| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $18K | $7K | $25K | 14.01% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE 8TH FLOOR TOLEDO, OH 436045626 | UNITED HEALTHCARE INSURANCE COMPANY | $14K | — | $14K | 10.92% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | CIGNA GROUP INSURANCE | $6K | $33 | $7K | 10.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP INC - JACKSONVILLE | 811 MADISON AVE TOLDEO, OH 436045684 | HUMANA | $3K | — | $3K | 9.98% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | CIGNA GROUP INSURANCE | $1K | — | $1K | 792.86% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICE, INC EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $212K |
| HYLANT GROUP INC BROKER | Other commissions Service code 55 | 250 INTERNATIONAL PARKWAY SUITE 330 LAKE MARY, FL 327465055 | $37K |
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 | 152 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 220 | $180K |
| Vision | HUMANA | 172 | $27K |
| Life insurance | UNITED HEALTHCARE INSURANCE COMPANY | 429 | $129K |
| Short-term disability | CIGNA GROUP INSURANCE | 93 | $168 |
| Long-term disability | CIGNA GROUP INSURANCE | 319 | $65K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 258 | $803K |
| Other | UNITED HEALTHCARE INSURANCE COMPANY | 429 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 429 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.