| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC.3 Filed as: ANTHEM HEALTH PLANS OF KENTUCKY, IN | — | ANTHEM HEALTH PLANS OF KENTUCKY, INC | — | — | $0 | 0.00% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND, INC | PO BOX 427 BENTON, KY 42025 | DELTA DENTAL OF KENTUCKY | $2K | — | $2K | 4.00% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOC | 2660 OLIVET CHRUCH ROAD SUITE 1 PADUCAH, KY 42001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 4.69% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | 330 EAST MAIN STREET SUITE 300 LEXINGTON, KY 40507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 4.16% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 7.53% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | 330 E. MAIN STREET STE 300 LEXINGTON, KY 40507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 6.27% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $949 | — | $949 | 5.81% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | 330 E. MAIN STREET STE 300 LEXINGTON, KY 40507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $685 | — | $685 | 4.19% |
| ANGELA KAYE DOWDY3 | 18837 CANOEBROOK LANE TONEY, AL 35773 | AFLAC | $173 | — | $173 | 5.31% |
| ASSUREDPARTNERS3 Filed as: PEEL AND HOLLAND INC | PO BOX 427 BENTON, KY 42025 | AFLAC | $143 | — | $143 | 4.39% |
| TIMOTHY A LAIRD3 | 100 FOUNTAIN AVENUE SUITE 419 PADUCAH, KY 42001 | AFLAC | $104 | — | $104 | 3.19% |
| FRANK ANTHONY LAIRD3 | 222 KENTUCKY AVENUE SUITE 3 PADUCAH, KY 42003 | AFLAC | $71 | — | $71 | 2.18% |
| PHILIP LYNN3 | 2378 COUNTRY ROAD 925 NORTH FAIRFIELD, IL 62837 | AFLAC | $60 | — | $60 | 1.84% |
| BRANDON H THOMPSON3 | 7 HILANOA DRIVE METROPOLIS, IL 62960 | AFLAC | $22 | — | $22 | 0.67% |
| AMANDA M ROBERTS3 | 213 5TH STREET FULTON, KY 42041 | AFLAC | $21 | — | $21 | 0.64% |
| DAVID S. LIESKE3 Filed as: DAVID S LIESKE | 3441 WOLF SPRING LANE BARTLETT, TN 38133 | AFLAC | $12 | — | $12 | 0.37% |
| R AARON WRIGHT3 | 9200 SHELBYVILLE ROAD SUITE 605 LOUISVILLE, KY 40222 | AFLAC | $12 | — | $12 | 0.37% |
| BRIDGITT L OSWALT3 | 136 HICKORY HILL LANE BENTON, KY 42025 | AFLAC | $7 | — | $7 | 0.21% |
| JOSEPH L EAMES3 | 2624 SOUTH GRIFFITH AVENUE OWENSBORO, KY 42301 | AFLAC | $7 | — | $7 | 0.21% |
| LESLIE K KIMBROUGH3 | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $6 | — | $6 | 0.18% |
| AMANDA M ROBERTS3 | 222 5TH STREET FULTON, KY 42041 | AFLAC | $3 | — | $3 | 0.09% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $2 | — | $2 | 0.06% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOC | 2660 OLIVET CHRUCH ROAD SUITE 1 PADUCAH, KY 42001 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $100 | — | $100 | 5.81% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | 330 E. MAIN STREET SUITE 300 LEXINGTON, KY 40507 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $72 | — | $72 | 4.19% |
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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 105 | $197K |
| Dental | DELTA DENTAL OF KENTUCKY | 188 | $52K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 105 | $197K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 173 | $16K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 163 | $24K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 163 | $20K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC | 105 | $197K |
| Other(2 contracts, 2 carriers) | AFLAC | 173 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.