| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK C NIXON3 | 2401 BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | BLUE CROSS BLUE SHIELD | $11K | $12K | $23K | 2.80% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC (ANN ARBOR) | — | BLUE CROSS BLUE SHIELD | — | $1K | $1K | 0.12% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC (TROY) | 2401 W BIG BEAVER SUITE 400 TROY, MI 48084 | BLUE CROSS BLUE SHIELD | $0 | $125 | $125 | 0.02% |
| MARK C NIXON3 | 2401 BIG BEAVER ROAD SUITE 400 TROY, MI 480843327 | BLUE CARE NETWORK OF MICHIGAN | $6K | — | $6K | 2.97% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 436045684 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $36 | $11K | 9.85% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | P.O. BOX 1687 TOLEDO, OH 436031687 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.64% |
| JOHN HIMMELSPACH3 | 2629 MUNSTER DRIVE ROCHESTER HILLS, MI 48309 | EMPLOYEE BENEFIT CONCEPTS | $411 | — | $411 | 0.43% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $621 | $12K | 14.14% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $92 | $2K | 15.75% |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD | 102 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 255 | $114K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 88 | $1.0M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $95K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $83K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 118 | $83K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 88 | $1.0M |
| Other | EMPLOYEE BENEFIT CONCEPTS | 102 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 255 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.