| 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 | 4.74% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $990 | $5K | 12.25% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $883 | $7K | 17.07% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $870 | $7K | 17.11% |
| HYLANT GROUP INC3 | 24 FRANK LLOYD WRIGHT DR ANN ARBOR, MI 48105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $443 | $3K | 17.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 CONTRACT ADMINISTRATOR | Insurance agents and brokers; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Insurance brokerage commissions and fees; Other commissions Service code 12 | 4361 IRWIN SIMPSON RD MASON, OH 45040 | $185K |
| HYLANT GROUP INC. EIN 34-1880366 INSURANCE AGENTS | Other commissions; Insurance agents and brokers; 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 | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | -$34K |
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 | 350 | 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) | 350 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 332 | $703K |
| Dental | DELTA DENTAL OF OHIO | 350 | $83K |
| Vision | COMMUNITY INSURANCE COMPANY | 332 | $703K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 316 | $20K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 91 | $43K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 332 | $703K |
| Other(3 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 316 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 350 | — |
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.