| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $46K | $0 | $46K | 1.81% |
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $29K | $0 | $29K | 1.12% |
| ASSUREDPARTNERS3 | UNKNOWN SUITE 400 LEXINGTON, KY 40509 | AMERICAN UNITED LIFE INSURANCE COMPANY | $20K | $3K | $23K | 17.05% |
| ASSUREDPARTNERS3 | 5905 EAST GALBRAITH ROAD SUITE 5000 CINCINNATI, OH 45236 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 12.62% |
| NICOLE L JONES3 Filed as: NICOLE L. JONES | 2362 RUSSELLVILLE ROAD BOWLING GREEN, KY 42101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 4.48% |
| BRIAN GRAHAM INC3 Filed as: BRIAN GRAHAM INC. | 2201 POLO MOUNT COURT LOUISVILLE, KY 40245 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 2.94% |
| MJ INSURANCE3 Filed as: RICARDO DELVALLE AND VARIOUS AGENTS | 291 PROBUS DRIVE MOUNT WASHINGTON, KY 40047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $431 | $0 | $431 | 0.83% |
| WILLIAM JONES3 Filed as: WILLIAM D. JONES | 2317 RUSSELLVILLE ROAD, SUITE 1 BOWLING GREEN, KY 42101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $281 | $0 | $281 | 0.54% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $190 | $0 | $190 | 0.37% |
| PATRICK WEISHAAR3 Filed as: PATRICK M. WEISHAAR | 13509 ROCK BAY COURT LOUISVILLE, KY 40245 | CONTINENTAL AMERICAN INSURANCE COMPANY | $86 | $0 | $86 | 0.17% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.02% |
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM LIFE INSURANCE COMPANY | $356 | $0 | $356 | 1.82% |
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 | 334 | 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) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 481 | $2.6M |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 481 | $2.6M |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 481 | $2.6M |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 303 | $154K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 135 | $134K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 135 | $134K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 481 | $2.6M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 343 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 481 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.