| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD SUITE 1650 ATLANTA, GA 303052258 | AETNA LIFE INSURANCE COMPANY | $92K | $17K | $109K | 16.41% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NE SUITE 1650 ATLANTA, GA 303052258 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $40K | — | $40K | 10.00% |
| VARIOUS - SEE ATTACHMENT3 Filed as: VARIOUS-SEE ATTACHMENT | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $35K | $384 | $36K | 19.49% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 30305 | EYEMED | $7K | — | $7K | 9.27% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: ASSURED NI INS. AGENCY INC. | 4000 SMITH ROAD SUITE 400 CINCINNATI, OH 45209 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 8.91% |
| CHRISTY O. CHRISTIAN3 | 6235 BUCKINGHAM CIRCLE CUMMING, GA 30040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 15.74% |
| MILAN B. TERRELL3 | 270 LANTANA DRIVE LOCUST GROVE, GA 30248 | CONTINENTAL AMERICAN INSURANCE COMPANY | $892 | — | $892 | 3.97% |
| ANDY B GLENN II3 Filed as: ANDY B. GLENN | 4267 BRIGHTON WAY KENNESAW, GA 30144 | CONTINENTAL AMERICAN INSURANCE COMPANY | $597 | — | $597 | 2.66% |
| LAWSON BENEFITS GROUP LLC3 Filed as: LAWSON BENEFITS GROUP, LLC | 137 SCHOOL ROAD HAMPTON, GA 30228 | CONTINENTAL AMERICAN INSURANCE COMPANY | $258 | — | $258 | 1.15% |
| THOMAS DEAN BAXTER3 | 500 LANIER AVE W SUITE 912A FAYETTEVILLE, GA 30284 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | — | $72 | 0.32% |
| SUSAN PICKARD3 Filed as: SUSAN R. PICKARD | 977 PERKINS ROAD MILNER, GA 30257 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | — | $56 | 0.25% |
| RONALD S SANDERS3 Filed as: RONALD SANDERS | 744 E DENIM TRAIL SAN TAN VALLEY, AZ 85143 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.08% |
| DAVID C CLOUD JR3 Filed as: DAVID C. CLOUD JR. | 89 GEMSTONE LANE ACWORTH, GA 30101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.04% |
| AMY A O SHIELDS3 Filed as: AMY A. O'SHIELDS | 5159 CALGARY DRIVE DOUGLASVILLE, GA 30135 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| CHARLES S MADISON3 Filed as: CHARLES S. MADISON | 3303 COBB PKWY NW SUITE 324-354 ACWORTH, GA 30101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| TARRAH SMITHSON3 | 2000 BROOKE FOREST COURT ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| DUSTIN ROBERT JOHNSON3 Filed as: DUSTIN R. JOHNSON | 720 S. WELLS STREET APT 1716 CHICAGO, IL 60607 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| STEVEN VORDERLANDWEHR3 | 2219 MCCAHILL COURT BUFORD, GA 30519 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| RYAN E MCPHAIL3 Filed as: RYAN E. MCPHAIL | 206 ARBOR COURT CANTON, GA 30114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| ALEXANDER B WARD3 Filed as: ALEXANDER B. WARD | 5194 FOREST VIEW COURT SE MABLETON, GA 30126 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| RICHARD MICHAEL TIDWELL3 Filed as: RICHARD M. TIDWELL | PO BOX 1801 CUMMING, GA 30028 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| MICHAEL LEROY COY3 Filed as: MICHAEL L COY | 3571 FAR WEST BLVD #42 AUSTIN, TX 78731 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| COLLEEN M KIRKLAND3 | 6030 CRESTMONT DRIVE CHINO HILLS, CA 91709 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| RICHARD SMITHSON3 | 200 BROOKE FOREST COURT ALPHARETTA, GA 30022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
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 | 645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 650 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,419 | $397K |
| Vision | EYEMED | 1,210 | $80K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 425 | $688K |
| Short-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 425 | $848K |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 425 | $665K |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 425 | $902K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,419 | — |
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.