| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARY JO LEFEVRE3 | 2401 W BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | PRIORITY HEALTH | $21K | — | $21K | 4.77% |
| MARY JO LEFEVRE3 | 2401 W BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | PRIORITY HEALTH | $8K | $0 | $8K | 3.16% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | 8 CADILLAC DRRIVE SUITE 230 BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $3K | — | $3K | 6.49% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 15.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVE. TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 15.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| HYLANT GROUP INC3 | 8 CADILLAC SQUARE SUITE 230 BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $473 | — | $473 | 6.57% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $288 | — | $288 | 15.01% |
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 | 105 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | PRIORITY HEALTH | 123 | $701K |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 136 | $54K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 105 | $18K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 105 | $24K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 105 | $15K |
| Prescription drug(2 contracts) | PRIORITY HEALTH | 123 | $701K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 105 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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.