| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED NL INSURANCE AGENCY, INC | 1945 SCOTTSVILLE ROAD SUITE 100 BOWLING GREEN, KY 42104 | HUMANA HEALTH PLAN, INC. | $28K | — | $28K | 8.01% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: ASSURED NL INS AGENCY - LOUISVILLE | 2305 RIVER ROAD LOUISVILLE, KY 40206 | HUMANA HEALTH PLAN, INC. | — | $6K | $6K | 1.82% |
| MATTHEW FUQUA3 Filed as: MATTHEW T FUQUA | ASSURED NL INSURANCE AGENCY INC 2305 RIVER ROAD LOUISVILLE, KY 40206 | HEALTH RESOURCES, INC. | $18K | — | $18K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49K | $10K | $59K | 34.64% |
| JEFFREY D HARNED3 | 13117 EASTPOINT PARK BOULEVARD LOUISVILLE, KY 40223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13K | $10K | $24K | 13.94% |
| WILLIAM JACK MITCHELL JR3 | 2906 VALLEY DRIVE JEFFERSONTOWN, KY 40299 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 4.70% |
| DIANE MARIE JARBOE3 | 3013 APACHE DRIVE JEFFERSONVILLE, IN 47130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $783 | $6K | 3.30% |
| RTR AL CORP3 Filed as: RTR AL CORPORATION | 100 PROMENADE COURT LOUISVILLE, KY 40223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $599 | $5K | 2.92% |
| SANDRA S DOUGHERTY3 | 4302 DARBROOK ROAD LOUISVILLE, KY 40207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $771 | $4K | 2.60% |
| SUZANNE BRATTON TUCKER3 | P.O. BOX 22518 LEXINGTON, KY 40522 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $329 | $4K | 2.13% |
| AXEL H HALVARSON3 | 13117 EASTPOINT PARK BOULEVARD LOUISVILLE, KY 40223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $209 | $2K | 1.41% |
| BRYAN BAKER3 | 9000 LANTERN LITE PARKWAY LOUISVILLE, KY 40220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $4 | $2K | 1.16% |
| DOUGLAS WAYNE CARROLL3 | 5331 PAVILION WAY LOUISVILLE, KY 40291 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.14% |
| CHRISTY HACKER3 Filed as: CHRISTY TRESIDDER | 2605 FRANKLIN AVENUE LOUISVILLE, KY 40216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $154 | $1K | 0.71% |
| RONDA W. SCHELL3 Filed as: RONDA W SCHELL | 100 PROMENADE COURT LOUISVILLE, KY 40223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $375 | $76 | $451 | 0.27% |
| QUINN F PEARL3 | 11702 FRANK AVENUE LOUISVILLE, KY 40243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $223 | $161 | $384 | 0.23% |
| ROBERT A CHAFFEE3 | 7500 TURNER RIDGE ROAD CRESTWOOD, KY 40014 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $67 | $23 | $90 | 0.05% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: NEACE LUKENS INC DBA NEACE LUKENS | 2305 RIVER ROAD LOUISVILLE, KY 40206 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $2K | $10K | 20.00% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: ASSURED NL INSURANCE | 4000 SMITH ROAD SUITE 400 CINCINNATI, OH 45209 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: NEACE LUKENS INC DBA NEACE LUKENS | 2305 RIVER ROAD LOUISVILLE, KY 40206 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $2K | $7K | 20.86% |
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 | 502 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 11 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 518 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH RESOURCES, INC. | 432 | $177K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 424 | $47K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 509 | $48K |
| Stop-loss / reinsurancereinsurance | HUMANA HEALTH PLAN, INC. | 328 | $349K |
| Other(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 509 | $253K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 509 | — |
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.