| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | COMMUNITY INSURANCE COMPANY | $24K | $3K | $26K | 1.81% |
| HYLANT GROUP INC3 | PO BOX 40925 INDIANAPOLIS, IN 46280 | COMMUNITY INSURANCE COMPANY | $10K | $0 | $10K | 0.70% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 6714 POINTE INVERNESS WAY ATE 100 FORT WAYNE, IN 46804 | ANTHEM LIFE INSURANCE COMPANY | $8K | $0 | $8K | 8.30% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | PO BOX 40925 INDIANAPOLIS, IN 46280 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.66% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $1K | $6K | 7.84% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | PO BOX 1687 TOLEDO, OH 436061687 | FIDELITY SECURITY LIFE INSURANCE - EYE MED | $1K | $0 | $1K | 7.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPAN EIN 35-0980405 INSURANCE AGENCY | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing; Other services Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $6K |
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 | 345 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 345 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 345 | $1.5M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 174 | $74K |
| Vision | FIDELITY SECURITY LIFE INSURANCE - EYE MED | 339 | $15K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 197 | $101K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 197 | $101K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 345 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 345 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.