| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CINDY PHILIPPO3 | 7138 PRICE PIKE FLORENCE, KY 41042 | ALLSTATE BENEFITS | $7K | — | $7K | 10.88% |
| HANS PHILIPPO3 | 7138 PRICE PIKE FLORENCE, KY 41042 | ALLSTATE BENEFITS | $3K | — | $3K | 4.87% |
| NAPIER MARKETING CORP3 | 3324 DOWNING PLACE LEXINGTON, KY 40517 | ALLSTATE BENEFITS | $1K | — | $1K | 1.91% |
| JAMES L TUEMLER3 | 3260 WOODLYN HILLS DR ERLANGER, KY 41018 | ALLSTATE BENEFITS | $566 | — | $566 | 0.85% |
| LANG FINANCIAL GROUP, INC.3 Filed as: LANG FINANCIAL | 4225 MALSBARY ROAD SUITE 100 CINCINNATI, OH 45242 | DENTAL CARE PLUS, INC. | $1K | — | $1K | 5.02% |
| LANG FINANCIAL GROUP, INC.3 Filed as: LANG FINANCIAL | 4225 MALSBARY ROAD SUITE 100 CINCINNATI, OH 45242 | DENTAL CARE PLUS, INC. | $1K | — | $1K | 5.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY, IN EIN 61-1237516 TPA/NETWORK PHARMACY | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees; Other services Service code 12 | — | $119K |
| LANG FINANCIAL GROUP INC | Insurance agents and brokers; Insurance brokerage commissions and fees; Other commissions Service code 22 | — | $30K |
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 | 128 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE BENEFITS | 111 | $67K |
| Dental(2 contracts) | DENTAL CARE PLUS, INC. | 88 | $41K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 335 | $215K |
| Life insurance | ALLSTATE BENEFITS | 111 | $67K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 335 | $215K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.