| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 3755 E 82ND ST STE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | — | $9K | 3.99% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 301 PENNSYLVANIA PKWY, STE 201 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | — | $8K | 3.51% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 3755 E 82ND ST STE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $2K | $11K | 11.05% |
| HYLANT GROUP INC3 | 301 PENNSYLVANIA PKWY, STE 201 INDIANAPOLIS, IN 46280 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 6.17% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 3755 E 82ND ST STE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $917 | $4K | 10.88% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 301 PENNSYLVANIA PKWY, STE 201 INDIANAPOLIS, IN 46280 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 6.35% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC EIN 35-0781558 | Contract Administrator; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Float revenue Service code 12 | 3350 PEACHTREE ROAD ATLANTA, GA 303261039 | $287K |
| APEX BENEFITS GROUP INC EIN 38-3681922 | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 3755 E 82ND STREET, STE 1 INDIANAPOLIS, IN 46240 | $35K |
| HYLANT GROUP INC EIN 34-1880366 | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 6714 PTE INVERNESS WAY FT WAYNE, IN 46804 | $18K |
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 | 323 | 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) | 323 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 574 | $216K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 574 | $216K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 322 | $100K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 323 | $41K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 322 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 619 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.