| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND INC | PO BOX 427 BENTON, KY 42025 | ANTHEM HEALTH PLANS OF KENTUCKY, INC | $14K | — | $14K | 1.90% |
| INSURANCE SOLUTIONS OF KY INC3 | 800 DIEDERICH BLVD RUSSELL, KY 41169 | ANTHEM HEALTH PLANS OF KENTUCKY, INC | $12K | — | $12K | 1.55% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | $5K | — | $5K | 6.25% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | $4K | — | $4K | 5.00% |
| INSURANCE SOLUTIONS OF KY INC3 | 800 DIEDERICH BLVD RUSSELL, KY 41169 | ANTHEM HEALTH PLANS OF KENTUCKY, INC | $64 | — | $64 | 0.23% |
| INSURANCE SOLUTIONS OF KY INC | 800 DIEDERICH BLVD RUSSELL, KY 41169 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 10.05% |
| ACCRETIVE WHOLESALE INSURANCE SERVI3 Filed as: ACCRETIVE WHOLESALE INS. SERVICES | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM LIFE INSURANCE COMPANY | $1K | $390 | $2K | 6.22% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $908 | — | $908 | 4.98% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $696 | — | $696 | 3.82% |
| INSURANCE SOLUTIONS OF KY INC3 Filed as: INSURANCE SOLUTIONS OF KY | 800 DIEDERICH BLVD RACELAND, KY 41169 | AMERICAN FIDELITY ASSURANCE COMPANY - CANCER | $97 | — | $97 | 0.53% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | $1K | — | $1K | 12.90% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | $348 | — | $348 | 3.83% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - GROUP HI / GAP | $154 | — | $154 | 5.03% |
| ASSURANCE AGENCY LTD Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY - GROUP HI / GAP | $111 | — | $111 | 3.62% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY - MEDICAL GROUP | $273 | — | $273 | 11.57% |
| BENEFACTOR INS GROUP INC3 | 2165 CARTER AVE ASHLAND, KY 41101 | AMERICAN FIDELITY ASSURANCE COMPANY - STD | $60 | — | $60 | 4.97% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 68 | $753K |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 73 | $28K |
| Vision(2 contracts) | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 73 | $778K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 104 | $24K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY - ACCIDENT ONLY | 38 | $10K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY - LTD | 71 | $101K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY ASSURANCE COMPANY - GROUP HI / GAP | 18 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 104 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.