| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 8 CADILLAC DR, STE. 230 BRENTWOOD, TN 37027 | DELTA DENTAL | $1K | — | $1K | 2.88% |
| HYLANT GROUP INC3 | 85 CAMPAU AVE SUITE 100 GRAND RAPIDS, MI 49503 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $429 | $3K | 8.59% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 161 OTTAWA COMMON NW STE 209C GRAND RAPIDS, MD 49504 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $694 | $121 | $815 | 8.82% |
| RALPH H KEELER3 | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | ALLSTATE BENEFITS | $545 | — | $545 | 6.77% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVE TOLEDO, OH 43604 | ALLSTATE BENEFITS | $337 | — | $337 | 4.19% |
| SHAWN J KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | ALLSTATE BENEFITS | $107 | — | $107 | 1.33% |
| WILLIAM FLICKINGER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | ALLSTATE BENEFITS | $96 | — | $96 | 1.19% |
| ANTHONY C BUECHLER3 | 1203 COLONIAL CIRCLE OMAHA, NE 68046 | ALLSTATE BENEFITS | $48 | — | $48 | 0.60% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP - GRAND RAPIDS | 85 CAMPAU AVE NW SUITE 100 GRAND RAPIDS, MI 49503 | EYEMED VISION CARE | $556 | — | $556 | 10.16% |
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 | 189 | 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) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE BENEFITS | 166 | $8K |
| Dental | DELTA DENTAL | 338 | $40K |
| Vision | EYEMED VISION CARE | 272 | $5K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $42K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $33K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $33K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 338 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.