| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 0.16% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | — | $11K | 10.00% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | $1K | $10K | 17.36% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $934 | $7K | 17.22% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $320 | $5K | 16.00% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | 1-800MD, LLC | $1K | — | $1K | 26.11% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE ROAD NORTHEAST SUITE 1650 ATLANTA, GA 30305 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $252 | $36 | $288 | 17.14% |
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 | 131 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 149 | $913K |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 211 | $110K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 211 | $110K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 131 | $32K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $56K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $42K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 131 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.