| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: PEEL & HOLLAND INC. | PO BOX 427 BENTON, KY 42025 | HUMANA HEALTH PLAN, INC. | $34K | $594 | $34K | 4.08% |
| ASSUREDPARTNERS3 Filed as: PEEL & HOLLAND INC. | PO BOX 51 FRANKLIN, KY 42135 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9K | $1K | $10K | 16.38% |
| TED BENNETT3 | 1087 ARISTIDES DRIVE BOWLING GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $3K | $7K | 11.24% |
| MARYANNE ANDERSON3 | 1014 EDGEFIELD WAY BOWLING GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $68 | $2K | 3.61% |
| DAVID SPARKS PURVIS3 Filed as: DAVID SPRKS PURVIS | 3840 SADDLE BEND DRIVE OLIVE BRANCH, MS 38654 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $457 | $2K | 3.11% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH S. GOLDEN | 1830 DESTINY LANE BOWLING GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $443 | $2K | 2.96% |
| FRANKIE GLEE WILLIAMS3 | 186 CHAMBERS DRIVE BOWLING GREEN, KY 42103 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $793 | $304 | $1K | 1.81% |
| MJ INSURANCE3 Filed as: SUZANNE TUCKER & VARIOUS AGENTS | PO BOX 22518 LEXINGTON, KY 40522 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $275 | $23 | $298 | 0.49% |
| ASSUREDPARTNERS3 Filed as: PEEL & HOLLAND INC. | 1120 MAIN STREET BENTON, KY 42025 | DELTA DENTAL OF KENTUCKY | $2K | $0 | $2K | 6.72% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND INC | UNKNOWN BENTON, KY 42025 | AMERICAN UNITED LIFE INSURANCE COMPANY | $4K | $0 | $4K | 15.00% |
| ASSUREDPARTNERS3 Filed as: PEEL & HOLLAND INC. | PO BOX 427 BENTON, KY 42025 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $828 | $0 | $828 | 10.00% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH PLAN, INC. | 91 | $842K |
| Dental | DELTA DENTAL OF KENTUCKY | 116 | $35K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 115 | $8K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 190 | $28K |
| Prescription drug | HUMANA HEALTH PLAN, INC. | 91 | $842K |
| Other(3 contracts, 3 carriers) | HUMANA HEALTH PLAN, INC. | 190 | $930K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.