| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 6714 POINTE INVERNESS WAY SUITE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $54K | $4K | $59K | 4.87% |
| SHAWANMARQUIS AGENCY INC3 Filed as: SHAWANMARQUIS AGENCY INC. | 110 EAST WILSON BRIDGE ROAD SUITE 260 COLUMBUS, OH 43085 | COMMUNITY INSURANCE COMPANY | $3K | $0 | $3K | 0.21% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 565 METRO PLACE SOUTH, SUITE 450 DUBLIN, OH 43017 | PRINCIPAL LIFE INSURANCE COMPANY | $29K | $0 | $29K | 7.33% |
| REDTAIL LTD3 | 9999 BREWSTER LANE, SUITE 100 POWELL, OH 43065 | PRINCIPAL LIFE INSURANCE COMPANY | -$6 | $0 | -$6 | -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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 280 | $1.2M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 280 | $1.2M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 286 | $395K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 286 | — |
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.