| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4500 TOWN CENTER BOULEVARD SUITE 200 JEFFERSONVILLE, IN 47130 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $23K | $3K | $26K | 3.52% |
| KENTUCKY HOSPITAL SERVCICE CO3 Filed as: KENTUCKY HOSPITAL SERVICES COMPANY | 2501 NELSON MILLER PARKWAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $6K | $0 | $6K | 0.75% |
| WANDA JEAN ANDERSON3 | 1751 WHITE OAK RIDGE ROAD FOUNTAIN RUN, KY 42133 | AFLAC | $6K | $214 | $6K | 6.96% |
| MJ INSURANCE3 Filed as: PAULA WINCHELL AND VARIOUS AGENTS | 940 CORA WILBORN ROAD SUMMER SHADE, KY 42166 | AFLAC | $4K | $25 | $4K | 3.95% |
| ANGELA PEDIGO3 | 152 GOFF ROAD EDMONTON, KY 42129 | AFLAC | $1K | $66 | $1K | 1.37% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $623 | $44 | $667 | 0.72% |
| HEATHER TRAVIS3 | 53 RED BARN WAY CAVE CITY, KY 42127 | AFLAC | $603 | $13 | $616 | 0.66% |
| DARRYL J YOUNG3 Filed as: DARRYL J. YOUNG | 3820 GOLD CITY ROAD FRANKLIN, KY 42134 | AFLAC | $544 | $11 | $555 | 0.60% |
| BETTY JEAN GENTRY3 | 725 GENTRY CIRCLE MOUNT HERMON, KY 42157 | AFLAC | $519 | $0 | $519 | 0.56% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | DENTAL CARE PLUS, INC. | $3K | $0 | $3K | 8.19% |
| ASSUREDPARTNERS3 | 4500 TOWN CENTER BOULEVARD SUITE 200 JEFFERSONVILLE, IN 47130 | ANTHEM LIFE INSURANCE COMPANY | $4K | $247 | $4K | 14.99% |
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. | 139 | $748K |
| Dental | DENTAL CARE PLUS, INC. | 127 | $34K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 139 | $748K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 128 | $27K |
| Short-term disability | AFLAC | 102 | $93K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 128 | $27K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 139 | $748K |
| Other(2 contracts, 2 carriers) | AFLAC | 128 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.