| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY, STE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $22K | $2K | $25K | 2.04% |
| MARSH & MCLENNAN AGENCY LLC3 | 161 WASHINGTON STREET, SUITE 1200 CONSHOHOCKEN, PA 19428 | COMMUNITY INSURANCE COMPANY | $5K | $0 | $5K | 0.38% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC- MELISSA LEACH | 811 MADISON AVE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $1K | $3K | $4K | 9.68% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGCY LLC- TIMOTHY | 6160 GOLDEN HILLS DR MINNEAPOLIS, MN 55416 | DELTA DENTAL OF OHIO | $614 | $0 | $614 | 1.35% |
| HYLANT GROUP INC3 | 5210 BELFORT RD, STE 405 JACKSONVILLE, FL 32256 | ANTHEM LIFE INSURANCE COMPANY | $3K | $0 | $3K | 12.35% |
| MARSH & MCLENNAN AGENCY LLC3 | 2929 ALLEN PARKWAY, SUITE 2500 HOUSTON, TX 77019 | ANTHEM LIFE INSURANCE COMPANY | $1K | $0 | $1K | 4.35% |
| HYLANT GROUP INC3 | 5210 BELFORT RD, STE 405 JACKSONVILLE, FL 32256 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.55% |
| MARSH & MCLENNAN AGENCY LLC3 | 2929 ALLEN PARKWAY, SUITE 2500 HOUSTON, TX 77019 | ANTHEM LIFE INSURANCE COMPANY | $913 | $0 | $913 | 4.45% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC- MELISSA LEACH | 811 MADISON AVE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $294 | $0 | $294 | 3.20% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC- MICHELLE WILLARD | 811 MADISON AVE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $284 | $0 | $284 | 3.09% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGCY LLC- TIMOTHY | 6160 GOLDEN HILLS DR MINNEAPOLIS, MN 55416 | DELTA DENTAL OF OHIO | $249 | $0 | $249 | 2.71% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 166 | $1.2M |
| Dental | DELTA DENTAL OF OHIO | 157 | $45K |
| Vision | DELTA DENTAL OF OHIO | 126 | $9K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 128 | $25K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 37 | $21K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 166 | $1.2M |
| Other(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 166 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.