| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $13K | $0 | $13K | 1.82% |
| KENTUCKY HOSPITAL SERVICE CO3 Filed as: KENTUCKY HOSPITAL SERVICE COMPANY | 2501 NELSON MILLER PARKWAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $6K | $0 | $6K | 0.76% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $5K | $0 | $5K | 0.62% |
| WANDA JEAN ANDERSON3 | 1751 WHITE OAK RIDGE ROAD FOUNTAIN RUN, KY 42133 | AFLAC | $7K | $277 | $7K | 6.92% |
| MJ INSURANCE3 Filed as: LARRY POLK AND VARIOUS AGENTS | 194 EASTWIND PLACE BOWLING GREEN, KY 42103 | AFLAC | $4K | $63 | $4K | 3.80% |
| ANGELA PEDIGO3 | 152 GOFF ROAD EDMONTON, KY 42129 | AFLAC | $1K | $104 | $2K | 1.54% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $1K | $93 | $1K | 1.16% |
| BETTY JEAN GENTRY3 | 725 GENTRY CIRCLE MOUNT HERMON, KY 42157 | AFLAC | $689 | $84 | $773 | 0.78% |
| PAULA WINCHELL3 | 260 HOLLIS THOMAS ROAD GLASGOW, KY 42141 | AFLAC | $660 | $0 | $660 | 0.67% |
| HEATHER TRAVIS3 | 707 LESLIE AVENUE GLASGOW, KY 42141 | AFLAC | $570 | $30 | $600 | 0.60% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | DENTAL CARE PLUS, INC. | $2K | $0 | $2K | 6.80% |
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.73% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM LIFE INSURANCE COMPANY | $455 | $0 | $455 | 1.99% |
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 | 131 | 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) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 142 | $730K |
| Dental | DENTAL CARE PLUS, INC. | 126 | $35K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 142 | $730K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 131 | $23K |
| Short-term disability | AFLAC | 121 | $99K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 131 | $23K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 142 | $730K |
| Other(2 contracts, 2 carriers) | AFLAC | 131 | $122K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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.