| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $20K | $4K | $23K | 18.00% |
| KENBANC INSURANCE INC3 Filed as: KENBANC INS INC | 600 WEST MAIN STREET SUITE 400 LOUISVILLE, KY 40202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVE LOUISVILLE, KY 40204 | DELTA DENTAL OF KENTUCKY | $5K | — | $5K | 3.93% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | $2K | $12K | 18.00% |
| KENBANC INSURANCE INC3 Filed as: KENBANC INS INC | 600 WEST MAIN STREET SUITE 400 LOUISVILLE, KY 40202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | -$1 | $0 | -$1 | -0.00% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $1K | $7K | 18.00% |
| KENBANC INSURANCE INC3 Filed as: KENBANC INS INC | 600 WEST MAIN STREET SUITE 400 LOUISVILLE, KY 40202 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| VARIOUS - SEE ATTACHED3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $802 | $8K | 20.69% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVE LOUISVILLE, KY 40204 | DELTA DENTAL OF KENTUCKY | $2K | — | $2K | 8.23% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & HALLIBURTON, INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $764 | $153 | $917 | 18.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY EIN 61-1237516 ADMINISTRATION | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $41K |
| GREEN & HALLIBURTON INC EIN 61-1246222 BROKER AGENT | Trustee (directed); Other commissions; Insurance brokerage commissions and fees Service code 25 | 521 BARRET AVE LOUISVILLE, KY 40204 | $0 |
| INGENIORX, INC. EIN 82-3062245 ADMINISTRATION | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue; Contract Administrator Service code 12 | — | -$49K |
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 | 335 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 342 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KENTUCKY | 374 | $121K |
| Vision | DELTA DENTAL OF KENTUCKY | 272 | $28K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 335 | $130K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 321 | $67K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 111 | $41K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 313 | $181K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 337 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 374 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.