| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRIFFIN, STEVEN, RAY3 | STE 1400 2000 MORRIS AVE BIRMINGHAM, AL 35203 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $75K | $11K | $86K | 35.79% |
| HYLANT GROUP INC3 | STE 400 2401 W BIG BEAVER RD TROY, MI 48084 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.00% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | AMERICAN UNITED LIFE INSURANCE COMPANY | $0 | $5K | $5K | 3.06% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 2401 WEST BIG BEAVER ROAD TROY, MI 48084 | EYEMED (FIDELITY SECURITY LIFE INSURANCE COMPANY) | $5K | — | $5K | 9.86% |
| GRIFFIN, STEVEN, RAY3 | STE 1400 2000 MORRIS AVE BIRMINGHAM, AL 35203 | FIRST UNUM LIFE INSURANCE COMPANY | $43 | $0 | $43 | 4.97% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | 811 MADISON TOLEDO, OH 43604 | DELTA DENTAL OF IOWA | $7K | $2K | $8K | — |
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 | 659 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 662 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 405 | $3.4M |
| Dental | DELTA DENTAL OF IOWA | 396 | $0 |
| Vision | EYEMED (FIDELITY SECURITY LIFE INSURANCE COMPANY) | 569 | $49K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 659 | $157K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 659 | $157K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 659 | $157K |
| Prescription drug | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 405 | $3.4M |
| Other(3 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 980 | $399K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 980 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.