401k Plan data: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. plan

CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 401k Plan overview

Plan Name	CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC.
Plan identification number	501

CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

CADDELL CONSTRUCTION CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: CADDELL CONSTRUCTION CO., INC.

Employer identification number (EIN): 630837971

NAIC Classification: 236200

Additional information about CADDELL CONSTRUCTION CO., INC.

Jurisdiction of Incorporation: Alabama Secretary of State

Incorporation Date: 1983-01-27

Company Identification Number: 090-627

Legal Registered Office Address: 2700 LAGOON PARK DRIVE MONTGOMERY,

United States of America (USA)
36109

More information about CADDELL CONSTRUCTION CO., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 MICHAEL RANIERI MICHAEL RANIERI 2014-07-23
501 2012-01-01 MICHAEL RANIERI
501 2011-01-01 MICHAEL RANIERI
501 2008-01-01 MICHAEL RANIERI

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	MICHAEL RANIERI	MICHAEL RANIERI	2014-07-23
501	2012-01-01	MICHAEL RANIERI
501	2011-01-01	MICHAEL RANIERI
501	2008-01-01	MICHAEL RANIERI

Plan Statistics for CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC.

401k plan membership statisitcs for CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC.

Measure Date Value
2013: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 210
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 236
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 209
Number of retired or separated participants receiving benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 210
Total participants 2012-01-01 210
2011: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 298
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 236
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 236
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2008: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2008 401k membership
Total participants, beginning-of-year 2008-01-01 208
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 211
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-01-01 0
Total participants 2008-01-01 211
Number of participants with account balances 2008-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-01-01 0
Number of employers contributing to the scheme 2008-01-01 0

Measure	Date	Value
2013: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	210
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	236
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	209
Number of retired or separated participants receiving benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	210
Total participants	2012-01-01	210
2011: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	298
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	236
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	236
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2008: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2008 401k membership
Total participants, beginning-of-year	2008-01-01	208
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	211
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-01-01	0
Total participants	2008-01-01	211
Number of participants with account balances	2008-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-01-01	0
Number of employers contributing to the scheme	2008-01-01	0

Form 5500 Responses for CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC.

2013: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	Yes
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2008: CAFETERIA PLAN FOR THE EMPLOYEES OF CADDELL CONSTRUCTION CO., INC. 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

03090A

Policy instance

Insurance contract or identification number	03090A
Number of Individuals Covered	57
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $39,130
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $391,299
Commission paid to Insurance Broker	USD $39,130
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD 119266

Policy instance

Insurance contract or identification number	LTD 119266
Number of Individuals Covered	196
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $6,464
Total amount of fees paid to insurance company	USD $1,305
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $64,635
Commission paid to Insurance Broker	USD $6,464
Amount paid for insurance broker fees	1305
Additional information about fees paid to insurance broker	SALES AND SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL 145535

Policy instance

Insurance contract or identification number	GL 145535
Number of Individuals Covered	210
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $17,150
Total amount of fees paid to insurance company	USD $3,142
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $171,498
Commission paid to Insurance Broker	USD $17,150
Amount paid for insurance broker fees	3142
Additional information about fees paid to insurance broker	SALES AND SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3143245

Policy instance

Insurance contract or identification number	E3143245
Number of Individuals Covered	50
Insurance policy start date	2011-09-01
Insurance policy end date	2012-08-31
Total amount of commissions paid to insurance broker	USD $3,488
Total amount of fees paid to insurance company	USD $207
Other welfare benefits provided	CANCER & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $25,316
Commission paid to Insurance Broker	USD $2,043
Amount paid for insurance broker fees	174
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	KRISTIAN JERMAINE STALLWORTH

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16-011898-000

Policy instance

Insurance contract or identification number	16-011898-000
Number of Individuals Covered	144
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $248,400

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00447990

Policy instance

Insurance contract or identification number	00447990
Number of Individuals Covered	146
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $63,078
Total amount of fees paid to insurance company	USD $5,389
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $90,701
Commission paid to Insurance Broker	USD $155
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )

Policy contract number

718559

Policy instance

Insurance contract or identification number	718559
Number of Individuals Covered	103
Insurance policy start date	2010-08-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $3,532
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $28,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

0309A

Policy instance

Insurance contract or identification number	0309A
Number of Individuals Covered	31
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $27,476
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $274,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD119266

Policy instance

Insurance contract or identification number	LTD119266
Number of Individuals Covered	216
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $6,705
Total amount of fees paid to insurance company	USD $1,504
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $67,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL145535

Policy instance

Insurance contract or identification number	GL145535
Number of Individuals Covered	236
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $16,314
Total amount of fees paid to insurance company	USD $3,571
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $163,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3143245

