| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MAVERICK INSURANCE GROUP LLC3 | 1214 N MAYO TRAIL, STE 100 PIKEVILLE, KY 41501 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $23K | $0 | $23K | 0.49% |
| HOUCHENS INSURANCE GROUP INC3 | 1750 SCOTTSVILLE ROAD, STE 4 BOWLING GREEN, KY 42104 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $18K | $0 | $18K | 0.38% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: PHIL BROWN INSURANCE AGENCY INC | 9300 SHELBYVILLE ROAD, STE 1004 LOUISVILLE, KY 40222 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $14K | $0 | $14K | 0.31% |
| B AND B INSURANCE AGENCY3 | P.O. BOX 1206 MADISONVILLE, KY 42431 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $12K | $0 | $12K | 0.26% |
| BENEFIT INSURANCE MARKETING, INC.3 Filed as: BENEFIT INSURANCE MARKETING INC | 1151 RED MILE ROAD LEXINGTON, KY 40504 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $9K | $0 | $9K | 0.19% |
| FOWLER SECURITIES AND BENEFITS3 | 200 DISTILLERY COMMONS, STE 270 LOUISVILLE, KY 40206 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $5K | $0 | $5K | 0.11% |
| CORNERSTONE BROKER INS SERVICES3 | 2101 FLORENCE AVE CINCINNATI, OH 45206 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $2K | $0 | $2K | 0.03% |
| BLACKBURN INSURANCE GROUP INC3 | 147 HIBBARD ST PIKEVILLE, KY 41501 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $1K | $0 | $1K | 0.03% |
| FOWLER SECURITIES AND BENEFITS3 | 620 S 3RD STREET, STE 102 LOUISVILLE, KY 40202 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $1K | $0 | $1K | 0.02% |
| PREFERRED BENEFITS LLC3 | 3702 BROWNSBORO ROAD LOUISVILLE, KY 40207 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $750 | $0 | $750 | 0.02% |
| DARRELL L PATTON INSURANCE, INC.3 Filed as: DARRELL L PATTON INSURANCE INC | P.O. BOX 925 PRESTONSBURG, KY 41653 | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | $708 | $0 | $708 | 0.01% |
| UMR, INC.3 Filed as: UMR INC | 333 W. VINE STREET SUITE 500 LEXINGTON, KY 40507 | UNION SECURITY INSURANCE COMPANY | $385 | $0 | $385 | 11.99% |
| ADMINISTRATIVE SERVICES GROUP3 | 333 W. VINE STREET SUITE 500 LEXINGTON, KY 405071622 | UNION SECURITY INSURANCE COMPANY | $0 | $110 | $110 | 3.42% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COAL OPERATORS & ASSOCIATES EIN 61-0717487 PLAN SPONSOR | Plan Administrator Service code 14 | — | $90K |
| FISERV HEALTH/ASGI EIN 31-1558779 NONE | Contract Administrator Service code 13 | — | $83K |
| COMMUNITY TRUST AND INVESTMENT CO NONE | Investment advisory (plan) Service code 27 | 101 NORTH MAIN ST, 2ND FLOOR VERSAILLES, KY 40383 | $34K |
| HEALTHIEST YOU, INC NONE | Other fees Service code 99 | 2 MANHATTANVILLE RD, STE 203 PURCHASE, NY 10577 | $20K |
| DEAN DORTON ALLEN FORD PLLC EIN 27-3858252 NONE | Accounting (including auditing) Service code 10 | — | $18K |
| USI INSURANCE SERVICES NONE | Insurance services Service code 23 | 220 LEXINGTON GREEN CIRCLE STE 410 LEXINGTON, KY 40503 | $5K |
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 | 2,749 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,749 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | 966 | $4.7M |
| Dental(2 contracts) | DELTA DENTAL OF KENTUCKY | 5,883 | $1.3M |
| Vision | ANTHEM HEALTH PLANS OF KENTUCKY DBA ANTHEM BLUE CROSS AND BLUE SHIELD | 966 | $4.7M |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 117 | $27K |
| Other | UNION SECURITY INSURANCE COMPANY | 15 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,883 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.