| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SBR SERVICES LLC3 | 2839 PACES FERRY RD. SE STE 830 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $11K | $11K | 3.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC. | 24 FRANK LLOYD WRIGHT DR. STE J4100 ANN ARBOR, MI 48105 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | $0 | $8K | 2.18% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $979 | $24K | 11.71% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 46304 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $18K | $0 | $18K | 15.00% |
| CREATIVE WORKSITE SOLUTIONS LLC3 | 3404 SALTERBECK ST. STE 207 MT PLEASANT, SC 29466 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 8.20% |
| HYLANT GROUP INC3 | 1505 JEFFERSON AVE TOLEDO, OH 43604 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.46% |
| CREATIVE WORKSITE SOLUTIONS LLC3 | 3404 SALTERBECK ST STE. 207 MT. PLEASANT, SC 29466 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.37% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $845 | $0 | $845 | 3.90% |
| DEERCADO JUDITH3 | 5634 NW 16 ST FORT LAUDERDALE, FL 33314 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | $0 | $6 | 0.03% |
| AMERICAN INS PLUS LLC3 | 8131 BAUTISTA WAY PALM BEACH GARDEN, FL 33418 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5 | $0 | $5 | 0.02% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVE TOLEDO, OH 43604 | TELADOC HEALTH, INC. | $1K | $0 | $1K | 15.00% |
| HYLANT GROUP INC3 | PO BOX 1687 TOLEDO, OH 43603 | HARTFORD LIFE AND ACCIDENT | $0 | $503 | $503 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HYLANT GROUP EIN 34-1880366 BROKER | Contract Administrator Service code 13 | — | $41K |
| SISCO EIN 42-1144827 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $36K |
| CIGNA EIN 84-0467907 PREF PROVIDER NETWORK | Contract Administrator Service code 13 | — | $24K |
| HEALTHCHECK360 EIN 42-1403200 CASE MANAGEMENT | Contract Administrator Service code 13 | — | $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 | 227 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 480 | $207K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 480 | $207K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 480 | $207K |
| Short-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $121K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $121K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 157 | $364K |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 480 | $282K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 480 | — |
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.