| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $71K | $5K | $76K | 2.99% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUSVILLE, KY 40206 | DELTA DENTAL OF KENTUCKY | $5K | $0 | $5K | 2.04% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | ANTHEM LIFE INSURANCE COMPANY | $14K | $1K | $15K | 9.45% |
| ASSUREDPARTNERS3 | 2443 SIR BARTON WAY SUITE 400 LEXINGTON, KY 40509 | AMERICAN UNITED LIFE INSURANCE COMPANY | $13K | $4K | $17K | 13.24% |
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 | 285 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 86 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 371 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 613 | $2.5M |
| Dental | DELTA DENTAL OF KENTUCKY | 664 | $255K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 613 | $2.5M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 371 | $161K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 285 | $127K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 285 | $127K |
| Prescription drug | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 613 | $2.5M |
| Other | ANTHEM LIFE INSURANCE COMPANY | 371 | $161K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 664 | — |
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.