| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 30305 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $43K | $14K | $57K | 1.72% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE BLVD, NW ATLANTA, GA 30305 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | -$21K | — | -$21K | -0.64% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 30305 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $50K | $23K | $73K | 16.37% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 S. CAPITAL OF TEXAS HIGHWAY BLDG 2, STE 125 AUSTIN, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 1.07% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW ATLANTA, GA 30339 | EYEMED VISION CARE FOR FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 0.92% |
No Schedule C service providers reported on this filing.
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 | 1,142 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,064 | $3.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,064 | $3.3M |
| Vision | EYEMED VISION CARE FOR FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,493 | $116K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 555 | $447K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 555 | $447K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,064 | $3.3M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 904 | $476K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,064 | — |
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."
No prospect flags tripped on this filing.