| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $62K | $0 | $62K | 2.89% |
| ASSUREDPARTNERS3 | 2211 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $4K | $0 | $4K | 0.20% |
| ASSUREDPARTNERS3 | 2443 SIR BARTON WAY, SUITE 400 LEXINGTON, KY 40509 | AMERICAN UNITED LIFE INSURANCE COMPANY | $17K | $3K | $20K | 17.87% |
| ASSUREDPARTNERS3 | 5905 EAST GALBRAITH ROAD SUITE 5000 CINCINNATI, OH 45236 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 9.69% |
| NICOLE L JONES3 Filed as: NICOLE L. JONES | 2362 RUSSELLVILLE ROAD BOWLING GREEN, KY 42101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 3.47% |
| BRIAN GRAHAM INC3 | 2201 POLO MOUNT COURT LOUISVILLE, KY 40245 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 2.32% |
| MJ INSURANCE3 Filed as: NJN LLC AND VARIOUS AGENTS | 137 WEISSER AVENUE LOUISVILLE, KY 40206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $508 | $0 | $508 | 0.72% |
| WILLIAM JONES3 Filed as: WILLIAM D. JONES | 2317 RUSSELLVILLE ROAD, SUITE 1 BOWLING GREEN, KY 42101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $372 | $0 | $372 | 0.53% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $196 | $0 | $196 | 0.28% |
| PATRICK WEISHAAR3 Filed as: PATRICK M. WEISHAAR | 13509 ROCK BAY COURT LOUISVILLE, KY 40245 | CONTINENTAL AMERICAN INSURANCE COMPANY | $100 | $0 | $100 | 0.14% |
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.87% |
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 | 346 | 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) | 346 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 446 | $2.2M |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 446 | $2.2M |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 446 | $2.2M |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 287 | $129K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 103 | $113K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 103 | $113K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 446 | $2.2M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 346 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 446 | — |
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.