| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALDORFF INSURANCE & BONDING INC3 Filed as: WALDORFF INSURANCE & BONDING I | PO BOX 886 MARY ESTHER, FL 325690886 | UNITED CONCORDIA INSURANCE COMPANY | $29K | — | $29K | 11.99% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $3K | $14K | 12.92% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BRADFORD DILLION3 Filed as: BRADFORD SEAN DILLION | ABLE BENEFIT SOLUTIONS 2 RIVERCHASE RDG STE 200 HOOVER, AL 352442892 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 1.05% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $3K | $11K | 13.10% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BRADFORD DILLION3 Filed as: BRADFORD SEAN DILLION | ABLE BENEFIT SOLUTIONS 2 RIVERCHASE RDG STE 200 HOOVER, AL 352442892 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $896 | — | $896 | 1.05% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $2K | $10K | 13.16% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.95% |
| BRADFORD DILLION3 Filed as: BRADFORD SEAN DILLION | ABLE BENEFIT SOLUTIONS 2 RIVERCHASE RDG STE 200 HOOVER, AL 352442892 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $825 | — | $825 | 1.05% |
| WALDORFF INSURANCE & BONDING INC3 | 45 EGLIN PKWY NE STE 202 FT WALTON BCH, FL 392151490 | HUMANA INSURANCE COMPANY | $4K | — | $4K | 9.99% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 13.23% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $754 | — | $754 | 1.95% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $754 | — | $754 | 1.95% |
| BRADFORD DILLION3 Filed as: BRADFORD SEAN DILLION | ABLE BENEFIT SOLUTIONS 2 RIVERCHASE RDG STE 200 HOOVER, AL 352442892 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $406 | — | $406 | 1.05% |
| JASON BRADY & ASSOCIATES, INC3 | 1050 EDGEWATER LANE GULF BREEZE, FL 32563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 18.36% |
| BRIAN V ANDREWS3 | 600 UNIVERSITY OFFICE PARK SUITE 12 PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $391 | — | $391 | 2.36% |
| JOHN C POLLOCK3 | 6410 GUILFORD DRIVE PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $190 | — | $190 | 1.15% |
| JULIANA SHORES3 | 159 CALHOUN AVE DESTIN, FL 32541 | CONTINENTAL AMERICAN INSURANCE COMPANY | $130 | — | $130 | 0.78% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.23% |
| MATTHEW SHANE STRONG3 Filed as: MATTHEW S STRONG | 4437 SOUNDSIDE DRIVE GULF BREEZE, AL 32563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.22% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, FL 31807 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.05% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DRIVE MONTGOMERY, AL 36117 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTERFLEX PAYMENTS, LLC EIN 27-2256926 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $10K |
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 | 491 | 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) | 491 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 650 | $3.3M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 79 | $241K |
| Vision | HUMANA INSURANCE COMPANY | 329 | $40K |
| Life insurance(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 464 | $311K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 464 | $39K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 463 | $79K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 650 | $3.3M |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 650 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 650 | — |
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."
No prospect flags tripped on this filing.