| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENERGY INSURANCE AGENCY INC3 | PO BOX 55268 LEXINGTON, KY 40555 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $756 | — | $756 | 0.41% |
| CHARLES PHILLIPPI3 | PO BOX 22126 LEXINGTON, KY 40522 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $556 | — | $556 | 0.30% |
| ENERGY INSURANCE AGENCY INC3 | 3008 ATKINSON AVE LEXINGTON, KY 40509 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 5.68% |
| CHARLES PHILLIPPI3 Filed as: CHARLES KENTON PHILLIPPI | PO BOX 22126 LEXINGTON, KY 40522 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 3.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 CLAIMS/ADMIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $275K |
| ENERGY INS. AGENCY INC | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $22K |
| CHARLES PHILLIPPI | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $16K |
| INGENIORX, INC. EIN 82-3062245 ADMIN | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Contract Administrator Service code 12 | — | -$53K |
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 | 204 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 319 | $110K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 322 | $183K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 319 | $110K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 322 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 322 | — |
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."
No prospect flags tripped on this filing.