| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDLINK INC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC | $19K | — | $19K | 2.63% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | $3K | — | $3K | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | $3K | — | $3K | 4.26% |
| MEDLINK INC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 10.37% |
| MEDLINK INC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM LIFE INSURANCE COMPANY | $715 | — | $715 | 3.00% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $634 | — | $634 | 4.34% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $221 | — | $221 | 1.51% |
| INSURANCE SOLUTIONS OF KY INC3 Filed as: INSURANCE SOLUTIONS OF KY | 800 DIEDERICH BLVD RACELAND, KY 41169 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $128 | — | $128 | 0.88% |
| MEDLINK INC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC | $1K | — | $1K | 8.02% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | $487 | — | $487 | 5.60% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | $435 | — | $435 | 5.00% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - STD | $95 | — | $95 | 5.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - STD | $80 | — | $80 | 4.21% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - MEDICAL INDIV | $31 | — | $31 | 4.91% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - MEDICAL GROUP | $26 | — | $26 | 4.47% |
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 | 154 | 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) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 68 | $725K |
| Dental(2 contracts) | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 70 | $738K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 68 | $725K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 104 | $24K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | 114 | $11K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | 154 | $77K |
| Other | AMERICAN FIDELITY ASSURANCE COMPANY - MEDICAL INDIV | 4 | $631 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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.