| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREEN & HALLIBURTON INC3 | 521 BARRET AVENUE LOUISVILLE, KY 40204 | STANDARD INSURANCE COMPANY | $13K | — | $13K | 12.40% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVENUE LOUISVILLE, KY 40204 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 4.68% |
| GREEN & HALLIBURTON INC3 | 521 BARRET AVENUE LOUISVILLE, KY 40204 | STANDARD INSURANCE COMPANY | $5K | $0 | $5K | 12.37% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & ASSOCIATES INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | ALLSTATE BENEFITS | $2K | — | $2K | 10.92% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & ASSOCIATES INC | 521 BARRET AVE LOUISVILLE, KY 40204 | ALLSTATE BENEFITS | $2K | $0 | $2K | 15.09% |
| GREEN & HALLIBURTON INC3 Filed as: GREEN & ASSOCIATES INC | 521 BARRET AVENUE LOUISVILLE, KY 40204 | ALLSTATE BENEFITS | $1K | $0 | $1K | 10.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY EIN 61-1237516 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Contract Administrator; Claims processing Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $191K |
| INGENIORX, INC EIN 82-3062245 | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $75K |
| GREEN & HALLIBURTON EIN 61-1246222 INSURANCE BROKER | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 521 BARRET AVE LOUISVILLE, KY 40204 | $45K |
| INGENIO RX, INC EIN 82-3062245 | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator Service code 12 | — | -$39K |
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 | 291 | 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) | 291 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY | 289 | $303K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY | 289 | $303K |
| Life insurance | STANDARD INSURANCE COMPANY | 293 | $107K |
| Short-term disability | STANDARD INSURANCE COMPANY | 172 | $66K |
| Long-term disability | STANDARD INSURANCE COMPANY | 270 | $43K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY | 289 | $303K |
| Other(3 contracts) | ALLSTATE BENEFITS | 58 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 293 | — |
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.