Policy instance

Insurance contract or identification number	E3143245
Number of Individuals Covered	61
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Total amount of commissions paid to insurance broker	USD $3,266
Total amount of fees paid to insurance company	USD $211
Other welfare benefits provided	CANCER & ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $27,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

5010-9002-320

Policy instance

Insurance contract or identification number	5010-9002-320
Number of Individuals Covered	188
Insurance policy start date	2010-09-01
Insurance policy end date	2011-08-31
Total amount of commissions paid to insurance broker	USD $21,994
Welfare Benefit Premiums Paid to Carrier	USD $220,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

5010-9002-320

Policy instance

Insurance contract or identification number	5010-9002-320
Number of Individuals Covered	170
Insurance policy start date	2011-09-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $10,380
Welfare Benefit Premiums Paid to Carrier	USD $10,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00447990

Policy instance

Insurance contract or identification number	00447990
Number of Individuals Covered	123
Insurance policy start date	2010-05-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $9,684
Total amount of fees paid to insurance company	USD $5,352
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $141,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )

Policy contract number

K100521

Policy instance

Insurance contract or identification number	K100521
Number of Individuals Covered	192
Insurance policy start date	2009-09-01
Insurance policy end date	2010-08-31
Total amount of commissions paid to insurance broker	USD $1,055
Total amount of fees paid to insurance company	USD $4,198
Welfare Benefit Premiums Paid to Carrier	USD $255,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,055
Amount paid for insurance broker fees	4198
Additional information about fees paid to insurance broker	VOLUME INCENTIVES
Insurance broker name	ALLIANCE INSURANCE GROUP

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

LTD119266

Policy instance

Insurance contract or identification number	LTD119266
Number of Individuals Covered	236
Insurance policy start date	2009-04-01
Insurance policy end date	2010-03-31
Total amount of commissions paid to insurance broker	USD $6,821
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $68,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,821
Insurance broker name	ALLIANCE INSURACE GROUP, LLC

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

GL145535

Policy instance

Insurance contract or identification number	GL145535
Number of Individuals Covered	258
Insurance policy start date	2009-04-01
Insurance policy end date	2010-03-31
Total amount of commissions paid to insurance broker	USD $16,187
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $161,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,187
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00447990

Policy instance

Insurance contract or identification number	00447990
Number of Individuals Covered	152
Insurance policy start date	2009-05-01
Insurance policy end date	2010-04-30
Total amount of commissions paid to insurance broker	USD $3,133
Total amount of fees paid to insurance company	USD $1,977
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $75,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,133
Amount paid for insurance broker fees	1977
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP

COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 60984 )

Policy contract number

718559

Policy instance

Insurance contract or identification number	718559
Number of Individuals Covered	121
Insurance policy start date	2009-08-01
Insurance policy end date	2010-07-31
Total amount of commissions paid to insurance broker	USD $2,126
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,126
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

03090A

Policy instance

Insurance contract or identification number	03090A
Number of Individuals Covered	25
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $30,671
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	IEAP EVACUATION MEDICAL
Welfare Benefit Premiums Paid to Carrier	USD $306,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,671
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3143245

Policy instance

Insurance contract or identification number	E3143245
Number of Individuals Covered	22
Insurance policy start date	2009-09-01
Insurance policy end date	2010-08-31
Total amount of commissions paid to insurance broker	USD $6,590
Total amount of fees paid to insurance company	USD $789
Other welfare benefits provided	CANCER ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $33,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,892
Amount paid for insurance broker fees	274
Additional information about fees paid to insurance broker	FEES
Insurance broker name	WILLIAM S WEEKS

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

03090A

Policy instance

Insurance contract or identification number	03090A
Number of Individuals Covered	25
Insurance policy start date	2009-01-01
Insurance policy end date	2009-12-31
Total amount of commissions paid to insurance broker	USD $27,404
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $274,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,404
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP, LLC

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3143245

Policy instance

Insurance contract or identification number	E3143245
Number of Individuals Covered	22
Insurance policy start date	2008-08-01
Insurance policy end date	2009-08-31
Total amount of commissions paid to insurance broker	USD $24,969
Total amount of fees paid to insurance company	USD $5,067
Other welfare benefits provided	CANCER ACCIDENT MEDBRIDGE
Welfare Benefit Premiums Paid to Carrier	USD $83,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,710
Amount paid for insurance broker fees	2298
Additional information about fees paid to insurance broker	FEES
Insurance broker name	STAN SHERLIN

