| 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. | $26K | $243 | $26K | 2.70% |
| KENTUCKY HOSPITAL SERVICE CO3 | 2501 NELSON MILLER PARKWAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $5K | $0 | $5K | 0.54% |
| BETTY JEAN GENTRY3 | 725 GENTRY CIRCLE MOUNT HERMON, KY 42157 | AFLAC | $7K | $175 | $7K | 6.77% |
| MJ INSURANCE3 Filed as: BRIANNA MILLER AND VARIOUS AGENTS | 941 TOM WORD ROAD SUMMER SHADE, KY 42166 | AFLAC | $3K | $0 | $3K | 3.06% |
| EMILY LAUREN DAVIDSON3 | 7074 DRIPPING SPRINGS ROAD SMITHS GROVE, KY 42171 | AFLAC | $2K | $0 | $2K | 2.44% |
| PAULA WINCHELL3 | 940 COBRA WILBORN ROAD SUMMER SHADE, KY 42166 | AFLAC | $2K | $41 | $2K | 2.33% |
| WANDA JEAN ANDERSON3 | 1751 WHIITE OAK RIDGE ROAD FOUNTAIN RUN, KY 42133 | AFLAC | $2K | $0 | $2K | 2.15% |
| MALLORY SULLIVAN3 | 24 CHARLIE GOODMAN ROAD MUNFORDVILLE, KY 42765 | AFLAC | $2K | $26 | $2K | 1.57% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP D. BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $779 | $14 | $793 | 0.78% |
| ASSUREDPARTNERS3 | 4500 TOWN CENTER BOULEVARD SUITE 200 JEFFERSONVILLE, IN 47130 | ANTHEM LIFE INSURANCE COMPANY | $4K | $0 | $4K | 16.50% |
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 | 177 | 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) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 280 | $967K |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 280 | $967K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 280 | $967K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 134 | $23K |
| Short-term disability | AFLAC | 117 | $102K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 134 | $23K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 280 | $967K |
| Other(2 contracts, 2 carriers) | AFLAC | 134 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.