Form 5500 · Employee benefit plan · BELCHER, KY
CLINTWOOD JOD LLC
The filing calls this plan CLINTWOOD JOD LLC WELFARE BENEFIT PLAN.
CLINTWOOD JOD LLC of BELCHER, KY insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN DEALER SERVICES, LLC. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-3158359 · plan 501 · plan year 2025, filed Jun 11, 2026
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679 other employer plans in Kentucky have policy years ending in December. 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.
Benefits 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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 634 people.
Reported premium across the insured contracts is $7,410,163, with $128,621 in disclosed broker commissions — about 1.7% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BROWN & BROWN DEALER SERVICES, LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including ANTHEM HEALTH PLANS OF KENTUCKY, INC., AMERICAN UNITED LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY. ANTHEM HEALTH PLANS OF KENTUCKY, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY, INC. | Health, Dental, Vision | 634 | Jan 1, 2026 | $7,126,557 | $86,946 |
| AMERICAN UNITED LIFE INSURANCE COMPANY | Life, Disability | 293 | Jan 1, 2026 | $254,613 | $38,192 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 70 | Jan 1, 2026 | $24,915 | $2,729 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 33 | Jan 1, 2026 | $4,078 | $754 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
679 other employer plans in Kentucky are January 1 renewals (policy year ends December).
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