| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCIOTO PROFESSIONAL BENEFITS AGENCY3 | 2500 SANDOVER ROAD COLUMBUS, OH 43220 | UNIMERICA INSURANCE COMPANY | $49K | — | $49K | 10.00% |
| BAC AGENCY, INC.5 | 6331 EAST LIVINGSTON AVENUE REYNOLDSBURG, OH 43068 | UNIMERICA INSURANCE COMPANY | $24K | — | $24K | 5.00% |
| ROGERS BENEFIT GROUP INC3 Filed as: LAURIE ROGERS | 2500 SANDOVER ROAD COLUMBUS, OH 432202847 | AMERITAS LIFE INSURANCE CORPORATION | $16K | — | $16K | 10.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVENUE TOLEDO, OH 436045684 | MUTUAL OF OMAHA | $24K | $4K | $28K | 29.37% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVENUE TOLEDO, OH 436045684 | MUTUAL OF OMAHA | — | $1K | $1K | 3.95% |
| BAC AGENCY, INC.5 | 6331 EAST LIVINGSTON AVENUE REYNOLDSBURG, OH 43068 | UNITED HEALTHCARE | $3K | — | $3K | 10.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVENUE TOLEDO, OH 436045684 | MUTUAL OF OMAHA | $3K | $1K | $4K | 13.95% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 811 MADISON AVENUE TOLEDO, OH 436045684 | MUTUAL OF OMAHA | — | $318 | $318 | 3.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BUSINESS ADMINISTRATORS, INC. CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 6331 EAST LIVINGSTON AVENUE REYNOLDSBURG, OH 43068 | $90K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 NETWORK PROVIDER | Insurance services Service code 23 | — | $45K |
| SCIOTO PROFESSIONAL BENEFITS AGENCY INSURANCE AGENT | Insurance agents and brokers Service code 22 | 2500 SANDOVER ROAD COLUMBUS, OH 43220 | $6K |
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 | 336 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 270 | $486K |
| Dental | AMERITAS LIFE INSURANCE CORPORATION | 479 | $161K |
| Life insurance | MUTUAL OF OMAHA | 336 | $8K |
| Short-term disability | MUTUAL OF OMAHA | 336 | $8K |
| Long-term disability | MUTUAL OF OMAHA | 336 | $31K |
| Prescription drug | UNIMERICA INSURANCE COMPANY | 270 | $486K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 270 | $486K |
| Other(2 contracts, 2 carriers) | UNITED HEALTHCARE | 336 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
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.