| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NATIONAL MEDICAL EXCESS LLC3 Filed as: NATIONAL MEDICAL EXCESS, LLC | 3171 N REPUBLIC BOULEVARD #201 TOLEDO, OH 43615 | HM LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 8 CADILLAC DR STE 230 BRENTWOOD, TN 37027 | DELTA DENTAL OF OHIO | $3K | — | $3K | 2.06% |
| BROOKS INSURANCE AGENCY3 Filed as: BROOKS INSURANCE AGENCY, INC | 1120 MADISON AVE TOLEDO, OH 43604 | DELTA DENTAL OF OHIO | $1K | — | $1K | 0.68% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $366 | $7K | 12.92% |
| BROOKS INS AGENCY INC3 Filed as: BROOKS INSURANCE AGENCE | 1120 MADISON AVE TOLEDO, OH 43604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.77% |
| HYLANT GROUP INC3 | 811 MADISON AVE 8TH FLOOR TOLEDO, OH 43604 | LINCOLN FINANCIAL GROUP | $6K | $331 | $6K | 12.97% |
| BROOKS INSURANCE AGENCY3 | 1120 MADISON AVE TOLEDO, OH 43604 | LINCOLN FINANCIAL GROUP | $1K | — | $1K | 2.73% |
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 | 434 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 434 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PARAMOUNT HEALTHCARE | 291 | $133K |
| Dental | DELTA DENTAL OF OHIO | 291 | $153K |
| Life insurance | LINCOLN FINANCIAL GROUP | 434 | $47K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 434 | $53K |
| Other | HM LIFE INSURANCE COMPANY | 284 | $296K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 434 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.