Form 5500 · Employee benefit plan · GADSDEN, AL
CHAMPION REHAB RESOURCES, LLC
The filing calls this plan CHAMPION REHAB RESOURCES, LLC HEALTH & WELFARE BENEFIT PLAN.
Public Form 5500 records show how CHAMPION REHAB RESOURCES, LLC of GADSDEN, AL, a health care and social assistance employer, structures its employee benefits. Its broker of record is COBBS-ALLEN AND HALL, INC.. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ALABAMA and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0477219 · plan 501 · plan year 2025, filed May 13, 2026
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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
Also declared: death benefits.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF ALABAMA, covers 261 people.
Reported premium across the insured contracts is $1,864,462, with $50,514 in disclosed broker commissions — about 2.7% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
COBBS-ALLEN AND HALL, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS AND BLUE SHIELD OF ALABAMA, PRUDENTIAL INSURANCE COMPANY OF AMERICA and VISION SERVICE PLAN. BLUE CROSS AND BLUE SHIELD OF ALABAMA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 199 | Dec 1, 2025 | $198,061 | $48,702 |
| VISION SERVICE PLAN | Vision | 118 | Dec 1, 2025 | $18,111 | $1,812 |
| BLUE CROSS AND BLUE SHIELD OF ALABAMA | Health, Dental | 261 | Dec 1, 2025 | $1,648,290 | $0 |
Premium and claims on this contract
BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 93880. For the contract year on this filing, the carrier reported $1,648,290 in premium earned and $2,357,482 in claims incurred. Dividing one by the other gives 143%.
- BLUE CROSS AND BLUE SHIELD OF ALABAMA, contract 93880 reported $181,564 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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