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

AL01390

Policy instance

Insurance contract or identification number	AL01390
Number of Individuals Covered	309
Insurance policy start date	2008-05-01
Insurance policy end date	2009-04-30
Total amount of commissions paid to insurance broker	USD $2,973
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $30,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,973
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

041-6768-00

Policy instance

Insurance contract or identification number	041-6768-00
Number of Individuals Covered	103
Insurance policy start date	2009-01-01
Insurance policy end date	2009-04-01
Total amount of commissions paid to insurance broker	USD $3,815
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $46,697
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,815
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

16711

Policy instance

Insurance contract or identification number	16711
Number of Individuals Covered	424
Insurance policy start date	2009-01-01
Insurance policy end date	2009-08-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EPS, BABY YOURSELF, AIR MEDICAL SERVICES
Welfare Benefit Premiums Paid to Carrier	USD $6,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

03090A

Policy instance

Insurance contract or identification number	03090A
Number of Individuals Covered	28
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $23,096
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	IEAP EVACUATION
Welfare Benefit Premiums Paid to Carrier	USD $230,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $23,096
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E3143245

Policy instance

Insurance contract or identification number	E3143245
Number of Individuals Covered	30
Insurance policy start date	2007-10-01
Insurance policy end date	2008-08-01
Total amount of commissions paid to insurance broker	USD $29,239
Total amount of fees paid to insurance company	USD $15,145
Other welfare benefits provided	CANCER ACCIDENT MEDBRIDGE
Welfare Benefit Premiums Paid to Carrier	USD $50,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,847
Amount paid for insurance broker fees	5721
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	KRISTIAN JERMAINE STALLWORTH

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

041-6768-00

Policy instance

Insurance contract or identification number	041-6768-00
Number of Individuals Covered	223
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $6,959
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $164,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,959
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

16711

Policy instance

Insurance contract or identification number	16711
Number of Individuals Covered	402
Insurance policy start date	2008-01-01
Insurance policy end date	2008-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EPS BABY YOURSELF AIR MED SERVICES
Welfare Benefit Premiums Paid to Carrier	USD $7,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

AL01390

Policy instance

Insurance contract or identification number	AL01390
Number of Individuals Covered	282
Insurance policy start date	2007-05-01
Insurance policy end date	2008-04-30
Total amount of commissions paid to insurance broker	USD $5,713
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $75,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,713
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

16711

Policy instance

Insurance contract or identification number	16711
Number of Individuals Covered	364
Insurance policy start date	2007-01-01
Insurance policy end date	2007-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EPS BABY YOURSELF AIR MED SERVICES
Welfare Benefit Premiums Paid to Carrier	USD $7,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 )

Policy contract number

AL01390

Policy instance

Insurance contract or identification number	AL01390
Number of Individuals Covered	249
Insurance policy start date	2006-05-01
Insurance policy end date	2007-04-30
Total amount of commissions paid to insurance broker	USD $4,414
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $57,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,414
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )

Policy contract number

03090A

Policy instance

Insurance contract or identification number	03090A
Number of Individuals Covered	28
Insurance policy start date	2007-06-01
Insurance policy end date	2007-12-31
Total amount of commissions paid to insurance broker	USD $15,808
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	IEAP
Welfare Benefit Premiums Paid to Carrier	USD $158,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,808
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP LLC

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

041-6768-00

Policy instance

Insurance contract or identification number	041-6768-00
Number of Individuals Covered	246
Insurance policy start date	2007-01-01
Insurance policy end date	2007-12-31
Total amount of commissions paid to insurance broker	USD $6,907
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $155,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,907
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

16711

Policy instance

Insurance contract or identification number	16711
Number of Individuals Covered	356
Insurance policy start date	2006-01-01
Insurance policy end date	2006-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	EPS BABY YOURSELF
Welfare Benefit Premiums Paid to Carrier	USD $8,259
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )

Policy contract number

041-6768-00

Policy instance

Insurance contract or identification number	041-6768-00
Number of Individuals Covered	246
Insurance policy start date	2006-01-01
Insurance policy end date	2006-12-31
Total amount of commissions paid to insurance broker	USD $9,028
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	DEPENDENT LIFE
Welfare Benefit Premiums Paid to Carrier	USD $160,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,028
Additional information about fees paid to insurance broker	SALES & SERVICE
Insurance broker name	ALLIANCE INSURANCE GROUP

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Company Name:	CADDELL CONSTRUCTION CO., INC.
Employer identification number (EIN):	630837971
NAIC Classification:	236200

Jurisdiction of Incorporation:	Alabama Secretary of State
Incorporation Date:	1983-01-27
Company Identification Number:	090-627
Legal Registered Office Address:	2700 LAGOON PARK DRIVE MONTGOMERY, United States of America (USA) 36109