| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITEDHEALTHCARE INSURANCE COMPANY | $42K | — | $42K | 4.05% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITEDHEALTHCARE INSURANCE COMPANY | — | — | $0 | 0.00% |
| AGGREGATE BENEFIT SOLUTIONS3 | PO BOX 36571 BIRMINGHAM, AL 352366571 | COMPANION LIFE INSURANCE | — | $7K | $7K | 3.00% |
| ROBERT H STONE SR3 | 3604 COVENTRY CIR VESTAVIA HILLS, AL 35243 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $11K | $2K | $13K | 10.86% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 1855 W STATE ROAD 434 LONGWOOD, FL 32750 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $8K | $13 | $8K | 6.75% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $4K | $0 | $4K | 3.83% |
| AIMEE STONE3 | 3604 COVENTRY CIR VESTAVIA, AL 35243 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $3K | $870 | $4K | 3.08% |
| PAIGE PHILLIPS3 | 1434 HWY 301 CALERA, AL 35040 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $3K | $0 | $3K | 2.31% |
| CAROLE H WARREN3 Filed as: CAROLE WARREN | 2716 HANOVER CIRCLE BIRMINGHAM, AL 35205 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $1K | $583 | $2K | 1.66% |
| BURTON M HERRING JR3 Filed as: BURTON HERRING JR | 1135 ARLINGTON DRIVE BIRMINGHAM, AL 35224 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $1K | $153 | $2K | 1.40% |
| D'ARCIPRETE & ASSOCIATES INC3 | 12945 US HIGHWAY 331 MONTGOMERY, AL 36105 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $708 | $121 | $829 | 0.72% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $231 | $14 | $245 | 0.21% |
| TAMARA ANN BUSCHER3 Filed as: TAMARA BUSCHER | 1318 S WINTERBROOK OLATHE, KS 66062 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $195 | $35 | $230 | 0.20% |
| NATIONAL ENROLLMENT PARTNERS LLC3 | 201 CAUGHMAN FARM LANE LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $102 | $10 | $112 | 0.10% |
| RON BOWLING3 | 8575 W 110TH ST. STE 320 OVERLAND PARK, KS 66210 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $29 | $14 | $43 | 0.04% |
| ELIZABETH ANN FELL3 Filed as: ELIZABETH FELL | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $22 | $3 | $25 | 0.02% |
| JOHN D EVANGELISTA3 Filed as: JOHN EVANGELISTA | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $8 | $4 | $12 | 0.01% |
| R & B ENROLLMENT SERVICES INC3 | PO BOX 3216 CRESTLINE, CA 92325 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $10 | $0 | $10 | 0.01% |
| MCCARE INC3 | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $5 | $1 | $6 | 0.01% |
| ALEXANDER OTTONIEL CANAS3 | 26123 BOUQUET CANYON RD SANTA CLARITA, CA 91350 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $6 | $0 | $6 | 0.01% |
| USI INSURANCE SERVICES LLC3 | 1000 URBAN CENTER DRIVE BIRMINGHAM, AL 35242 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $5 | — | $5 | 0.00% |
| VGM BENEFIT ENROLLMENTS LLC3 | 30310 HORSETHIEF DRIVE TEHACHAPI, CA 93561 | COLONIAL LIFE AND ACCIDENT INSURANCE CO | $5 | $0 | $5 | 0.00% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $1K | $12K | 16.50% |
| PREMIER WORSITE SOLUTIONS LLC3 | 8575 W 110TH ST. STE 320 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.31% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 1855 W STATE ROAD 434 LONGWOOD, FL 32750 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 12.71% |
| USI INSURANCE SERVICES LLC3 | 1000 URBAN CENTER DRIVE VESTAVIA, AL 35242 | UNITEDHEALTHCARE INSURANCE COMPANY | $620 | — | $620 | 1.12% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $557 | $6K | 16.64% |
| PREMIER WORSITE SOLUTIONS LLC3 | 8575 W 110TH ST. STE 320 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 6.37% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $353 | $4K | 16.65% |
| PREMIER WORSITE SOLUTIONS LLC3 | 8575 W 110TH ST. STE 320 OVERLAND PARK, KS 66210 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 10.60% |
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 1855 W STATE ROAD 434 LONGWOOD, FL 32750 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.74% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | STANDARD INSURANCE COMPANY | $288 | — | $288 | 1.39% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $350 | $3K | 17.30% |
| JH BERRY RISK SERVICES, LLC3 | 22 IVERNESS CENTER PKWY SUITE 310 BIRMINGHAM, AL 35242 | COMMUNITY EYE CARE | $1K | — | $1K | 12.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ALABAMA EIN 63-0103830 CONTRACT ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 450 RIVERCHASE PARKWAY EAST BIRMINGHAM, AL 35298 | $126K |
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 | 220 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 220 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | UNITEDHEALTHCARE INSURANCE COMPANY | 297 | $1.1M |
| Dental | BLUE CROSS BLUE SHIELD OF ALABAMA | 366 | $0 |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 536 | $33K |
| Life insurance(3 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE CO | 941 | $212K |
| Short-term disability(4 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE CO | 941 | $186K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE | 222 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 941 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.