| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VAN METER INS AGENCY3 Filed as: VAN METER INS AGENCY INC. | 109 INTERNATIONAL DRIVE STE 101 FRANKLIN, TN 37067 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $2K | $8K | 4.18% |
| INSURANCE BROKERAGE ALTERNATIVE3 Filed as: INSURANCE BROKERAGE SERVICES | 472 LAMONT DRIVE LEXINGTON, KY 40503 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 3.66% |
| LIFETIME FINANCIAL GROWTH CO O3 Filed as: LIFETIME FIN GRWTH CO OF OHIO | 244 BLVD OF THE ALLIES PITTSBURGH, PA 15222 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $15 | — | $15 | 0.01% |
| GREGORY D PREWITT3 | 472 LAMONT DRIVE LEXINGTON, KY 40503 | ANTHEM HEALTH PLANS OF KENTUCKY INC. | $3K | — | $3K | 2.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 | Other fees; Other services; Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 1351 WM. HOWARD TAFT RD. CINCINNATI, OH 452061721 | $99K |
| EXPRESS SCRIPTS, INC. EIN 31-1714795 | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | P.O. BOX 52150 PHOENIX, AZ 85072 | $0 |
| GREGORY D PREWITT EIN 61-1237516 | Insurance mortality and expense charge; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 109 WIND HAVEN DR. STE 204 NICHOLASVILLE, KY 40356 | $0 |
| VAN METER INSURANCE AGENCY INC EIN 61-1237516 | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 1240 FAIRWAY STREET BOWLING GREEN, KY 42103 | $0 |
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 | 185 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY INC. | 191 | $169K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 96 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.