| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $975 | $3K | $4K | 0.30% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | PO BOX 40925 INDIANAPOLIS, IN 46280 | COMMUNITY INSURANCE COMPANY | $434 | $238 | $672 | 0.05% |
| W C FELTON AGENCY INC3 | 51 S WASHINGTON ST TIFFIN, OH 44883 | COMMUNITY INSURANCE COMPANY | $168 | $0 | $168 | 0.01% |
| W C FELTON AGENCY INC3 | 51 S WASHINGTON ST TIFFIN, OH 448832347 | UNITED HEALTHCARE INSURANCE COMPANY | $5K | $0 | $5K | 3.51% |
| WARD INSURANCE AGENCY INC3 Filed as: WARD INSURANCE AGENCY INC. | PO BOX 10167 EUGENE, OR 974402167 | UNITED HEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 2.61% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE COLUMBUS | 250 W OLD WILSON BRIDGE RD STE 190 WORTHINGTON, OH 430852298 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 1.55% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $3K | $0 | $3K | 5.00% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $1K | $0 | $1K | 6.61% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $1K | $0 | $1K | 5.89% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $71 | $0 | $71 | 0.35% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE | $64 | $0 | $64 | 0.31% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $16 | $0 | $16 | 0.08% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $530 | $0 | $530 | 4.62% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $491 | $0 | $491 | 4.28% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $45 | $0 | $45 | 0.39% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE | $37 | $0 | $37 | 0.32% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $10 | $0 | $10 | 0.09% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $128 | $0 | $128 | 1.42% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $128 | $0 | $128 | 1.42% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE | $20 | $0 | $20 | 0.22% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $9 | $0 | $9 | 0.10% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $3 | $0 | $3 | 0.03% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 1205 LOUISIANA AVE. #441 PERRYSBURG, OH 43552 | ALLSTATE | $504 | $0 | $504 | 7.48% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $504 | $0 | $504 | 7.48% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $165 | $0 | $165 | 4.70% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $159 | $0 | $159 | 4.53% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $6 | $0 | $6 | 0.17% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $164 | $0 | $164 | 4.91% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $145 | $0 | $145 | 4.34% |
| WARD INSURANCE AGENCY INC3 Filed as: WARD INSURANCE AGENCY INC. | PO BOX 10167 EUGENE, OR 97401 | STANDARD INSURANCE COMPANY | $380 | $0 | $380 | 16.46% |
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 | 160 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 160 | $1.5M |
| Dental | COMMUNITY INSURANCE COMPANY | 154 | $62K |
| Vision | COMMUNITY INSURANCE COMPANY | 160 | $1.4M |
| Life insurance(2 contracts, 2 carriers) | ALLSTATE | 41 | $11K |
| Short-term disability | ALLSTATE | 35 | $20K |
| Long-term disability | ALLSTATE | 35 | $20K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 10 | $150K |
| Other(4 contracts) | ALLSTATE | 35 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.