| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 250 INTERNATIONAL PKWY STE 330 LAKE MARY, FL 327465055 | UNITEDHEALTHCARE INSURANCE COMPANY | $62K | $0 | $62K | 4.60% |
| MONTIE DAVID FOSTER LUTCF3 | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 322166055 | UNITEDHEALTHCARE INSURANCE COMPANY | $21K | $0 | $21K | 1.60% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 43604 | SUN LIFE ASSURANCE COMPANY OF CANADA | $34K | $0 | $34K | 11.42% |
| FOSTER, MONTIE DAVID3 Filed as: FOSTER MONTE | 7077 BONNEVAL RD STE 380 JACKSONVILLE, FL 32216 | SUN LIFE ASSURANCE COMPANY OF CANADA | $15K | $0 | $15K | 4.89% |
| HYLANT GROUP INC3 | 100 S COLLEGE AVE SUITE 230 BLOOMINGTON, IN 47404 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $3K | $3K | 1.15% |
| HYLANT GROUP INC3 | 8 CADILLAC DR SUITE 230 BRENTWOOD, TN 37027 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | $711 | $2K | 11.45% |
| HYLANT GROUP INC3 | 250 INTERNATIONAL PARKWAY SUITE 330 LAKE MARY, FL 32746 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $434 | — | $434 | 2.27% |
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 | 171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 254 | $1.3M |
| Dental(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 171 | $316K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $19K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 171 | $297K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 171 | $297K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 171 | $297K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 254 | $1.3M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 171 | $316K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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.