| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HARMON DENNIS BRADSHAW INC3 Filed as: HARMON DENNIS BRADSHAW, INC | 4131 CARMICHAEL ROAD MONTGOMERY, AL 36106 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 14.07% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVICES D | BA ALLIANCE INSURANCE GROUP PO BOX 240518 MONTGOMERY, AL 36124 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 6.45% |
| ALLIANCE INSURANCE GROUP LLC3 Filed as: ALLIANCE INSURANCE GROUP, LLC | PO BOX 240518 MONTGOMERY, AL 36124 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 5.21% |
| KRISTINA TREZISE3 | 209 SHELBY FARMS BEND ALABASTER, AL 35007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $532 | $249 | $781 | 2.78% |
| PJ SKELTON LLC3 | 1580 CLUB CREEK DRIVE AUBURN, AL 36830 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $302 | $442 | 1.57% |
| NICOLE D BOWEN3 | 2459 WILLIAMSON ROAD LUVERNE, AL 36049 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $244 | $44 | $288 | 1.03% |
| BARDEN AND ASSOCIATES LLC3 | 228 PALMER DRIVE DADEVILLE, AL 36853 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $114 | $254 | 0.90% |
| CAROLE H WARREN3 | 2716 HANOVER CIRCLE BIRMINGHAM, AL 35205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | $36 | $173 | 0.62% |
| SOUTH GEORGIA BENEFITS LLC3 | 276 A BULLSBORO ROAD NEWMAN, GA 30263 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | $98 | $163 | 0.58% |
| STACIA ROBINSON3 | 6008 E SHIRLEY LANE MONTGOMERY, AL 36117 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $91 | $0 | $91 | 0.32% |
| KARA HUGHES PARDUE3 | 14120 GANT AVENUE PENSACOLA, FL 32570 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | $14 | $82 | 0.29% |
| JASON GRAND DALTON3 Filed as: JASON GRANT DALTON | 150 RIDGECREST LOOP DOTHAN, AL 36301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $38 | $58 | 0.21% |
| D'ARCIPRETE & ASSOCIATES INC3 | 12945 US HIGHWAY 331 MONTGOMERY, AL 36105 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $45 | — | $45 | 0.16% |
| DAVID TYLER BURRUS3 | 254 STRATHAVEN LANE PELHAM, AL 35124 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $19 | $26 | 0.09% |
| TODD BOOZER3 | 2900 CAHABA ROAD BIRMINGHAM, AL 35223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.01% |
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: BLUE CROSS & BLUE SHIELD OF ALABAMA | 450 RIVERCHASE PARKWAY EAST HOOVER, AL 352442858 | VISION SERVICE PLAN | $541 | $0 | $541 | 7.51% |
| HARMON DENNIS BRADSHAW INC3 Filed as: HARMON DENNIS BRADSHAW, INC. | PO BOX 241667 MONTGOMERY, AL 36124-1667 MONTGOMERY, AL 361241667 | VISION SERVICE PLAN | $178 | $0 | $178 | 2.47% |
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 | 141 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 141 | 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 | 248 | $759K |
| Dental | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 248 | $752K |
| Vision | VISION SERVICE PLAN | 122 | $7K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 141 | $37K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 141 | $37K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 141 | $37K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 248 | $752K |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 248 | $817K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.