| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | DELTA DENTAL INSURANCE COMPANY | $89K | — | $89K | 10.00% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $51K | — | $51K | 14.59% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $35K | $25K | $60K | 25.68% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NE SUITE 1650 ATLANTA, GA 303052258 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $21K | — | $21K | 15.00% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | VISION SERVICE PLAN | $10K | — | $10K | 8.89% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NE SUITE 1650 ATLANTA, GA 303052258 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | — | $15K | 19.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NAT'L INC. | 601 UNION STREET SUITE 1000 SEATTLE, WA 981014064 | METROPOLITAN LIFE INSURANCE COMPANY | -$4 | — | -$4 | -0.01% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP INC | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | — | $12K | 19.64% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS. NATIONAL, INC. | 1018 W 9TH AVENUE SUITE 100 KING OF PRUSSIA, PA 194061225 | METROPOLITAN LIFE INSURANCE COMPANY | — | -$1 | -$1 | -0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NAT'L INC. | 601 UNION STREET SUITE 1000 SEATTLE, WA 981014064 | METROPOLITAN LIFE INSURANCE COMPANY | -$14 | — | -$14 | -0.02% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 201503 DALLAS, TX 75320 | HYATT LEGAL PLANS | $3K | — | $3K | 10.70% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 9811 KATY FREEWAY SUITE 500 HOUSTON, TX 77024 | HYATT LEGAL PLANS | — | $358 | $358 | 1.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NAT'L, INC. | 21250 HAWTHORNE BLVD SUITE 600 TORRANCE, CA 90503 | HYATT LEGAL PLANS | — | $199 | $199 | 0.63% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO | PO BOX 25277 TAMPA, FL 33622 | HYATT LEGAL PLANS | — | $41 | $41 | 0.13% |
| FALLON BENEFITS GROUP INC.3 | 3060 PEACHTREE ROAD NW SUITE 1650 ATLANTA, GA 303052258 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $139 | $3K | 11.66% |
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 | 782 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 38 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 820 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 6 | $30K |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,662 | $895K |
| Vision | VISION SERVICE PLAN | 726 | $118K |
| Life insurance | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 782 | $234K |
| Short-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 995 | $349K |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 341 | $143K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 6 | $30K |
| Other(7 contracts, 6 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 782 | $444K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,662 | — |
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.