Form 5500 · Employee benefit plan · ALPHARETTA, GA
LX HAUSYS AMERICA, INC.
LX HAUSYS AMERICA, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is FALLON BENEFITS GROUP INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 11 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2895551 · plan 504 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental | 1,089 | June | $5,430,702 | $395,996 |
| FOUR EVER LIFE INS CO. | Health | 55 | June | $311,053 | $31,106 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 426 | June | $179,663 | $26,950 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 548 | June | $92,745 | $13,912 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 548 | June | $91,140 | $13,671 |
| TRUSTMARK INSURANCE COMPANY | Life | 55 | June | $35,876 | $5,205 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 139 | June | $29,760 | $4,464 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 0 | June | $26,278 | $2,408 |
| EYEMED VISION CARE | Vision | 475 | June | $26,553 | $2,178 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 8 | June | $61,434 | $1,967 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 0 | June | $13,874 | $1,538 |
| NEW YORK LIFE GROUP INSURANCE COMPANY OF NEW YORK | — | 548 | June | $1,868 | $187 |
Questions
Who is LX HAUSYS AMERICA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, LX HAUSYS AMERICA, INC.'s broker of record is FALLON BENEFITS GROUP INC..
What insurance carrier does LX HAUSYS AMERICA, INC. use?
LX HAUSYS AMERICA, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, among 12 disclosed carriers.
When does LX HAUSYS AMERICA, INC.'s group plan renew?
The most recent Schedule A policy period for LX HAUSYS AMERICA, INC. ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LX HAUSYS AMERICA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.