| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | STANDARD INSURANCE | $13K | $619 | $14K | 15.71% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | ANTHEM HEALTH PLANS OF KENTUCKY | $3K | $0 | $3K | 5.09% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | STANDARD INSURANCE CO | $5K | $247 | $6K | 15.70% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 28.43% |
| CRYSTAL ROSA VERTREES3 Filed as: CRYSTAL VERTREES | 950 N MULBERRY ST SUITE 160 ELIZABETHTOWN, KY 42701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $409 | $0 | $409 | 6.79% |
| KATIE S BARNES3 Filed as: KATIE BARNES | 950 N MULBERRY SUITE 160 ELIZABETHTOWN, KY 42701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $366 | $0 | $366 | 6.07% |
| TYLER M TRAVIS3 Filed as: TYLER TRAVIS | 707 LESLIE AVE GLASGOW, KY 42141 | CONTINENTAL AMERICAN INSURANCE COMPANY | $306 | $0 | $306 | 5.08% |
| AMY JOHANNEMANN3 | PO BOX 22806 LOUISVILLE, KY 40252 | CONTINENTAL AMERICAN INSURANCE COMPANY | $78 | $0 | $78 | 1.29% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP BLAKEMAN | 217 REMBRANDT DR ELIZABETHTOWN, KY 42701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | $0 | $53 | 0.88% |
| MATTHEW HUDSON3 | 11501 WILLOW STREAM CT APT 301 LOUISVILLE, KY 40299 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.05% |
| DAVID WATSON3 | 3912 FALLEN TIMBER DR LOUISVILLE, KY 40241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.05% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | MERITAIN HEALTH | — | $31K | $31K | — |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVE LOUISVILLE, KY 40204 | ANTHEM HEALTH PLANS OF KENTUCKY INC | $2K | — | $2K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY EIN 61-1237516 | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $3K |
| GREEN & HALLIBURTON, INC. EIN 61-1246222 | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 521 BARRET AVE LOUISVILLE, KY 40204 | $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 | 267 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 156 | $6K |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY | 161 | $60K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY INC | 0 | $0 |
| Life insurance | STANDARD INSURANCE | 267 | $87K |
| Long-term disability | STANDARD INSURANCE CO | 238 | $35K |
| Stop-loss / reinsurancereinsurance | STANDARD LIFE & ACCIDENT INSURANCE COMPANY | 158 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 267 | — |
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.