| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | PO BOX 40925 INDIANAPOLIS, IN 46280 | COMMUNITY INSURANCE COMPANY | $40K | $3K | $43K | 2.47% |
| W C FELTON AGENCY INC3 Filed as: W C FELTON AGCY INC | 51 S WASHINGTON ST TIFFIN, OH 44883 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | $0 | $6K | 2.82% |
| CENSTERSTONE INSURANCE COLUMBUS3 | 250 W OLD WILSON BRIDGE RD STE 190 WORTHINGTON, OH 43085 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 0.81% |
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| HYLANT GROUP INC3 | PO BOX 40925 INDIANAPOLIS, IN 46280 | ANTHEM LIFE INSURANCE COMPANY | $3K | $775 | $4K | 14.87% |
| ANTHONY LLYOD3 | 27064 OAKMEAD DR PERRYSBURG, OH 43551 | ALLSTATE - 4 | $1K | $0 | $1K | 6.52% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE - 4 | $823 | $0 | $823 | 4.17% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE - 4 | $66 | $0 | $66 | 0.33% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE - 4 | $56 | $0 | $56 | 0.28% |
| TAG BENEFITS GROUP LLC3 | 502 N MAIN ST 139 WEATHERFORD, TX 76086 | ALLSTATE - 4 | $14 | $0 | $14 | 0.07% |
| W C FELTON AGENCY INC3 Filed as: W C FELTON AGCY INC | 51 S WASHINGTON ST TIFFIN, OH 44883 | STANDARD INSURANCE COMPANY | $924 | $0 | $924 | 5.94% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | STANDARD INSURANCE COMPANY | $59 | $0 | $59 | 0.38% |
| ANTHONY LLYOD3 | 27064 OAKMEAD DR PERRYSBURG, OH 43551 | ALLSTATE | $520 | $0 | $520 | 5.00% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE | $447 | $0 | $447 | 4.30% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $40 | $0 | $40 | 0.38% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE | $35 | $0 | $35 | 0.34% |
| TAG BENEFITS GROUP LLC3 | 502 N MAIN ST 139 WEATHERFORD, TX 76086 | ALLSTATE | $7 | $0 | $7 | 0.07% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE - 5 | $111 | $0 | $111 | 1.41% |
| ANTHONY LLYOD3 | 27064 OAKMEAD DR PERRYSBURG, OH 43551 | ALLSTATE - 5 | $109 | $0 | $109 | 1.39% |
| TAG 2 BENEFITS INC3 | PO BOX 87 BURNET, TX 78611 | ALLSTATE - 5 | $22 | $0 | $22 | 0.28% |
| TAG BENEFITS GROUP LLC3 | 502 N MAIN ST 139 WEATHERFORD, TX 76086 | ALLSTATE - 5 | $9 | $0 | $9 | 0.11% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE - 5 | $4 | $0 | $4 | 0.05% |
| AON CONSULTING INC3 Filed as: ALLSTATE HEWITT | 1776 AHL DR JACKSONVILLE, FL 32224 | ALLSTATE INDEMNITY | $389 | $0 | $389 | 7.42% |
| ANTHONY LLYOD3 | 1205 LOUISIANA AVE 441 PERRYSBURG, OH 43552 | ALLSTATE INDEMNITY | $389 | $0 | $389 | 7.42% |
| ANTHONY LLYOD3 | 27064 OAKMEAD DR PERRYSBURG, OH 43551 | ALLSTATE - 3 | $298 | $0 | $298 | 8.51% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE - 3 | $144 | $0 | $144 | 4.11% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE - 3 | $7 | $0 | $7 | 0.20% |
| ANTHONY LLYOD3 | 27064 OAKMEAD DR PERRYSBURG, OH 43551 | ALLSTATE - 2 | $249 | $0 | $249 | 8.23% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST INC | 511 FIFTH STREET DEFIANCE, OH 43512 | ALLSTATE - 2 | $121 | $0 | $121 | 4.00% |
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 | 206 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 140 | $1.9M |
| Dental(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 165 | $86K |
| Vision | COMMUNITY INSURANCE COMPANY | 140 | $1.7M |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 206 | $32K |
| Short-term disability | ALLSTATE - 4 | 30 | $20K |
| Long-term disability | ALLSTATE - 4 | 30 | $20K |
| Other(4 contracts, 4 carriers) | ALLSTATE | 27 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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.