| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 8 CADILAC DR STE BRENTWOOD, TN 37027 | DELTA DENTAL OF OHIO | $4K | $231 | $4K | 4.48% |
| HYLANT GROUP INC | 81 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLE NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| HYLANT GROUP INC | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| HYLANT GROUP INC | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| HYLANT GROUP INC | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $909 | — | $909 | 13.35% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $363 | — | $363 | 16.74% |
| HYLANT GROUP INC Filed as: HYLANT GROUP INCE | 811 MADISON AVE TOLEDO, OH 43604 | FIRST UNUM LIFE INSURANCE COMPANY | $208 | — | $208 | 16.77% |
| HYLANT GROUP INC | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $384 | — | $384 | 349.09% |
| SMITH, THOMAS, CHRISTOPHER3 | PO BOX 6650 METAIRIE, LA 70009 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $234 | — | $234 | 212.73% |
| USI INSURANCE SERVICES LLC3 | 1 SEAGATE STE 1800 TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $142 | — | $142 | 129.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 | Float revenue; Other fees; Claims processing; Insurance brokerage commissions and fees; Insurance agents and brokers; Non-monetary compensation; Contract Administrator; Other commissions; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | 4361 IRWIN RD MASON, OH 45040 | $258K |
| INGENIORX, INC. EIN 82-3062245 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue; Contract Administrator Service code 12 | 450 HEADQUARTERS PLAZA MORRISTOWN, NJ 07960 | -$14K |
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 | 381 | 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) | 381 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 381 | $94K |
| Vision | COMMUNITY INSURANCE COMPANY | 206 | $17K |
| Life insurance(5 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 339 | $57K |
| Short-term disability(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 55 | $8K |
| Long-term disability(4 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $52K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 212 | $676K |
| Other(6 contracts, 4 carriers) | THE LINCOLE NATIONAL LIFE INSURANCE COMPANY | 339 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 381 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.