| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 436045684 | UNITED HEALTHCARE INSURANCE COMPANY | $31K | — | $31K | 2.81% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 436045684 | MUTUAL OF OMAHA INSURANCE COMPANY | $9K | $3K | $12K | 16.17% |
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY, SUITE 10 FORT WAYNE, IN 46804 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 4.94% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | PO BOX 1687 TOLEDO, OH 436061687 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 9.78% |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 219 | $1.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 109 | $66K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 171 | $10K |
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 133 | $72K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 133 | $72K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 133 | $72K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 133 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.