| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | P.O. BOX 5479 FRESNO, CA 93755 | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | $62K | — | $62K | 4.68% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | 6873 N. WEST AVE. SUITE 108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC | $30K | $0 | $30K | 5.00% |
| ACRISURE LLC Filed as: DIBUDUO & DEFENDIS AGENCY | P.O. BOX 5479 FRESNO, CA 93755 | AFLAC | $6K | — | $6K | 16.33% |
| DAWN T SUCHECKI Filed as: DAWN M TYACK | 582 CAMINO MERCADO ARROYO GRANDE, CA 93420 | AFLAC | $3K | — | $3K | 8.47% |
| JENNIFER MARGARET ENGELMEIER | 1150 GROVE STREET SAN LUIS OBISPO, CA 93401 | AFLAC | $3K | — | $3K | 8.13% |
| DANIEL VORDALE INS SVCS INC Filed as: DANIEL VORDALE INSURANCE SERVICES | 712 MERCURY AVENUE LOMPOC, CA 93436 | AFLAC | $2K | $420 | $3K | 7.47% |
| BRENDA LOREN BERNSTEIN | 1003 N. 12TH STREET GROVER BEACH, CA 93433 | AFLAC | $2K | — | $2K | 6.02% |
| ANIBAL ZACARIAS | 1946 VIA CARRO SANTA MARIA, CA 93458 | AFLAC | $1K | — | $1K | 2.87% |
| LUIS ALFREDO SANCHEZ | 3420 ORCUTT ROAD, SUITE 206 SANTA MARIA, CA 93455 | AFLAC | $707 | — | $707 | 1.92% |
| TOMOKO K HAYASHI Filed as: TOMOKO KAWAKAMI HAYASHI | 516 E. GRAND AVENUE ARROYO GRANDE, CA 93420 | AFLAC | $681 | — | $681 | 1.85% |
| KORI R HARVEY Filed as: KORI RICHARD HARVEY | 1173 FAIR OAKS AVE APT 62 ARROYO GRANDE, CA 93420 | AFLAC | $259 | — | $259 | 0.70% |
| BRENDA LOREN BERNSTEIN Filed as: BRENDA RIDLEY | 1003 N. 12TH STREET GROVER BEACH, CA 93433 | AFLAC | $239 | — | $239 | 0.65% |
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 | 355 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 355 | $2.0M |
| Dental | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 355 | $1.3M |
| Vision | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 355 | $1.3M |
| Life insurance | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 355 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.