| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE CO | $0 | $5K | $5K | 3.49% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.91% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.52% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.95% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | AMWINS-TRANSAMERICA INSURANCE COMPANY | $3K | $0 | $3K | 14.12% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | AMWINS-TRANSAMERICA INSURANCE COMPANY | $824 | $0 | $824 | 3.53% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | AMWINS-EXPRESS SCRIPTS, INC. | $2K | $0 | $2K | 7.77% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | AMWINS-EXPRESS SCRIPTS, INC. | $206 | $0 | $206 | 0.99% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $9K | $9K | 48.75% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 10.85% |
| FMLASOURCE INC5 | 455 N CITYFRONT PLZ DR 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $19K | $19K | 121.56% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 29.33% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 39.88% |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 72.00% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | AMWINS-AMERITAS INSURANCE | $166 | $0 | $166 | 13.94% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | AMWINS-AMERITAS INSURANCE | $151 | $0 | $151 | 12.68% |
| UNITED OF OMAHA LIFE INSURANCE CO5 | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | — |
| HYLANT GROUP INC3 | 201 DEPOT ST STE 100 ANN ARBOR, MI 48104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $162 | $162 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 1087 WAUSAU, WI 54402 | $891K |
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 | 1,181 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMWINS-TRANSAMERICA INSURANCE COMPANY | 8 | $23K |
| Dental | AMWINS-AMERITAS INSURANCE | 5 | $1K |
| Vision(9 contracts, 2 carriers) | EYEMED VISION CARE | 943 | $129K |
| Life insurance(9 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 708 | $409K |
| Short-term disability(15 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE CO | 450 | $461K |
| Long-term disability(5 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 207 | $180K |
| Prescription drug | AMWINS-EXPRESS SCRIPTS, INC. | 16 | $21K |
| Stop-loss / reinsurancereinsurance(4 contracts) | UNUM - STEALTH PARTNER GROUP MED RISK | 560 | $2.3M |
| Other(10 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,181 | $422K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,181 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.