| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | 6873 N WEST AVE SUITE 101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $5K | $323K | $329K | 4.18% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | 6873 N WEST AVE SUITE 101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $324 | — | $324 | 0.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS AGENCY | 6873 N WEST AVE SUITE 101 FRESNO, CA 93711 | DELTA DENTAL OF CALIFORNIA | $31K | — | $31K | 5.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS AGENCY | 6873 N WEST AVE SUITE 101 FRESNO, CA 93711 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.45% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS AGENCY | 6873 N WEST AVE SUITE 101 FRESNO, CA 93711 | DELTA DENTAL OF CALIFORNIA | $614 | — | $614 | 5.00% |
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 | 569 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 227 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 798 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 1,433 | $7.9M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 1,417 | $631K |
| Vision | BLUE SHIELD OF CALIFORNIA | 1,433 | $7.9M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 822 | $138K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 1,433 | $7.9M |
| Other | BLUE SHIELD OF CALIFORNIA | 540 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,433 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.