| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | PO BOX 1687 TOLEDO, OH 436031687 | METROPOLITAN LIFE INSURANCE COMPANY | $46K | $22K | $68K | 4.77% |
| HYLANT GROUP INC3 | PO BOX 1687 TOLEDO, OH 436031687 | METROPOLITAN LIFE INSURANCE COMPANY | $29K | — | $29K | 2.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 ADMIN AND FEES | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Claims processing; Contract Administrator; Other services Service code 12 | — | $1.6M |
| HYLANT GROUP | Other commissions; Non-monetary compensation; Insurance agents and brokers Service code 22 | — | $98K |
| EXPRESS SCRIPTS EIN 31-1714795 SALES COMMISSION | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $0 |
| HYLANT GROUP INC EIN 31-1440175 SALES COMM | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | $0 |
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 | 1,977 | 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) | 1,977 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,424 | $1.4M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 3,424 | $1.4M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,424 | $1.4M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,424 | $1.4M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 3,424 | $1.4M |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 1,977 | $624K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,424 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.