| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUGH G HINES3 | 121 E MAIN STREET DANVILLE, KY 40422 | NORTHWESTERN MUTUAL | $8K | $2K | $10K | 0.74% |
| MICHAEL TROUT3 Filed as: MICHAEL EDWARD CULLIGAN | 317 SHELBY STREET, SUITE 206 KINGSPORT, TN 37660 | NORTHWESTERN MUTUAL | $5K | $1K | $6K | 0.49% |
| PROCTOR W BLAIR3 | 416 HIGH STREET PARIS, KY 40361 | NORTHWESTERN MUTUAL | $4K | $1K | $5K | 0.41% |
| NM LOUISVILLE INC3 Filed as: NM LOUISVILLE, INC. | 400 W MARKET STREET, SUITE 2250 LOUISVILLE, KY 40202 | NORTHWESTERN MUTUAL | $2K | $193 | $2K | 0.14% |
| ADAM KEITH ELLIS3 | 827 STATE STREET BOWLING GREEN, KY 42101 | NORTHWESTERN MUTUAL | $763 | $274 | $1K | 0.08% |
| CHARLES NATHANIEL JENKINS3 | 208 SUNSET DRIVE, SUITE 401 JOHNSON CITY, TN 37604 | NORTHWESTERN MUTUAL | $509 | $183 | $692 | 0.05% |
| CHARLES ROBERT PRUETT3 | 1600 DIVISION STREET, SUITE 400 NASHVILLE, TN 37203 | NORTHWESTERN MUTUAL | $509 | $61 | $570 | 0.04% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $9K | $652 | $10K | 0.87% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | EB COMMISSION PO BOX 89662 CHARLOTTE, NC 282896620 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $53K | $9K | $62K | 11.75% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | ROBIN DAVIS 214 N TRYON STREET CHARLOTTE, NC 28202 | DELTA DENTAL OF KENTUCKY | $10K | — | $10K | 2.28% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | ROBIN DAVIS 550 SOUTH CALDWELL STREET CHARLOTTE, NC 28202 | DELTA DENTAL OF KENTUCKY | $886 | — | $886 | 0.21% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | EB COMMISSION PO BOX 89662 CHARLOTTE, NC 282896620 | UNUM INSURANCE COMPANY | $17K | $2K | $19K | 16.76% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 3605 GLENWOOD AVENUE RALEIGH, NC 27612 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | EB COMMISSION PO BOX 89662 CHARLOTTE, NC 282896620 | UNUM INSURANCE COMPANY | $2K | $616 | $3K | 19.00% |
| AIS - BENEFIT CONCEPTS LLC3 | 13101 MAGISTERIAL DR LOUISVILLE, KY 40223 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $77 | — | $77 | 1.55% |
| AIS - BENEFIT CONCEPTS LLC3 | 13101 MAGISTERIAL DR LOUISVILLE, KY 40223 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $133 | — | $133 | 4.18% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INS. SERVICES, LOUISVILLE | ATTN BONNIE EDWARDS 414 GALLIMORE DAIRY RD, STE F GREENSBORO, NC 27409 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $108 | — | $108 | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KY INC | 13101 MAGISTERIAL DR STE 200 LOUISVILLE, KY 40223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $113 | — | $113 | 17.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 BROKER | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $356K |
| MCGRIFF INSURANCE SERVICES, INC | Insurance agents and brokers; Insurance brokerage commissions and fees; Non-monetary compensation; Other commissions Service code 22 | — | $66K |
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 | 1,032 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,058 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | 4 | $8K |
| Dental | DELTA DENTAL OF KENTUCKY | 1,492 | $427K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 760 | $1.2M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,025 | $527K |
| Long-term disability | NORTHWESTERN MUTUAL | 1,026 | $1.3M |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 760 | $1.2M |
| Other(7 contracts, 6 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,352 | $924K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,492 | — |
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."
No prospect flags tripped on this filing.