| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN M FICKEWIRTH AND ASSOCIATION I3 Filed as: JOHN M FICKEWIRTH AND ASSOCIATES IN | 2575 VISTA DEL MAR DRIVE SUITE 201 VENTURA, CA 93001 | ANTHEM BLUE CROSS | $33K | — | $33K | 4.93% |
| FICKEWIRTH BENEFITS ADVISORS3 | 2575 VISTA DEL MAR DRIVE SUITE 201 VENTURA, CA 93001 | KAISER FOUNDATION HEALTH PLAN, INC. | $13K | — | $13K | 4.99% |
| JOHN M FICKEWIRTH AND ASSOCIATION I3 Filed as: JOHN M FICKEWIRTH AND ASSOCIATION | 2575 VISTA DEL MAR DRIVE SUITE 201 VENTURA, CA 93001 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $2K | $5K | 7.28% |
| AMWINS3 Filed as: LISI LLC DBA AMWINS CONNECT INSURAN | 2677 NORTH MAIN STREET SUITE 800 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $290 | $4K | 5.38% |
| JOHN M FICKEWIRTH AND ASSOCIATION I3 Filed as: JOHN M FICKEWIRTH ASSOCIATES | PO BOX 3617 VENTURA, CA 93006 | ANTHEM LIFE INSURANCE COMPANY | $1K | — | $1K | 8.06% |
| JOHN M FICKEWIRTH AND ASSOCIATION I3 Filed as: JOHN M FICKEWIRTH AND ASSOCIATES | 2575 VISTA DEL MAR DRIVE SUITE 201 VENTURA, CA 93001 | METLIFE | $915 | — | $915 | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BUILDING 1, SUITE 100 AUSTIN, TX 78766 | METLIFE | — | $488 | $488 | 8.00% |
| GIS BENEFITS INC3 Filed as: GIS NATIONAL | 9500 KOGER AVENUE SUITE 200 ST PETERSBURG, FL 33702 | METLIFE | $305 | — | $305 | 5.00% |
| GIS OF ILLINOIS3 Filed as: GIS BENEFITS VB TRUST PRODUCER BONU | — | METLIFE | $122 | — | $122 | 2.00% |
| GIS BENEFITS INC3 Filed as: GIS NATIONAL | 9500 KOGER AVENUE SUITE 200 ST PETERSBURG, FL 33702 | METLIFE LEGAL PLANS | $615 | — | $615 | 34.75% |
| JOHN M FICKEWIRTH AND ASSOCIATION I3 Filed as: JOHN M FICKEWIRTH AND ASSOCIATES IN | 2575 VISTA DEL MAR DRIVE SUITE 201 VENTURA, CA 93001 | METLIFE LEGAL PLANS | $281 | — | $281 | 15.88% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BUILDING 1, SUITE 100 AUSTIN, TX 78766 | METLIFE LEGAL PLANS | — | $143 | $143 | 8.08% |
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 | 62 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 62 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 32 | $925K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 123 | $72K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 123 | $72K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 62 | $17K |
| Other(3 contracts, 3 carriers) | ANTHEM LIFE INSURANCE COMPANY | 62 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 123 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.