| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVE TOLEDO, OH 43604 | ACE AMERICAN INSURANCE | $62K | — | $62K | 14.29% |
| MEDICAL MUTUAL OF OHIO0 | 2060 E. 9TH STREET CLEVELAND, OH 44115 | ACE AMERICAN INSURANCE | — | $38K | $38K | 8.75% |
| MEDWATCH LLC0 | PO BOX 952679 LAKE MARY, FL 32795 | ACE AMERICAN INSURANCE | — | $4K | $4K | 1.03% |
| BEST DOCTORS0 | 100 FEDERAL STREET 21ST FLOOR BOSTON, MA 02110 | ACE AMERICAN INSURANCE | — | $3K | $3K | 0.76% |
| SAGAMORE HEALTH NETWORK0 | 11595 N. MERIDIAN STREET SUITE 600 CARMEL, IN 46032 | ACE AMERICAN INSURANCE | — | $1K | $1K | 0.28% |
| MEDAI DATA MINING0 | 4901 VINELAND ROAD ORLANDO, FL 32811 | ACE AMERICAN INSURANCE | — | $1K | $1K | 0.25% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 8 CADILLAC DRIVE SUITE 230 BRENTWOOD, TN 37207 | DELTA DENTAL | $10K | — | $10K | 10.04% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 13.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | PO BOX 1687 TOLEDO, OH 436061687 | EYEMED | $2K | — | $2K | 9.17% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | PO BOX 1687 TOLEDO, OH 43603 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 13.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | 811 MADISON AVE TOLEDO, OH 43604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $497 | — | $497 | 12.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ASSISTANCE CORPORATION EIN 55-0715869 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | PO BOX 950 HURRICANE, WV 14228 | $59K |
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 | 182 | 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) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 309 | $101K |
| Vision | EYEMED | 460 | $21K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 29 | $37K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 29 | $8K |
| Stop-loss / reinsurancereinsurance | ACE AMERICAN INSURANCE | 182 | $432K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 29 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 460 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.