| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC.3 | 1351 WM. HOWARD TAFT ROAD CINCINNATI, OH 452061721 | ANTHEM INSURANCE COMPANIES, INC. | — | — | $0 | 0.00% |
| HOUCHENS INSURANCE3 Filed as: HOUCHENS INS GROUP INC | P.O. BOX 1779 BOWLING GREEN, KY 42102 | SYMETRA LIFE INSURANCE COMPANY | $19K | $1K | $20K | 21.19% |
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP | 109 INTERNATIONAL DRIVE SUITE 101 FRANKLIN, TN 37067 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $708K |
| HOUCHINS INSURANCE GROUP INC EIN 35-0781558 | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 1240 FAIRWAY ST 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 | 639 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 653 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 765 | $594K |
| Dental(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC. | 765 | $624K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 765 | $594K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 893 | $96K |
| Other | UNITED HEALTHCARE INSURANCE COMPANY | 1,649 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,649 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.