| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SCOTT BROWN | 9300 SHELBYVILLE RD STE 1004 LOUISVILLE, KY 40222 | DELTA DENTAL OF KENTUCKY | $2K | — | $2K | 3.86% |
| AMBER NICOLE RICHARDSON3 Filed as: AMBER NICOLE SMITH | 5836 BROOKS HILL RD BROOKS, KY 40109 | AFLAC | $1K | $77 | $1K | 6.42% |
| REBECCA ANN DOEPKE3 | 9500 DEERFOOT TRCE APT 205 PROSPECT, KY 40059 | AFLAC | $296 | $18 | $314 | 1.38% |
| SETH O AKERS3 | 362 WILLOWBROOK DR FISHERVILLE, KY 40023 | AFLAC | $306 | — | $306 | 1.34% |
| DAVID M WATSON3 | 3912 FALLEN TIMBER DR LOUISVILLE, KY 40241 | AFLAC | $176 | $24 | $200 | 0.88% |
| MARK GALVIN LLC3 | 204 DEERFIELD HILLS RD ELIZABETHTOWN, KY 42701 | AFLAC | $191 | — | $191 | 0.84% |
| BRYAN ALARCON3 | 205 MACINTOSH DR SHELBYVILLE, KY 40065 | AFLAC | $54 | $27 | $81 | 0.36% |
| BROCK POWELL3 | 1763 FIDDLERS RIDGE DR FLEMING ISLAND, FL 32003 | AFLAC | $77 | — | $77 | 0.34% |
| R AARON WRIGHT3 | 9505 TRUSCOTT CT PROSPECT, KY 40059 | AFLAC | $40 | — | $40 | 0.18% |
| LARRY A SHIPMAN3 | 3214 RUNNING DEER CIR LOUISVILLE, KY 40241 | AFLAC | $26 | — | $26 | 0.11% |
| JOHN B MORRISON3 | 1622 TREVILIAN WAY LOUISVILLE, KY 40205 | AFLAC | $23 | — | $23 | 0.10% |
| JOHN WHITTY3 | 6216 INNES TRACE RD LOUISVILLE, KY 40222 | AFLAC | $21 | — | $21 | 0.09% |
| TIFFANY ANN AKERS3 | 362 WILLOWBROOK DR FISHERVILLE, KY 40023 | AFLAC | $14 | — | $14 | 0.06% |
| CLIFFORD FRANKLIN BROOKS3 | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $11 | — | $11 | 0.05% |
| SEAN TIMOTHY WHIPKEY SR3 | 1323 HAMILTON CREEK DR NW KENNESAW, GA 30152 | AFLAC | $11 | — | $11 | 0.05% |
| MARK L STANLEY3 | 93 FAIRVIEW AVE N PLAINFIELD, NJ 07060 | AFLAC | $9 | — | $9 | 0.04% |
| STACEY LYN CASTELLANETA3 | 276 MONTEREY DRIVE STE 4 NEW LENOX, IL 60451 | AFLAC | $5 | — | $5 | 0.02% |
| CHUCK ANDREW WILSON3 | 6710 CROSSWAYS PL LOUISVILLE, KY 40241 | AFLAC | $5 | — | $5 | 0.02% |
| MICHAEL L MCDONALD3 | 329 S EUCLID AVE OAK PARK, IL 60302 | AFLAC | $4 | — | $4 | 0.02% |
| DENNIS HARTIN3 | 12203 STATE ST TAMPA, FL 33635 | AFLAC | $4 | — | $4 | 0.02% |
| BRADLEY L ELLIS3 | 6807 GRAINERY RD TIMNATH, CO 80547 | AFLAC | $3 | — | $3 | 0.01% |
| STEPHANIE RINGER3 | 411 WALNUT ST #9859 GREEN COVE SPRINGS, FL 32043 | AFLAC | $3 | — | $3 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SCOTT BROWN | 9300 SHELBYVILLE ROAD STE 1004 LOUISVILLE, KY 40222 | DELTA DENTAL OF KENTUCKY | $1K | — | $1K | 8.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: PHIL BROWN INSURANCE AGENCY INC | 9300 SHELBYVILLE ROAD STE 1004 LOUISVILLE, KY 40222 | DEARBORN LIFE INSURANCE COMPANY | $693 | $103 | $796 | 17.20% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: PHIL BROWN INSURANCE | 9300 SHELBYVILLE RD, SUITE 1004 LOUISVILLE, KY 40222 | MASA | $190 | — | $190 | 14.75% |
| MASA AGENTS3 | 1250 S PINE ASLAND RD, SUITE 500 PLANTATION, FL 33324 | MASA | $122 | — | $122 | 9.47% |
| ASSUREDPARTNERS3 Filed as: PEEL & HOLLAND | 1120 MAIN ST BENTON, KY 42025 | MASA | $28 | — | $28 | 2.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY, IN EIN 61-1237516 CLAIMS PROCESSING | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing; Other services Service code 12 | — | $193K |
| PHIL BROWN INSURANCE AGCY INC INSURANCE AGENT/BROKERS | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 9300 SHELBYVILLE ROAD STE 1004 LOUISVILLE, KY 40222 | $0 |
| INGENIORX, INC. EIN 82-3062245 CLAIMS PROCESSING | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | -$37K |
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 | 202 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KENTUCKY | 216 | $55K |
| Vision | DELTA DENTAL OF KENTUCKY | 151 | $14K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 172 | $27K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 261 | $360K |
| Other(3 contracts, 3 carriers) | AFLAC | 172 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 261 | — |
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."
No prospect flags tripped on this filing.