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Form 5500 · Employee benefit plan · LEBANON, KY

CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL, INC.

The filing calls this plan CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL, INC. WELFARE BENEFIT PLAN.

CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL, INC. of LEBANON, KY insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 61-0662971 · plan 505 · plan year 2025, filed Apr 15, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

82 other employer plans in Kentucky have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
260
Active at start of year
260
Active at end of year
196
Disclosed commissions
$53,703
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.102 of 260 participants (39%)
Dentalinsured — DELTA DENTAL OF KENTUCKY124 of 260 participants (48%)
Visioninsured — FIDELITY SECURITY LIFE INSURANCE COMPANY
Lifeinsured — AMERICAN UNITED LIFE INSURANCE COMPANY205 of 260 participants (79%)
Disabilitynot declared on this filing

Also declared: death benefits, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 6 insured contracts covering health, dental, vision and life; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 102 people.

Reported premium across the insured contracts is $1,394,409, with $53,703 in disclosed broker commissions — about 3.9% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including ANTHEM HEALTH PLANS OF KENTUCKY, INC., COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, DELTA DENTAL OF KENTUCKY and AMERICAN UNITED LIFE INSURANCE COMPANY. ANTHEM HEALTH PLANS OF KENTUCKY, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM HEALTH PLANS OF KENTUCKY, INC.Health102Jul 1, 2025$1,241,120$24,494
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—85Jul 1, 2025$55,762$16,463
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—56Jul 1, 2025$29,007$5,671
AMERICAN UNITED LIFE INSURANCE COMPANYLife205Jul 1, 2025$28,295$4,244
DELTA DENTAL OF KENTUCKYDental124Jul 1, 2025$40,225$2,831
FIDELITY SECURITY LIFE INSURANCE COMPANYVision—Jul 1, 2025—$0

Premium and claims on this contract

DELTA DENTAL OF KENTUCKY, contract 693920. For the contract year on this filing, the carrier reported $36,671 in premium earned and $28,894 in claims incurred. Dividing one by the other gives 79%.

  • DELTA DENTAL OF KENTUCKY, contract 693920 reported $11,925 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL, INC.
EIN 61-0662971

The plan administrator is from line 3a of the main form. We publish company names only.

How this plan compares

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Renewal calendar

82 other employer plans in Kentucky are July 1 renewals (policy year ends June).

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