| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $16K | $0 | $16K | 2.17% |
| KENTUCKY HOSPITAL SERVICE CO3 | 2501 NELSON MILLER PARKWAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $5K | $0 | $5K | 0.68% |
| WANDA JEAN ANDERSON3 | 1751 WHITE OAK RIDGE ROAD FOUNTAIN RUN, KY 42133 | AFLAC | $5K | $249 | $6K | 6.82% |
| MJ INSURANCE3 Filed as: SHARON L. PAYNE AND VARIOUS AGENTS | 7 WEST BARBEE STREET COLUMBIA, KY 42728 | AFLAC | $3K | $103 | $3K | 3.46% |
| BETTY JEAN GENTRY3 | 725 GENTRY CIRCLE MOUNT HERMON, KY 42157 | AFLAC | $2K | $66 | $2K | 2.15% |
| HEATHER TRAVIS3 | 221 KELLY DRIVE GLASGOW, KY 42141 | AFLAC | $1K | $18 | $1K | 1.40% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $1K | $75 | $1K | 1.33% |
| ANGELA PEDIGO3 | 152 GOFF ROAD EDMONTON, KY 42129 | AFLAC | $1K | $0 | $1K | 1.33% |
| PAULA WINCHELL3 | 260 HOLLIS THOMAS ROAD GLASGOW, KY 42141 | AFLAC | $658 | $57 | $715 | 0.87% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | DENTAL CARE PLUS, INC. | $2K | $0 | $2K | 7.22% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOIUSVILLE, KY 40206 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 13.75% |
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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 137 | $748K |
| Dental | DENTAL CARE PLUS, INC. | 124 | $33K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 137 | $748K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 135 | $15K |
| Short-term disability | AFLAC | 120 | $82K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 137 | $748K |
| Other(2 contracts, 2 carriers) | AFLAC | 135 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.