| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUGH G HINES3 | 121 E MAIN STREET DANVILLE, KY 40422 | NORTHWESTERN MUTUAL | $8K | $2K | $10K | 0.73% |
| MICHAEL TROUT3 Filed as: MICHAEL EDWARD CULLIGAN | 317 SHELBY STREET, SUITE 206 KINGSPORT, TN 37660 | NORTHWESTERN MUTUAL | $5K | $1K | $7K | 0.48% |
| PROCTOR W BLAIR3 | 416 HIGH STREET PARIS, KY 40361 | NORTHWESTERN MUTUAL | $4K | $1K | $6K | 0.40% |
| NM LOUISVILLE INC3 Filed as: NM LOUISVILLE, INC. | 400 W MARKET STREET, SUITE 2250 LOUISVILLE, KY 40202 | NORTHWESTERN MUTUAL | $2K | $202 | $2K | 0.14% |
| ADAM KEITH ELLIS3 | 827 STATE STREET BOWLING GREEN, KY 42101 | NORTHWESTERN MUTUAL | $799 | $287 | $1K | 0.08% |
| CHARLES NATHANIEL JENKINS3 | 208 SUNSET DRIVE, SUITE 401 JOHNSON CITY, TN 37604 | NORTHWESTERN MUTUAL | $532 | $191 | $723 | 0.05% |
| CHARLES ROBERT PRUETT3 | 1600 DIVISION STREET, SUITE 400 NASHVILLE, TN 37203 | NORTHWESTERN MUTUAL | $532 | $64 | $596 | 0.04% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FIN SVCS | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $0 | $26K | $26K | 2.04% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DRIVE SUITE 1800 GREENSBORO, NC 27409 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $10K | $707 | $11K | 0.81% |
| MCGRIFF INSURANCE SERVICES INC3 | ATTN EB COMMISSION PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $51K | — | $51K | 8.35% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | — | DELTA DENTAL OF KENTUCKY | $11K | — | $11K | 2.50% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF, A MARSH & MCLENNA AGE | ATTN ACCOUNTING SUITE 1800, 7701 AIRPORT CENTER DRI GREENSBORO, NC 27409 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $20K | $3K | $23K | 11.75% |
| MCGRIFF INSURANCE SERVICES INC3 | ATTN EB COMMISSION PO BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $28K | — | $28K | 16.64% |
| AIS - BENEFIT CONCEPTS LLC3 | 13101 MAGISTERIAL DR LOUISVILLE, KY 40223 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $64 | — | $64 | 1.54% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGRIFF, A MARSH & MCLENNA AGE | ATTN ACCOUNTING SUITE 1800, 7701 AIRPORT CENTER DR GREENSBORO, NC 27409 | UNUM INSURANCE COMPANY | $871 | $231 | $1K | 27.77% |
| AIS - BENEFIT CONCEPTS LLC3 | 13101 MAGISTERIAL DR LOUISVILLE, KY 40223 | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | $133 | — | $133 | 4.18% |
| 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 | $82 | — | $82 | 17.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 BROKER | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $238K |
| MCGRIFF INSURANCE SERVICES, INC | Non-monetary compensation; Insurance agents and brokers; Insurance brokerage commissions and fees; Other commissions Service code 22 | — | $38K |
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 | 1,086 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA | 4 | $7K |
| Dental | DELTA DENTAL OF KENTUCKY | 1,600 | $456K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 802 | $1.3M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 1,089 | $812K |
| Long-term disability | NORTHWESTERN MUTUAL | 1,079 | $1.4M |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 802 | $1.3M |
| Other(4 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,108 | $395K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,600 | — |
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.