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Form 5500 · Employee benefit plan · LEXINGTON, KY

KENTUCKY PRIMARY CARE ASSOCIATION HEALTH AND BENEFITS TRUST

The filing calls this plan KENTUCKY PRIMARY CARE ASSOCIATION HEALTH & BENEFITS TRUST.

KENTUCKY PRIMARY CARE ASSOCIATION HEALTH AND BENEFITS TRUST of LEXINGTON, KY spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HOUCHENS INSURANCE GROUP, INC.. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-7070859 · plan 501 · plan year 2024, filed Oct 15, 2025

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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 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
1,091
Active at start of year
1,091
Active at end of year
1,140
Disclosed commissions
$262,438
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,093 of 1,091 participants
Dentalinsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,093 of 1,091 participants on the largest contract
Visioninsured — ANTHEM HEALTH PLANS OF KENTUCKY, INC.1,093 of 1,091 participants
Lifeinsured — STANDARD INSURANCE COMPANY266 of 1,091 participants (24%) on the largest contract
Disabilityinsured — STANDARD INSURANCE COMPANY266 of 1,091 participants (24%) on the largest contract

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 5 insured contracts covering health, dental, vision, life and disability; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 1,093 people.

Reported premium across the insured contracts is $12,076,560, with $262,438 in disclosed broker commissions — about 2.2% 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.

HOUCHENS INSURANCE GROUP, INC. is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including ANTHEM HEALTH PLANS OF KENTUCKY, INC., STANDARD INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and DELTA DENTAL. ANTHEM HEALTH PLANS OF KENTUCKY, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
ANTHEM HEALTH PLANS OF KENTUCKY, INC.Health, Dental, Vision1,093Jan 1, 2025$11,698,451$221,304
STANDARD INSURANCE COMPANYLife, Disability266Jan 1, 2025$224,648$30,848
METROPOLITAN LIFE INSURANCE COMPANYDental, Life, Disability537Jan 1, 2025$67,531$7,429
STANDARD INSURANCE COMPANYDisability57Jan 1, 2025$21,921$2,857
DELTA DENTALDental162Jan 1, 2025$64,009$0

Premium and claims on these contracts

STANDARD INSURANCE COMPANY, contract 762160. For the contract year on this filing, the carrier reported $224,648 in premium earned and $157,034 in claims incurred. Dividing one by the other gives 70%.

DELTA DENTAL, contract 706560. For the contract year on this filing, the carrier reported $62,869 in premium earned and $21,051 in claims incurred. Dividing one by the other gives 33%.

  • STANDARD INSURANCE COMPANY, contract 762160 reported $127,545 in retention.
  • DELTA DENTAL, contract 706560 reported $19,455 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
KENTUCKY PRIMARY CARE ASSOCIATION HEALTH AND BENEFITS TRUST
EIN 81-7070859

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

Money the plan held and paid out

Plan assets at year end
$440,317
Paid out in benefits
$12,070,088
Paid to insurance carriersSchedule H, line 2e(2)
$12,070,088
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$13,500

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.

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Renewal calendar

679 other employer plans in Kentucky are January 1 renewals (policy year ends December).

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