| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C & A BENEFITS GROUP LLC3 Filed as: C&A BENEFITS GROUP LLC | 8 CADILLAC DRIVE SUITE 230 BRENTWOOD, TN 37027 | DELTA DENTAL OF OHIO | $10K | — | $10K | 6.40% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | — | LINCOLN FINANCIAL GROUP | $20K | $292 | $20K | 15.22% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | — | LINCOLN FINANCIAL GROUP | $3K | $139 | $3K | 6.76% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | — | LINCOLN FINANCIAL GROUP | $4K | $102 | $4K | 11.24% |
| BAC AGENCY, INC.5 | 6331 EAST LIVINGSTON AVENUE REYNOLDSBURG, OH 43068 | UNITED HEALTHCARE | $3K | — | $3K | 10.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 565 METRO PARK SOUTH DUBLIN, OH 43017 | EYE MED | $3K | — | $3K | 9.17% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | — | LINCOLN FINANCIAL GROUP | $1K | $26 | $1K | 12.47% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | — | LINCOLN FINANCIAL GROUP | $833 | $12 | $845 | 15.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BUSINESS ADMINISTRATORS, INC. CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 6331 EAST LIVINGSTON AVENUE REYNOLDSBURG, OH 43068 | $115K |
| HYLANT GROUP INC. INSURANCE AGENT | Insurance agents and brokers Service code 22 | 811 MADISON AVENUE TOLEDO, OH 43604 | $69K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 NETWORK PROVIDER | Insurance services Service code 23 | — | $57K |
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 | 628 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 628 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 329 | $597K |
| Dental | DELTA DENTAL OF OHIO | 628 | $150K |
| Vision | EYE MED | 487 | $28K |
| Life insurance | LINCOLN FINANCIAL GROUP | 395 | $9K |
| Short-term disability | LINCOLN FINANCIAL GROUP | 395 | $9K |
| Long-term disability | LINCOLN FINANCIAL GROUP | 388 | $37K |
| Prescription drug | UNIMERICA INSURANCE COMPANY | 329 | $597K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 329 | $597K |
| Other(4 contracts, 2 carriers) | LINCOLN FINANCIAL GROUP | 395 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 628 | — |
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."
No prospect flags tripped on this filing.