| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 427 BENTON, KY 42025 | ANTHEM HEALTH PLANS OF KY, INC. | $23K | $8K | $31K | 2.49% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 51 FRANKLIN, KY 42135 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $1K | $9K | 17.69% |
| TED BENNETT3 | 1087 ARISTIDES DRIVE BOWLING GREEN, KY 42701 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $3K | $7K | 13.10% |
| MJ INSURANCE3 Filed as: ANNE OWENS AND VARIOUS AGENTS | 127 ABERDINE WAY GEORGETOWN, KY 40324 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $94 | $2K | 3.95% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH S. GOLDEN | 1830 DESTINY LANE, SUITE 101 BOWLING GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $402 | $2K | 3.04% |
| DAVID SPARKS PURVIS3 | 3840 SADDLE BEND OLIVE BRANCH, KY 38654 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $963 | $258 | $1K | 2.41% |
| AMY POYNTER3 | 299 CAVELAND ROAD CAVE CITY, KY 42127 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $588 | $39 | $627 | 1.24% |
| THE BARDELL AGENCY3 | 424 CUNNINGHAM LANE LEXINGTON, KY 40508 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $557 | $22 | $579 | 1.14% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 427 BENTON, KY 42025 | AMERICAN UNITED LIFE INSURANCE COMPANY | $4K | $0 | $4K | 13.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 1120 MAIN STREET BENTON, KY 42025 | AMERICAN UNITED LIFE INSURANCE COMPANY | $372 | $0 | $372 | 1.19% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC. | PO BOX 51 FRANKLIN, KY 42135 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $360 | $3K | 9.65% |
| TED BENNETT3 | 1087 ARISTIDES DRIVE BOWLING GREEN, KY 42701 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $947 | $2K | 7.79% |
| CANDICE OVERSTREET3 Filed as: CANDICE OVERSTREET AND OTHER AGENTS | 3930 DRIPPING SPRINGS ROAD GLASGOW, KY 42141 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $708 | $38 | $746 | 2.39% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH S. GOLDEN | 1830 DESTINY LANE, SUITE 101 BOWLING GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $458 | $107 | $565 | 1.81% |
| THE BARDELL AGENCY3 | 424 CUNNINGHAM LANE LEXINGTON, KY 40508 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $343 | $14 | $357 | 1.14% |
| MARYANNE ANDERSON3 | 1014 EDGEFIELD WAY BOWLNG GREEN, KY 42104 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $185 | $3 | $188 | 0.60% |
| DAVID SPARKS PURVIS3 | 3840 SADDLE BEND OLIVE BRANCH, MS 38654 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $152 | $29 | $181 | 0.58% |
| ASSUREDPARTNERS3 Filed as: PEEL AND 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 | 260 | 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) | 260 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KY, INC. | 98 | $1.2M |
| Dental | DELTA DENTAL OF KENTUCKY | 114 | $33K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 115 | $8K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 195 | $31K |
| Prescription drug | ANTHEM HEALTH PLANS OF KY, INC. | 98 | $1.2M |
| Other(4 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF KY, INC. | 195 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.