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Form 5500 · Employee benefit plan · LEXINGTON, KY

IMPACT ENERGY TRUST

IMPACT ENERGY TRUST of LEXINGTON, KY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is TRUCORDIA INSURANCE SERVICES, LLC. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 2 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 61-6156163 · plan 575 · plan year 2025, filed Feb 11, 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
1,126
Active at start of year
1,126
Active at end of year
853
Disclosed commissions
$185,596
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,209 of 1,126 participants
Dentalinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,209 of 1,126 participants on the largest contract
Visioninsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,209 of 1,126 participants
Lifedeclared, no contract here says it covers this
Disabilitynot declared on this filing

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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 and vision; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 1,209 people.

The filing declares health, dental, vision and life. Life appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.

Reported premium across the insured contracts is $11,193,341, with $185,596 in disclosed broker commissions — about 1.7% 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.

TRUCORDIA INSURANCE SERVICES, LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM HEALTH PLANS OF KENTUCKY, INC.Health, Dental, Vision1,209Jul 1, 2025$11,027,142$185,596
DELTA DENTAL OF KENTUCKYDental570Jul 1, 2025$156,065$0
DELTA DENTAL OF KENTUCKYDental46Jul 1, 2025$10,134$0
STANDARD INSURANCE COMPANY—529Jul 1, 2025—$0

Premium and claims on these contracts

DELTA DENTAL OF KENTUCKY, contract M00084. For the contract year on this filing, the carrier reported $133,448 in premium earned and $105,382 in claims incurred. Dividing one by the other gives 79%.

DELTA DENTAL OF KENTUCKY, contract M00089. For the contract year on this filing, the carrier reported $9,283 in premium earned and $11,555 in claims incurred. Dividing one by the other gives 124%.

  • DELTA DENTAL OF KENTUCKY, contract M00084 reported $25,889 in retention.
  • DELTA DENTAL OF KENTUCKY, contract M00089 reported $2,973 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
IMPACT ENERGY TRUST
EIN 61-6156163
FISERV HEALTH/ASGI
Contract administrator · EIN 31-1558779
$143,568
paid directly by the plan
COAL OPERATORS & ASSOCIATES
Plan administrator · EIN 61-0717487
$90,000
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$2,833,807
Paid out in benefits
$11,241,519
Paid to insurance carriersSchedule H, line 2e(2)
$11,241,519
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$19,300

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

How this plan compares

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Renewal calendar

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

Their policy years end in June, like this plan’s, so most renew July 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

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