| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS AND ASSOCIATES LLC | 4975 ALBEN BARKLEY DRIVE SUITE 1 PADUCAH, KY 42001 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $19K | — | $19K | 2.33% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 | LLC 2660 OLIVET CHURCH ROAD, SUITE 1 PADUCAH, KY 42001 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $9K | — | $9K | 1.16% |
| TED BENNETT3 | 1830 DESTINY LANE BOWLING GREEN, KY 42104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $428 | $2K | 2.75% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOCIATES LLC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.31% |
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP INC. | 1240 FAIRWAY STREET BOWLING GREEN, KY 42103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $888 | — | $888 | 1.11% |
| DEBORAH S GOLDEN3 | 1830 DESTINY LANE BOWLING GREEN, KY 42104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $802 | $58 | $860 | 1.08% |
| FRANKIE GLEE WILLIAMS3 | 206 HURRICANE SHORES ROAD SCOTTSVILLE, KY 42164 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $485 | $28 | $513 | 0.64% |
| JODY DAN BRYANT3 | 1429 MOUNT AYR CIRCLE BOWLING GREEN, KY 42103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $443 | — | $443 | 0.56% |
| DAVID SPARKS PURVIS3 | 3840 SADDLE BEND DRIVE OLIVE BRANCH, MS 38654 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $340 | $101 | $441 | 0.55% |
| HOLLANDSTIVERS EMPLOYER SOLUTIONS3 | LLC 2660 OLIVET CHURCH ROAD, SUITE 1 PADUCAH, KY 42001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $332 | — | $332 | 0.42% |
| SUSAN MAE DANIEL3 | 2713 CAYCE MEADE DRIVE HOPKINSVILLE, KY 42240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $289 | — | $289 | 0.36% |
| VIOLET P COOTS3 | 1410 WHALEN ROAD BOWLING GREEN, KY 42101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $188 | — | $188 | 0.24% |
| JON MALMBORG3 | 1322 RICHLAND WAY BOWLING GREEN, KY 42103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $128 | — | $128 | 0.16% |
| MARYANNE ANDERSON3 | 1014 EDGEFIELD WAY BOWLING GREEN, KY 42104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $3 | $97 | 0.12% |
| JODY STIVERS HOLLAND STIVERS & ASSO3 Filed as: JODY WAYNE STIVERS | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.01% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOCIATES | 4975 ALBEN BARKLEY DRIVE SUITE 1 PADUCAH, KY 42001 | AMERICAN UNITED LIFE INSURANCE COMPANY | $7K | — | $7K | 13.09% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS EMPLOYEE SOLUTIONS | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | AMERICAN UNITED LIFE INSURANCE COMPANY | $819 | $325 | $1K | 2.21% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS AND ASSOCIATES LLC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | HEALTH RESOURCES, INC. | $1K | — | $1K | 5.68% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 | LLC 2660 OLIVET CHURCH ROAD, SUITE 1 PADUCAH, KY 42001 | HEALTH RESOURCES, INC. | $1K | — | $1K | 4.32% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS & ASSOCIATES, LLC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.01% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 Filed as: HOLLAND STIVERS AND ASSOCIATES LLC | 2660 OLIVET CHURCH ROAD SUITE 1 PADUCAH, KY 42001 | HEALTH RESOURCES, INC. | $534 | — | $534 | 5.70% |
| HOLLAND STIVERS EMPLOYER SOLUTIONS3 | LLC 2660 OLIVET CHURCH ROAD, SUITE 1 PADUCAH, KY 42001 | HEALTH RESOURCES, INC. | $402 | — | $402 | 4.29% |
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 | 154 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 170 | $799K |
| Dental(2 contracts) | HEALTH RESOURCES, INC. | 101 | $35K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 187 | $12K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 181 | $52K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 181 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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.