| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDREW SCHEIDT3 | 811 MADISON AVENUE, SUITE 3 TOLEDO, OH 43604 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $120K | $0 | $120K | 2.15% |
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $0 | $5K | $5K | 0.09% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 8 CADILLAC DRIVE, SUITE 230 BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $18K | $1K | $19K | 3.22% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE TOLEDO, OH 43604 | KAISER FOUNDATION HEALTH PLAN INC | $40K | $0 | $40K | 7.05% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 24 FRANK LLOYD WRIGHT DRIVE SUITE J4100 ANN ARBOR, MI 48105 | SUN LIFE ASSURANCE COMPANY OF CANADA | $24K | $9K | $33K | 10.56% |
| ANDREW SCHEIDT3 | 811 MADISON AVENUE, SUITE 3 TOLEDO, OH 43604 | BLUE CARE NETWORK OF MICHIGAN | $2K | $0 | $2K | 1.79% |
| LAURIE ELIZABETH RIEGLE3 | 100 NORTH 4TH AVENUE ANN ARBOR, MI 48104 | BLUE CARE NETWORK OF MICHIGAN | $0 | $139 | $139 | 0.11% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 24 FRANK LLOYD WRIGHT DRIVE ANN ARBOR, MI 48105 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $8K | $0 | $8K | 9.21% |
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 | 481 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 16 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 497 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,166 | $6.3M |
| Dental | DELTA DENTAL OF MICHIGAN | 1,341 | $602K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 1,346 | $88K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 479 | $311K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 479 | $311K |
| Prescription drug(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,166 | $6.3M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 479 | $311K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,346 | — |
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.