| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LISA HAWKER3 | 811 MADISON AVENUE TOLEDO, OH 43604 | PRIORITY HEALTH | $95K | — | $95K | 4.56% |
| LISA HAWKER3 | 811 MADISON AVENUE TOLEDO, OH 43604 | PRIORITY HEALTH INSURANCE COMPANY | $23K | — | $23K | 3.31% |
| LISA HAWKER3 | 811 MADISON AVENUE TOLEDO, OH 43604 | PRIORITY HEALTH | $11K | — | $11K | 4.44% |
| HYLANT GROUP INC3 | 2401 WEST BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | PRIORITY HEALTH | -$43K | — | -$43K | -16.61% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 8 CADILLAC DRIVE BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $8K | — | $8K | 3.47% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $4K | $16K | 17.19% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $2K | $10K | 16.63% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE TOLEDO, OH 43604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $6K | 17.64% |
| LISA HAWKER3 | 811 MADISON AVENUE TOLEDO, OH 43604 | PRIORITY HEALTH INSURANCE COMPANY | $942 | — | $942 | 3.12% |
| HYLANT GROUP INC3 | 2401 WEST BIG BEAVER ROAD SUITE 400 TROY, MI 48084 | PRIORITY HEALTH INSURANCE COMPANY | -$7K | — | -$7K | -23.55% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC | PO BOX 1687 TOLEDO, OH 43606 | EYEMED VISION CARE | $1K | — | $1K | 5.05% |
| LSG INSURANCE PARTNERS3 | 2600 SOUTH TELEGRAPH ROAD 100 BLOOMFIELD HILLS, MI 48302 | EYEMED VISION CARE | $158 | — | $158 | 0.56% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 8 CADILLAC DRIVE BRENTWOOD, TN 37027 | DELTA DENTAL OF MICHIGAN | $892 | — | $892 | 3.70% |
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 | 665 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 665 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | PRIORITY HEALTH | 481 | $3.1M |
| Dental(2 contracts) | DELTA DENTAL OF MICHIGAN | 602 | $242K |
| Vision | EYEMED VISION CARE | 634 | $28K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 457 | $90K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 223 | $91K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 457 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 634 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.