MULTIPLAN INC | PO BOX 29380 NEW YORK, NY 100879380 | INTERMEDIARY INSURANCE SERVICE | — | $1K | $1K | 0.69% |
| AHH CONSULT DOC0 | PO BOX 360142 PITTSBURGH, PA 152506142 | INTERMEDIARY INSURANCE SERVICE | — | $646 | $646 | 0.40% |
| ZELIS CLAIMS INTEGRITY INC0 Filed as: ZELIS CLAIMS INTERGRITY | 2 CROSSROADS DRIVE BEDMINSTER, NJ 07921 | INTERMEDIARY INSURANCE SERVICE | — | $42 | $42 | 0.03% |
| HYLANT GROUP INC3 | 85 CAMPAU AVE NW STE 100 GRAND RAPIDS, MI 49503 | STARMOUNT LIFE INSURANCE COMPANY | $8K | $3K | $11K | 15.04% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC SUPPLEMENTAL | PO BOX 541 STE J4100, 24 FRANK LLOY ANN ARBOR, MI 48106 | STARMOUNT LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43603 | VISION SERVICE PLAN | $2K | — | $2K | 15.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 85 CAMPAU AVE NW STE 100 GRAND RAPIDS, MI 49503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $705 | $202 | $907 | 17.95% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC SUPPLEMENTAL | PO BOX 541 STE J4100, 24 FRANK LLOY ANN ARBOR, MI 48106 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
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 | 98 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INTERMEDIARY INSURANCE SERVICE | 91 | $162K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 89 | $73K |
| Vision | VISION SERVICE PLAN | 98 | $11K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 109 | $5K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 109 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 109 | — |
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.