Form 5500 · Employee benefit plan · MONTGOMERY, AL
CCC ASSOCIATES CO., INC.
Public Form 5500 records show how CCC ASSOCIATES CO., INC. of MONTGOMERY, AL, a agriculture employer, structures its employee benefits. Coverage is written through BLUE CROSS AND BLUE SHIELD. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 63-0590054 · plan 506 · plan year 2025, filed Jun 17, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering health and dental; the largest, with BLUE CROSS AND BLUE SHIELD, covers 47 people.
Reported premium is $297,676; the filing discloses no broker commission on these contracts.
The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
At 61 participants this is a small group; Form 5500 is required once a welfare plan reaches 100 participants, or when it is funded through insurance contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD | Health, Dental, Annuity / GIC | 47 | Feb 29, 2024 | $297,676 | $0 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD, contract 07527. For the contract year on this filing, the carrier reported $297,676 in premium earned and $416,338 in claims incurred. Dividing one by the other gives 140%.
- BLUE CROSS AND BLUE SHIELD, contract 07527 reported $30,272 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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