| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 6714 POINTE INVERNESS WAY STE 100 FORT WAYNE, IN 46804 | ANTHEM INSURANCE COMPANIES, INC. | $53K | — | $53K | 3.43% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 26.65% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | 811 MADISON AVE TOLEDO, OH 43603 | VISION SERVICE PLAN | $1K | — | $1K | 4.20% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | 6714 INVERNESS WAY STE 100 FORT WAYNE, IN 46804 | VISION SERVICE PLAN | $210 | — | $210 | 0.85% |
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY 100 FORT WAYNE, IN 46804 | ALLSTATE BENEFITS | $6K | — | $6K | 25.77% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 6714 POINTE INVERNESS WAY 100 FORT WAYNE, IN 46804 | ALLSTATE BENEFITS | $3K | — | $3K | 16.03% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $930 | $4K | 26.53% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE CO | $1K | — | $1K | 20.01% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 6714 POINTE INVERNESS WAY STE 100 FORT WAYNE, IN 46804 | ANTHEM LIFE INSURANCE COMPANY | $72 | — | $72 | 9.81% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PRO-CLAIM PLUS INC. EIN 35-1938551 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $11K |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | ALLSTATE BENEFITS | 42 | $39K |
| Vision | VISION SERVICE PLAN | 157 | $25K |
| Life insurance(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 236 | $38K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 236 | $37K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 157 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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.