| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALDORFF INSURANCE & BONDING INC3 Filed as: WALDORFF INSURANCE & BONDING I | 45 EGLIN PARKWAY NE SUITE 202 FORT WALTON BEACH, FL 32548 | UNITED CONCORDIA INSURANCE COMPANY | $35K | — | $35K | 9.97% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | $4K | $18K | 14.02% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.63% |
| 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 | $0 | $1K | 1.05% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.94% |
| ANGELA DENNISE ROWLAND3 | 756 GRACE PARK N TUSCALOOSA, AL 35406 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.88% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $6K | $17K | 16.44% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.61% |
| 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 | $0 | $1K | 1.05% |
| ANGELA DENNISE ROWLAND3 | 756 GRACE PARK N TUSCALOOSA, AL 35406 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $944 | $0 | $944 | 0.92% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $937 | $0 | $937 | 0.91% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $3K | $13K | 13.79% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.61% |
| 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 | $0 | $1K | 1.05% |
| ANGELA DENNISE ROWLAND3 | 756 GRACE PARK N TUSCALOOSA, AL 35406 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $885 | $0 | $885 | 0.92% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $882 | $0 | $882 | 0.92% |
| WALDORFF INSURANCE & BONDING INC3 Filed as: WALDORFF INSURANCE & BONDING I | 45 EGLIN PARKWAY NE SUITE 202 FORT WALTON BEACH, FL 32548 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 10.00% |
| NORTH FLORIDA FINANCIAL CORPOR3 | 3664 COOLIDGE COURT TALLAHASSE, FL 32311 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $347 | — | $347 | 0.70% |
| ABLE BENEFIT SOLUTIONS3 | P O BOX 11407 DEPT #2142 BIRMINGHAM, AL 352460100 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $3K | $8K | 16.54% |
| SAMUEL J REYNOLDS3 | 1400 JACK WARNER PKWY NE #40 TUSCALOOSA, AL 354041002 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $737 | $0 | $737 | 1.62% |
| BRADFORD DILLION3 Filed as: BRADFORD SEAN DILLION | ABLE BENEFIT SOLUTIONS 2 RIVERCHASE RDG STE 200 HOOVER, AL 352442892 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $478 | $0 | $478 | 1.05% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: JERMAINE JOLLY | 6612 HEMLOCK ST TRUSSVILLE, AL 351731820 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $423 | $0 | $423 | 0.93% |
| ANGELA DENNISE ROWLAND3 | GRACE PARK N TUSCALOOSA, AL 35406 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $411 | $0 | $411 | 0.90% |
| JASON BRADY & ASSOCIATES, INC3 | 1050 EDGEWATER LANE GULF BREEZE, FL 32563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 23.00% |
| BRIAN V ANDREWS3 | 600 UNIVERSITY OFFICE PARK SUITE 12 PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $399 | — | $399 | 2.76% |
| JOHN C POLLOCK3 | 6410 GUILFORD DRIVE PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $150 | — | $150 | 1.04% |
| JULIANA SHORES3 | 159 CALHOUN AVE DESTIN, FL 32541 | CONTINENTAL AMERICAN INSURANCE COMPANY | $95 | — | $95 | 0.66% |
| SAIC INC3 | 4245 MILGEN RD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34 | — | $34 | 0.23% |
| MATTHEW SHANE STRONG3 Filed as: MATTHEW S STRONG | 4437 SOUNDSIDE DRIVE GULF BREEZE, AL 32563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.08% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, FL 31807 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| STAN A SHERLIN3 | 773 TOWNE LAKE DRIVE MONTGOMERY, AL 36117 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INTERFLEX PAYMENTS, LLC EIN 27-2256926 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
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 | 589 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 594 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 838 | $4.4M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 901 | $348K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 393 | $49K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 557 | $177K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 557 | $102K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 557 | $96K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 838 | $4.4M |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 838 | $4.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 901 | — |
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.