| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | HORIZON HEALTHCARE SERVICES, INC | $110K | $0 | $110K | 2.43% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | AETNA HEALTH, INC | $46K | $0 | $46K | 4.98% |
| HYLANT GROUP INC3 | 5210 BELFORD ROAD SUITE 405 JACKSONVILLE, FL 32256 | HARTFORD LIFE AND ACCIDENT | $46K | $0 | $46K | 12.89% |
| HYLANT GROUP INC3 | 280 WEST MAPLE, SUITE 200 BIRMINGHAM, MI 48009 | HARTFORD LIFE AND ACCIDENT | $18K | $0 | $18K | 5.20% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $26K | $42 | $26K | 8.24% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | AETNA LIFE INSURANCE COMPANY | $12K | $0 | $12K | 5.26% |
| HYLANT GROUP INC3 | 2401 WEST BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | $2K | $0 | $2K | 4.73% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $524 | $0 | $524 | 9.19% |
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 | 664 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 677 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HORIZON HEALTHCARE SERVICES, INC | 349 | $5.7M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 606 | $320K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | 653 | $36K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 651 | $354K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 651 | $354K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 651 | $354K |
| Prescription drug(3 contracts, 3 carriers) | HORIZON HEALTHCARE SERVICES, INC | 349 | $5.7M |
| Other | HARTFORD LIFE AND ACCIDENT | 651 | $354K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.