| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 427 BENTON, KY 42025 | ANTHEM LIFE INSURANCE COMPANY | $7K | $0 | $7K | 10.78% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | 1120 MAIN STREET BENTON, KY 42025 | DELTA DENTAL OF KENTUCKY | $4K | $0 | $4K | 9.17% |
| RHONDA R BUCKNER3 Filed as: RHONDA R. BUCKNER | 500 FOREST ROAD GADSDEN, AL 35901 | AFLAC | $348 | $84 | $432 | 3.39% |
| KIM DIANE JONES3 | 533 BELLWOOOD ROAD LEBANON, TN 37087 | AFLAC | $296 | $0 | $296 | 2.32% |
| MJ INSURANCE3 Filed as: ALAN W. MARTIN AND VARIOUS AGENTS | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $248 | $20 | $268 | 2.10% |
| KENNETH R APPLE3 Filed as: KENNETH R. APPLE | 830 WILLOW TREE CIRCLE CORDOVA, TN 38018 | AFLAC | $238 | $0 | $238 | 1.87% |
| BRIAN S LOWE3 Filed as: BRIAN S. LOWE | 4510 LEETH GAP ROAD BOAZ, AL 35956 | AFLAC | $88 | $20 | $108 | 0.85% |
| DEWAYNE D RAY3 Filed as: DEWAYNE D. RAY | PO BOX 41 GUNTERSVILLE, AL 35976 | AFLAC | $105 | $0 | $105 | 0.82% |
| ROBERT L GOBLE3 Filed as: ROBERT L. GOBLE | 250 34TH AVENUE NE HICKORY, NC 28601 | AFLAC | $67 | $0 | $67 | 0.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST, LTD | 1120 MAIN STREET BENTON, KY 42025 | VISION SERVICE PLAN | $822 | $0 | $822 | 6.85% |
| KIM DIANE JONES3 | 533 BELLWOOD ROAD LEBANON, TN 37087 | AFLAC | $326 | $0 | $326 | 5.06% |
| KENNETH R APPLE3 Filed as: KENNETH R. APPLE | 830 WILLOW TREE CIRCLE CORDOVA, TN 38018 | AFLAC | $161 | $0 | $161 | 2.50% |
| ALAN W MARTIN3 Filed as: ALAN W. MARTIN | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $78 | $0 | $78 | 1.21% |
| ROBERT L GOBLE3 Filed as: ROBERT L. GOBLE | 250 34TH AVENUE NE HICKORY, NC 28601 | AFLAC | $47 | $0 | $47 | 0.73% |
| MJ INSURANCE3 Filed as: KAREN M. STONE AND VARIOUS AGENTS | 567 LAKE SCENE DRIVE EDDYVILLE, KY 42038 | AFLAC | $43 | $0 | $43 | 0.67% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 427 BENTON, KY 42025 | AFLAC | $23 | $0 | $23 | 0.36% |
| AMANDA M ROBERTS3 Filed as: AMANDA M. ROBERTS | 300 WALKER STREET CLINTON, KY 42031 | AFLAC | $11 | $0 | $11 | 0.17% |
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 | 106 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KENTUCKY | 122 | $41K |
| Vision | VISION SERVICE PLAN | 78 | $12K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 124 | $68K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 124 | $68K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 124 | $68K |
| Other(3 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 124 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.