| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $32K | — | $32K | 3.51% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC. | $16K | — | $16K | 3.50% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 3.50% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 937114308 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 4.09% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $171 | $4K | 14.53% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $133 | $3K | 13.95% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | P. O. BOX 5479 FRESNO, CA 93755 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.93% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | BLUE SHIELD OF CALIFORNIA | $415 | — | $415 | 3.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INSURANCE | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | CALIFORNIA DENTAL NETWORK, INC. | $1K | — | $1K | 10.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS AGENCY | 6873 N. WEST AVENUE, #101 FRESNO, CA 93711 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $110 | $1K | 13.68% |
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 | 224 | 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) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 112 | $1.6M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 226 | $129K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 214 | $16K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 224 | $33K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 224 | $19K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 112 | $923K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 224 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.