| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FOUNDATION RISK PARTNERS CORP3 | 2125 YGNACIO VALLEY RD, STE 200 WALNUT CREEK, CA 94598 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $34K | $674 | $34K | 3.62% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | P.O. BOX 221649 LOUISVILLE, KY 40252 | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | $4K | — | $4K | 9.29% |
| FOUNDATION RISK PARTNERS CORP3 | 38 FOUNTAIN SQUARE PLAZA CINCINNATI, OH 45202 | AFLAC | $1K | — | $1K | 4.97% |
| REBECCA A MCLAUGHLAN3 Filed as: REBECCA DOEPKE | 4019 DEER LAKE CIRCLE PROSPECT, KY 40059 | AFLAC | $832 | — | $832 | 2.96% |
| AMBER NICOLE RICHARDSON3 Filed as: AMBER RICHARDSON | 1241 LYNDON LANE RADCLIFF, KY 40160 | AFLAC | $575 | — | $575 | 2.05% |
| KIRK HASTINGS3 | 8707 CHETWOOD TRACE DRIVE LOUISVILLE, KY 40291 | AFLAC | $200 | — | $200 | 0.71% |
| MARK GALVIN LLC3 | 204 DEERFIELD HILLS ROAD ELIZABETHTOWN, KY 42701 | AFLAC | $186 | — | $186 | 0.66% |
| AMY JOHANNEMANN3 | 11708 W. STATE ROAD 56 FRENCH LICK, IN 47432 | AFLAC | $132 | — | $132 | 0.47% |
| MARK GALVIN LLC3 Filed as: MARK GALVIN | 204 DEERFIELD HILLS ROAD ELIZABETHTOWN, KY 42701 | AFLAC | $128 | — | $128 | 0.46% |
| BRIAN GRAHAM INC3 Filed as: BRIAN GRAHAM | 903 TAMARISK COURT LOUISVILLE, KY 40223 | AFLAC | $123 | — | $123 | 0.44% |
| BRIAN GRAHAM INC3 | 2201 POLO MOUNT COURT LOUISVILLE, KY 40245 | AFLAC | $70 | — | $70 | 0.25% |
| DAVID WATSON3 | 3912 FALLEN TIMBER DRIVE LOUISVILLE, KY 40241 | AFLAC | $55 | — | $55 | 0.20% |
| SETH O AKERS3 Filed as: SETH AKERS | 487 NORMANDY STATION ROAD TAYLORSVILLE, KY 40071 | AFLAC | $35 | — | $35 | 0.12% |
| TIFFANY ANN AKERS3 Filed as: TIFFANY AKERS | 487 NORMANDY STATION ROAD TAYLORSVILLE, KY 40071 | AFLAC | $34 | — | $34 | 0.12% |
| BRYAN ALARCON3 | 205 MACINTOSH DRIVE SHELBYVILLE, KY 40065 | AFLAC | $32 | — | $32 | 0.11% |
| DAVID LUURTSEMA3 | 326 OLD CARDINAL DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $28 | — | $28 | 0.10% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS NL LLC | 5905 E. GALBRAITH RD, STE 5000 CINCINNATI, OH 45236 | AFLAC | $26 | — | $26 | 0.09% |
| DAVID HUGHES3 | 2806 SATSUMA DR SARASOTA, FL 34239 | AFLAC | $20 | — | $20 | 0.07% |
| PHILLIP D BLAKEMAN3 Filed as: PHILLIP BLAKEMAN | 217 REMBRANDT DRIVE ELIZABETHTOWN, KY 42701 | AFLAC | $20 | — | $20 | 0.07% |
| BRADLEY L ELLIS3 Filed as: BRADLEY ELLIS | 6807 GRAINERY RD TIMNATH, CO 80547 | AFLAC | $18 | — | $18 | 0.06% |
| R AARON WRIGHT3 | 9505 TRUSCOTT CT LOUISVILLE, KY 40059 | AFLAC | $11 | — | $11 | 0.04% |
| LAURA MARIE GOVANUS3 Filed as: LAURA GOVANUS | 5734 N. STATE ROAD 66 MILLTOWN, IN 47145 | AFLAC | $5 | — | $5 | 0.02% |
| DENNIS HARTIN3 | 12203 STATE STREET TAMPA, FL 33635 | AFLAC | $2 | — | $2 | 0.01% |
| CLIFFORD FRANKLIN BROOKS3 Filed as: CLIFFORD BROOKS | 9200 SHELBYVILLE RD STE 605 LOUISVILLE, KY 40222 | AFLAC | $2 | — | $2 | 0.01% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | P.O. BOX 221649 LOUISVILLE, KY 40252 | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | $4K | — | $4K | 14.54% |
| FOUNDATION RISK PARTNERS CORP3 | 2125 YGNACIO VALLEY RD, STE 200 WALNUT CREEK, CA 94598 | ANTHEM LIFE INSURANCE COMPANY | $2K | $371 | $3K | 10.26% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | P.O. BOX 221649 LOUISVILLE, KY 40252 | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | $1K | — | $1K | 10.00% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE SOLUTIONS | P.O. BOX 221649 LOUISVILLE, KY 40252 | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | $417 | — | $417 | 15.01% |
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 | 163 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 193 | $947K |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 193 | $947K |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 193 | $947K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | 164 | $66K |
| Short-term disability | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | 59 | $11K |
| Long-term disability | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | 99 | $26K |
| Other(5 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NA DBA NY LIFE GRP BENEFIT SOLUTIONS | 164 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.