| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COBBS ALLEN & HALL INC3 | 115 OFFICE PARK DRIVE, SUITE 200 MOUNTAIN BROOK, AL 35223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $8K | 18.41% |
| ANT FARM3 | 291 HERITAGE WALK WOODSTOCK, GA 30188 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.00% |
| VALENT GROUP3 Filed as: VALENT GROUP LLC | 3500 BLUE LAKE DRIVE, SUITE 120 VESTAVIA, AL 35243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $806 | $231 | $1K | 6.93% |
| CAROL H WARREN3 Filed as: CAROL WARREN | 2716 HANOVER CIRCLE S APARTMENT 801 BIRMINGHAM, AL 35205 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $310 | $92 | $402 | 2.69% |
| MJ INSURANCE3 Filed as: PJ SKELTON AND VARIOUS AGENTS | 1580 CLUB CREEK DRIVE AUBURN, AL 36830 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $225 | $84 | $309 | 2.06% |
| SAVANNAH GABRIELLE HUDSON3 Filed as: SAVANNAH HUDSON | 2208 PENTLAND DRIVE BIRMINGHAM, AL 35235 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $272 | $30 | $302 | 2.02% |
| TODD BOOZER3 | 2900 CAHABA ROAD, SUITE G 5 MOUNTAIN BROOK, AL 35223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $256 | $0 | $256 | 1.71% |
| DAVID TYLER BURRUS3 Filed as: DAVID BURRUS | 143 MERRELL DRIVE SHELBY, AK 35143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | $58 | $130 | 0.87% |
| AIMEE STONE3 | 3604 COVENTRY CIRCLE VESTAVIA, AL 35243 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $90 | $0 | $90 | 0.60% |
| VALENT GROUP3 Filed as: VALENT GROUP LLC | 3500 BLUE LAKE DRIVE, SUITE 120 VESTAVIA, AL 35243 | VISION SERVICE PLAN | $1K | $0 | $1K | 9.97% |
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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 151 | $588K |
| Vision | VISION SERVICE PLAN | 80 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 116 | $44K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 116 | $44K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 116 | $44K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 151 | $588K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 116 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.