| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIEGELMAN INSURANCE SERVICES3 Filed as: FIEGELMAN INSURANCE SERVICES INC | 3838 CARSON STREET SUITE 106 TORRANCE, CA 90503 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $77K | $0 | $77K | 4.50% |
| FEIGELMAN INSURANCE SERVICES INC3 Filed as: FEIGELMAN INSURANCE SERVICE, INC. | 3838 W CARSON STREET SUITE 106 TORRANCE, CA 90503 | KAISER FOUNDATION HEALTH PLAN INC | $26K | $0 | $26K | 2.94% |
| AVANT-GARDE INSURANCE SOLUTIONS3 | 3910 NEILSON WAY UNIT 410 SANTA MONICA, CA 90405 | AFLAC | $3K | $70 | $3K | 5.15% |
| FEIGELMAN INSURANCE SERVICES INC3 | 3838 CARSON STREET SUITE 106 TORRANCE, CA 90503 | AFLAC | $1K | $0 | $1K | 2.33% |
| SPALDING GROUP ENTERPRISES3 | 4297 KLUMP AVENUE STUDIO CITY, CA 91602 | AFLAC | $1K | $0 | $1K | 1.73% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD STE 700 SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $966 | $0 | $966 | 1.52% |
| ALFRED RIETKERK3 | 3120 NE 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $788 | $0 | $788 | 1.24% |
| GARY SCOTT NELLIS3 | 10607 1/2 WOODBRIDGE STREET TOLUCA LAKE, CA 91602 | AFLAC | $616 | $0 | $616 | 0.97% |
| RICHARD J KUNZ3 | 351 CALIFORNIA STREET SUITE 450 SAN FRANCISCO, CA 94104 | AFLAC | $352 | $0 | $352 | 0.55% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | 5805 SEPULVEDA BLVD SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $350 | $0 | $350 | 0.55% |
| KAREN M HUGHES3 | 3120 NE 47TH STREET FORT LAUDERDALE, FL 33308 | AFLAC | $263 | $0 | $263 | 0.41% |
| AMY EVANS3 | 14358 MAGNOLIA BLVD APARTMENT 103 SHERMAN OAKS, CA 91423 | AFLAC | $256 | $0 | $256 | 0.40% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $242 | $0 | $242 | 0.38% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $120 | $0 | $120 | 0.19% |
| MJR INSURANCE SERVICES LLC3 | 5805 SEPULVEDA BLVD SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $65 | $0 | $65 | 0.10% |
| BRIAN G JAEGGI3 | 15607 W LILLI WAY VAN NUYS, CA 91406 | AFLAC | $64 | $0 | $64 | 0.10% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $28 | $0 | $28 | 0.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH STREET FORT LAUDERDALE, FL 33334 | AFLAC | $26 | $0 | $26 | 0.04% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $19 | $0 | $19 | 0.03% |
| MICHELE ANN SACHAROW3 | 11676 CHENAULT STREET SUITE 22 LOS ANGELES, CA 90049 | AFLAC | $16 | $0 | $16 | 0.03% |
| LARA K GRANDE3 | 1022 WESTHAVEN BLVD FRANKLIN, TN 37064 | AFLAC | $10 | $0 | $10 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $6 | $0 | $6 | 0.01% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $6 | $0 | $6 | 0.01% |
| TODD A LIPANI3 | 14648 FOXBRIAR LANE FRISCO, TX 75035 | AFLAC | $6 | $0 | $6 | 0.01% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $5 | $0 | $5 | 0.01% |
| DAWN A CHRISTENSEN3 | 24516 APPLE STREET NEWHALL, CA 91321 | AFLAC | $4 | $0 | $4 | 0.01% |
| JOSEPH A NASCA0 | 28081 W MAPLE AVENUE WOODRIDGE, IL 60010 | AFLAC | $4 | $0 | $4 | 0.01% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODRIDGE, IL 60517 | AFLAC | $3 | $0 | $3 | 0.00% |
| OLENA K SHEA3 | 3 MITCHELL PLACE UNIT 18C NEW YORK, NY 10017 | AFLAC | $3 | $0 | $3 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $3 | $0 | $3 | 0.00% |
| FIEGELMAN INSURANCE SERVICES3 | 3838 W CARSON STREET SUITE 106 TORRANCE, CA 90503 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 14.37% |
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 | 353 | 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) | 353 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 251 | $2.6M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 353 | $1.7M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 251 | $1.7M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 353 | $7K |
| Other(2 contracts, 2 carriers) | AFLAC | 353 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 353 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.