| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 6714 POINTE INVERNESS WAY SUITE 100 FORT WAYNE, IN 46804 | ANTHEM INSURANCE COMPANIES, INC. | $32K | $0 | $32K | 3.64% |
| LINDA L. MERRITT3 | 1031 EAST 199TH STREET WESTFIELD, IN 46074 | AFLAC | $2K | $55 | $2K | 5.23% |
| PATRICIA E. REES3 | 1268 WEST 100 NORTH FRANKLIN, IN 46131 | AFLAC | $2K | $55 | $2K | 4.16% |
| RITA J ABRAM3 Filed as: RITA J. ABRAM | 11500 GOLDEN WILLOW COURT ZIONSVILLE, IN 46077 | AFLAC | $1K | $26 | $1K | 3.68% |
| ANNETTA RICHARDS3 | 1183 WYNDHAM WAY GREENWOOD, IN 46142 | AFLAC | $1K | $0 | $1K | 3.27% |
| ROBERT W BURGETT3 Filed as: ROBERT W. BURGETT | 1701 WEST 18TH STREET, SUITE A INDIANAPOLIS, IN 46202 | AFLAC | $895 | $26 | $921 | 2.36% |
| MJ INSURANCE3 Filed as: JASON A. NAVILLE AND VARIOUS AGENTS | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $265 | $0 | $265 | 0.68% |
| ANGELA W. MINOR3 | 6539 NATHAN LANE INDIANAPOLIS, IN 46237 | AFLAC | $111 | $0 | $111 | 0.28% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 6714 POINTE INVERNESS WAY SUITE 100 FORT WAYNE, IN 46804 | ANTHEM LIFE INSURANCE COMPANY | $898 | $0 | $898 | 5.96% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 134 | $871K |
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 134 | $871K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 134 | $871K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 104 | $15K |
| Short-term disability | AFLAC | 36 | $39K |
| Prescription drug | ANTHEM INSURANCE COMPANIES, INC. | 134 | $871K |
| Other(2 contracts, 2 carriers) | AFLAC | 104 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
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.