| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VALENT GROUP3 | 3500 BLUE LAKE DRIVE, SUITE 120 BIRMINGHAM, AL 35243 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 9.91% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC. | PO BOX 28198 NEW YORK, NY 100878198 | VISION SERVICE PLAN | $1K | — | $1K | 5.40% |
| VALENT GROUP3 | 3500 BLUE LAKE DR STE 120 BIRMINGHAM, AL 35243 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $516 | $3K | 18.45% |
| VALENT GROUP3 | 3500 BLUE LAKE DR STE 120 BIRMINGHAM, AL 35243 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $494 | $3K | 18.43% |
| VALENT GROUP3 | 3500 BLUE LAKE DR, STE 120 BIRMINGHAM, AL 35243 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $243 | $1K | 18.09% |
| VALENT GROUP3 | 3500 BLUE LAKE DR STE 120 BIRMINGHAM, AL 35243 | MD LIVE | $2K | — | $2K | 159.78% |
| VALENT GROUP3 | 3500 BLUE LAKE DR STE 120 BIRMINGHAM, AL 35243 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $212 | $44 | $256 | 18.12% |
No Schedule C service providers reported on this filing.
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 | 107 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF ALABAMA | 270 | $1.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 106 | $99K |
| Vision | VISION SERVICE PLAN | 108 | $19K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $8K |
| Short-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $16K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $15K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ALABAMA | 270 | $999K |
| Other | BLUE CROSS BLUE SHIELD OF ALABAMA | 270 | $999K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.