| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $16K | — | $16K | 1.65% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC. | $14K | — | $14K | 3.01% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 3.05% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 937114308 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 4.12% |
| DEBUDUO & DEFENDIS AGENCY3 | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $161 | $3K | 15.75% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $129 | $3K | 14.95% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | CALIFORNIA DENTAL NETWORK, INC. | $2K | — | $2K | 10.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $458 | — | $458 | 3.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | P. O. BOX 5479 FRESNO, CA 93755 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 11.11% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $567 | $43 | $610 | 7.50% |
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 | 284 | 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) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 129 | $1.7M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 221 | $134K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 175 | $15K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 284 | $32K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 284 | $17K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 129 | $980K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 284 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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."
No prospect flags tripped on this filing.