| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT INSURANCE MARKETING, INC.3 Filed as: BENEFIT INSURANCE MARKETING | 1151 RED MILE RD LEXINGTON, KY 40504 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $4K | 8.68% |
| SEVEN CORNERS INSURANCE SOLUTIONS3 Filed as: SEVEN CORNERS INSURANCE | 21241 S WESTERN AVE SUITE 250 TORRANCE, CA 90501 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.61% |
| BENEFIT INSURANCE MARKETING, INC.3 Filed as: BENEFIT INSURANCE MARKETING | 1151 RED MILE RD LEXINGTON, KY 40504 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $3K | 11.23% |
| SEVEN CORNERS INSURANCE SOLUTIONS3 Filed as: SEVEN CORNERS INSURANCE | 21241 S WESTERN AVE SUITE 250 TORRANCE, CA 90501 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 3.90% |
| BENEFIT INSURANCE MARKETING, INC.3 Filed as: BENEFIT INSURANCE MARKETING | 1151 RED MILE RD LEXINGTON, KY 40504 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $3K | 9.86% |
| SEVEN CORNERS INSURANCE SOLUTIONS3 Filed as: SEVEN CORNERS INSURANCE | 21241 S WESTERN AVE SUITE 250 TORRANCE, CA 90501 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 4.44% |
| BENEFIT INSURANCE MARKETING, INC.3 Filed as: BENEFIT INSURANCE MARKETING | 1151 RED MILE RD LEXINGTON, KY 40504 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $273 | $176 | $449 | 9.06% |
| SEVEN CORNERS INSURANCE SOLUTIONS3 Filed as: SEVEN CORNERS INSURANCE | 21241 S WESTERN AVE SUITE 250 TORRANCE, CA 90501 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $222 | — | $222 | 4.48% |
| BENEFIT INSURANCE MARKETING, INC.3 | 1151 RED MILE ROAD LEXINGTON, KY 40504 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $877 | — | $877 | — |
| MEDLINK INC3 Filed as: MEDLINK INC. | P O BOX 23570 LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $373 | $189 | $562 | — |
| AP WHOLESALE INSURANCE SERVICES LLC3 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | $340 | $173 | $513 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY,INC EIN 61-1237516 CLAIM ADMINISTRATION | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing Service code 12 | — | $154K |
| ANTHEM HEALTH PLANS OF KENTUCKY INC EIN 61-1237516 CLAIM ADMINISTRATION | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $129K |
| BENEFIT INSURANCE MARKETING, INC. | Other commissions; Non-monetary compensation; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $19K |
| MEDLINK INC SERVICE PROVIDER | Other commissions; Non-monetary compensation; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | PO BOX 23570 LOUISVILLE, KY 40223 | $8K |
| AP WHOLESALE INSURANCE SERVICES LLC | Insurance brokerage commissions and fees; Non-monetary compensation; Other commissions; Insurance agents and brokers Service code 22 | — | $7K |
| AP WHOLESALE INSURANCE SERVICE LLC SERVICE PROVIDER | Other commissions; Non-monetary compensation; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 2001 LAKE POINT WAY LOUISVILLE, KY 40223 | $0 |
| BENEFIT INSURANCE MARKETING INC SERVICE PROVIDER | Insurance brokerage commissions and fees; Non-monetary compensation; Insurance agents and brokers; Other commissions Service code 22 | 1151 RED MILE RD LEXINGTON, KY 40504 | $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 | 107 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 106 | $0 |
| Dental | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 106 | $0 |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 106 | $0 |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 107 | $45K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 81 | $28K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 107 | $29K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF KENTUCKY, INC. | 106 | $0 |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 107 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.