| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: USE INSURANCE SERVICES | 950 BRECKENRIDGE LANE LOUISVILLE, KY 40207 | LINCOLN NATIONAL LIFE | $12K | — | $12K | 20.00% |
| USA INSURANCE SERVICES LLC3 Filed as: USA INSURANCE SERVICES | 950 BRECKENRIDGE LANE LOUISVILLE, KY 40207 | LINCOLN NATIONAL LIFE | $7K | — | $7K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO | 950 BRECKENRIDGE LANE LOUISVILLE, KY 40204 | ALLSTATE | $4K | — | $4K | 10.89% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | 950 BRECKENRIDGE LANE LOUISVILLE, KY 40207 | LINCOLN NATIONAL LIFE | $3K | — | $3K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | 950 BRECKENRIDGE LANE LOUISVILLE, KY 40207 | LINCOLN NATIONAL LIFE | $2K | — | $2K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE | POST OFFICE BOX 3727 NORFOLK, VA 23514 | EYEMED | $1K | — | $1K | 9.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS EIN 61-1237516 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing; Contract Administrator Service code 12 | — | $75K |
| EXPRESS SCRIPTS EIN 31-1714795 NONE | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $9K |
| MCGOHAN BRABENDER, INC. EIN 31-1191330 NONE | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $0 |
| USI EIN 13-3771734 NONE | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $0 |
| WELLS FARGO EIN 04-1347393 NONE | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | — | $0 |
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 | 126 | 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) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 57 | $36K |
| Vision | EYEMED | 208 | $12K |
| Life insurance | LINCOLN NATIONAL LIFE | 126 | $13K |
| Short-term disability | LINCOLN NATIONAL LIFE | 125 | $22K |
| Long-term disability | LINCOLN NATIONAL LIFE | 102 | $47K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLAN OF KENTUCKY | 265 | $164K |
| Other(2 contracts) | LINCOLN NATIONAL LIFE | 126 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.