| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $4K | — | $4K | 4.77% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.70% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $575 | $2K | 5.60% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 8.89% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $433 | $3K | 7.21% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 8.76% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $503 | $3K | 7.54% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE 8TH FL TOLEDO, OH 43604 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $116 | $116 | 0.30% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.84% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $265 | $1K | 7.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 CONTRACT ADMINISTRATOR | Claims processing; Insurance brokerage commissions and fees; Contract Administrator; Other commissions; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers Service code 12 | 4361 IRWIN SIMPSON RD MASON, OH 45040 | $240K |
| HYLANT GROUP INC. EIN 34-1880366 INSURANCE AGENTS | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 6714 POINTE INVEERNESS WAY ATE 100 FORT WAYNE, IN 46804 | $0 |
| INGENIORX, INC. EIN 82-3062245 CONTRACT ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing; Float revenue Service code 12 | — | -$44K |
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 | 355 | 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) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 340 | $660K |
| Dental | DELTA DENTAL OF OHIO | 355 | $89K |
| Vision | COMMUNITY INSURANCE COMPANY | 340 | $660K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 319 | $20K |
| Long-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 166 | $78K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 340 | $660K |
| Other(4 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 319 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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."
No prospect flags tripped on this filing.