| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY | 13101 MAGISTERIAL DRIVE SUITE 200 LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $45K | — | $45K | 3.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY INC | 13101 MAGISTERIAL DRIVE SUITE 200 LOUISVILLE, KY 40223 | ANTHEM LIFE INSURANCE COMPANY | $25K | — | $25K | 5.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY INC | 13101 MAGISTERIAL DRIVE SUITE 200 LOUISVILLE, KY 40223 | AMERITAS LIFE INSURANCE CORPORATION | $8K | — | $8K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 3520 THOMASVILLE ROAD SUITE 500 TALLAHASSEE, FL 32309 | AMERITAS LIFE INSURANCE CORPORATION | — | $940 | $940 | 1.22% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY INC | 13101 MAGISTRIAL DRIVE SUITE 200 LOUISVILLE, KY 40223 | AMERITAS LIFE INSURANCE CORP. | $7K | — | $7K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 3520 THOMASVILLE ROAD SUITE 500 TALLAHASSEE, FL 32309 | AMERITAS LIFE INSURANCE CORP. | — | $1K | $1K | 1.50% |
| JOHN EDWARD SHAFF3 | 1566 STONINGTON ROAD MITCHELL, IN 47446 | AFLAC | $4K | $189 | $4K | 10.66% |
| MICHAEL T ABSHER3 | 261 MILLS LANE NEW ALBANY, IN 47150 | AFLAC | $490 | — | $490 | 1.39% |
| BRANDEE L JUSTUS3 | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $410 | $38 | $448 | 1.27% |
| SHAWN M COLIN3 | 821 MOUNT TABOR ROAD SUITE 202 NEW ALBANY, IN 47150 | AFLAC | $437 | $6 | $443 | 1.25% |
| CHRIS A GEHLHAUSEN3 | 5401 VOGEL ROAD SUITE 410 EVANSVILLE, IN 47715 | AFLAC | $203 | — | $203 | 0.57% |
| JUSTIN M GUIDI3 | 555 NORTH PLEASANTBURG DRIVE SUITE 200 GREENVILLE, SC 29607 | AFLAC | $126 | — | $126 | 0.36% |
| JOHN D TYLER3 | 130 DUCK HAWK WAY MARIETTA, SC 29661 | AFLAC | $114 | — | $114 | 0.32% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DRIVE CARMEL, IN 48033 | AFLAC | $55 | $11 | $66 | 0.19% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DRIVE CARMEL, IN 46033 | AFLAC | $27 | — | $27 | 0.08% |
| WILLIAM W ELLIOTT, II3 Filed as: WILLIAM W ELLIOTT II | 7463 SALEM NOBLE ROAD CHARLESTOWN, IN 47111 | AFLAC | $26 | — | $26 | 0.07% |
| TIMOTHY B ASBY3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $22 | $4 | $26 | 0.07% |
| CHERYL C NELSON3 | 722 LANDIS RIDGE DRIVE LOUISVILLE, KY 40245 | AFLAC | $18 | — | $18 | 0.05% |
| JASON A NAVILLE3 | 14220 OVERBROOK DRIVE CARMEL, IN 46074 | AFLAC | $8 | — | $8 | 0.02% |
| ROBERT W BURGETT3 | 2601 FORTUNE CIRCLE EAST SUITE 103A INDIANAPOLIS, IN 46241 | AFLAC | $6 | — | $6 | 0.02% |
| JOHN TYLER & ASSOCIATES3 | 130 DUCK HAWK WAY MARIETTA, SC 29661 | AFLAC | $5 | — | $5 | 0.01% |
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 | 230 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 235 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 245 | $1.4M |
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORPORATION | 140 | $147K |
| Vision(4 contracts, 4 carriers) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 245 | $1.6M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 347 | $439K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 347 | $475K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 347 | $439K |
| Other(5 contracts, 5 carriers) | ANTHEM LIFE INSURANCE COMPANY | 347 | $629K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 347 | — |
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.