| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | P.O. BOX 40925 INDIANAPOLIS, IN 46280 | ANTHEM INSURANCE COMPANIES, INC. | $25K | — | $25K | 2.89% |
| PATRICIA E. REES3 Filed as: PATRICIA E REES | 1268 WEST 100 NORTH FRANKLIN, IN 46131 | AFLAC | $1K | $178 | $2K | 3.83% |
| LINDA L. MERRITT3 Filed as: LINDA L MERRITT | 1031 EAST 199TH STREET WESTFIELD, IN 46074 | AFLAC | $1K | $178 | $2K | 3.78% |
| RITA J ABRAM3 | 11500 GOLDEN WILLOW COURT ZIONSVILLE, IN 46077 | AFLAC | $1K | $71 | $1K | 3.24% |
| ANNETTA RICHARDS3 | 1183 WYNDHAM WAY GREENWOOD, IN 46142 | AFLAC | $1K | — | $1K | 2.93% |
| ROBERT W BURGETT3 | 1701 WEST 18TH STREET SUITE A INDIANAPOLIS, IN 46202 | AFLAC | $843 | $71 | $914 | 2.11% |
| JASON A NAVILLE3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $118 | — | $118 | 0.27% |
| ANGELA W. MINOR3 Filed as: ANGELA W MINOR | 6539 NATHAN LANE INDIANAPOLIS, IN 46237 | AFLAC | $66 | — | $66 | 0.15% |
| ANGELA W. MINOR3 Filed as: ANGELA W MINOR | 815 CORKWOOD COURT INDIANAPOLIS, IN 46227 | AFLAC | $66 | — | $66 | 0.15% |
| DENISE L ALLEN3 | 205 PENNSYLVANIA COURT INDIANAPOLIS, IN 46225 | AFLAC | $61 | — | $61 | 0.14% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $44 | — | $44 | 0.10% |
| MARK A WOJDA3 | 631 GREENFORD TRAIL WEST CARMEL, IN 46032 | AFLAC | $43 | — | $43 | 0.10% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $36 | — | $36 | 0.08% |
| DANIEL V ADAMS3 | 79 POTOMAC AVENUE SE APARTMENT 937 WASHINGTON, DC 20003 | AFLAC | $27 | — | $27 | 0.06% |
| LLOYD W HUGHES3 | 3775 NORTH STATE ROAD 52 LEBANON, IN 46052 | AFLAC | $26 | — | $26 | 0.06% |
| MICHAEL DUANE ARNOLD3 | 2147 BUTTONBUSH DRIVE PLAINFIELD, IN 46168 | AFLAC | $24 | — | $24 | 0.06% |
| KATTE L HANNER3 | 6378 DEERSTAND ROAD GREENWOOD, IN 46143 | AFLAC | $15 | — | $15 | 0.03% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DRIVE FORT WAYNE, IN 46835 | AFLAC | $9 | — | $9 | 0.02% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DRIVE FORT WAYNE, IN 46835 | AFLAC | $9 | — | $9 | 0.02% |
| JOHN T CLANCY3 | 4025 PETE DYE BOULEVARD CARMEL, IN 46033 | AFLAC | $7 | — | $7 | 0.02% |
| MATTHEW A COOK3 | 10069 BENT TREE LANE FISHERS, IN 46037 | AFLAC | $6 | — | $6 | 0.01% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DRIVE JASPER, IN 47546 | AFLAC | $5 | — | $5 | 0.01% |
| JOHN TYLER & ASSOCIATES3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE COURT PLAINFIELD, IN 46168 | AFLAC | $2 | — | $2 | 0.00% |
| JENNIFER L MITCHEN3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $1 | — | $1 | 0.00% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DRIVE CARMEL, IN 46033 | AFLAC | $1 | — | $1 | 0.00% |
| DAYTON LLC3 | 324 OLD WOOD DRIVE COLUMBIA, SC 29212 | AFLAC | $1 | — | $1 | 0.00% |
| DAYTON LLC3 | 5445 OTC PARKWAY SUITE 10236 GREENWOOD VILLAGE, CO 80111 | AFLAC | $1 | — | $1 | 0.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | P.O. BOX 40925 INDIANAPOLIS, IN 46280 | ANTHEM LIFE INSURANCE COMPANY | $789 | — | $789 | 9.95% |
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 | 98 | 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) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 139 | $862K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 0 | $0 |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 0 | $0 |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 98 | $8K |
| Short-term disability | AFLAC | 42 | $43K |
| Other(3 contracts, 3 carriers) | AFLAC | 98 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.