No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD EIN 63-0103830 NONE | Claims processing Service code 12 | 225 NORTH MICHIGAN AVENUE CHICAGO, IL 60601 | $1.3M |
| THE SEGAL COMPANY EIN 13-2619259 NONE | Actuarial; Custodial (securities) Service code 11 | PO BOX 4125 NEW YORK, NY 10261 | $238K |
| CARR, RIGGS & INGRAM EIN 72-1396621 NONE | Accounting (including auditing) Service code 10 | PO BOX 55765 BIRMINGHAM, AL 35255 | $129K |
| FRIEDMAN & ANSPACH EIN 13-3403675 NONE | Insurance agents and brokers Service code 22 | 1500 BROADWAY, SUITE 2303 NEW YORK, NY 10036 | $111K |
| PROSKAUER ROSE, LLP EIN 13-1840454 NONE | Insurance agents and brokers Service code 22 | ELEVEN TIMES SQUARE NEW YORK, NY 10036 | $99K |
| SANDRA MANTOOTH EIN 63-0373544 EMPLOYEE | Plan Administrator Service code 14 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $77K |
| WESTERN ASSET MANAGEMENT COMPANY EIN 95-2705767 NONE | Investment management Service code 28 | 385 EAST COLORADO BOULEVARD PASADENA, CA 91101 | $72K |
| DUSTY RAYBURN EIN 63-0373544 EMPLOYEE | Employee (plan) Service code 30 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $63K |
| LISA RODGERS EIN 63-0373544 EMPLOYEE | Employee (plan) Service code 30 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $39K |
| WELLINGTON TRUST COMPANY EIN 04-2755549 NONE | Investment management fees paid directly by plan Service code 51 | 280 CONGRESS STREET BOSTON, MA 02210 | $38K |
| MARK DAVIS EIN 63-0373544 EMPLOYEE | Employee (plan) Service code 30 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $35K |
| GARY ROWELL EIN 63-0373544 EMPLOYEE | Employee (plan) Service code 30 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $35K |
| PAULA HOGELAND EIN 63-0373544 EMPLOYEE | Employee (plan) Service code 30 | 1901 10TH AVE S. PO BOX 55728 BIRMINGHAM, AL 35255 | $33K |
| GALLAGHER FIDUCIARY ADVISORS, LLC EIN 26-0516431 NONE | Investment advisory (plan) Service code 27 | 805 15TH STREET NW, STE 1120 WASHINGTON, DC 20005 | $31K |
| RILEY LAW FIRM EIN 20-3996300 NONE | Insurance agents and brokers Service code 22 | PO BOX 531346 BIRMINGHAM, AL 35205 | $27K |
| STATE STREET BANK AND TRUST EIN 04-1867445 NONE | Custodial (securities); Investment management Service code 19 | ONE LINCOLN STREET BOSTON, MA 02111 | $14K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management fees paid directly by plan; Custodial (other than securities); Custodial (securities) Service code 18 | ONE LINCOLN STREET BOSTON, MA 02111 | $9K |
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 | 3,346 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 80 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,429 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.