| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT INSURANCE MARKETING, INC.3 | 1151 RED MILE ROAD LEXINGTON, KY 40504 | ANTHEM MEDICARE PREFERRED | $57K | — | $57K | 3.57% |
| BENEFIT INSURANCE MARKETING, INC.3 | 1151 RED MILE ROAD LEXINGTON, KY 40504 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $5K | $1K | $7K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MACKAY SHIELDS EIN 13-4080466 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | — | $163K |
| ANTHEM HEALTH PLANS OF KY, INC. | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing Service code 12 | — | $127K |
| AON HEWITT INVESTMENT CONSULTANTS EIN 36-3109431 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | — | $115K |
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 CONTRACT ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services Service code 12 | — | $89K |
| BANK OF NEW YORK MELLON EIN 13-5160382 TRUSTEE | Trustee (bank, trust company, or similar financial institution); Investment management Service code 21 | — | $26K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | — | $23K |
| PNC BANK EIN 22-1146430 TRUSTEE | Trustee (bank, trust company, or similar financial institution); Investment management Service code 21 | — | $15K |
| MCM CPAS & ADVISORS LLP EIN 27-1235638 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $11K |
| LEGAL & GENERAL INVESTMENT MGMT EIN 13-3806699 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | — | $7K |
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 | 592 | 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) | 592 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM MEDICARE PREFERRED | 431 | $1.6M |
| Prescription drug | ANTHEM MEDICARE PREFERRED | 431 | $1.6M |
| Other | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 161 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 431 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.