| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS. BROKERS LLC | PO BOX 5479 FRESNO, CA 93755 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $53K | $0 | $53K | 3.56% |
| ASSUREDPARTNERS3 Filed as: MORRIS & GARRITANO INS AGENCY INC | PO BOX 1189 SAN LUIS OBISPO, CA 93406 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $10K | $0 | $10K | 0.69% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | 6873 N. WEST AVE. SUITE 108 FRESNO, CA 937114308 | KAISER FOUNDATION HEALTH PLAN INC | $27K | $0 | $27K | 3.79% |
| ASSUREDPARTNERS3 Filed as: MORRIS & GARRITANO INS AGENCY INC | PO BOX 1189 SAN LUIS OBISPO, CA 934061189 | KAISER FOUNDATION HEALTH PLAN INC | $9K | $0 | $9K | 1.19% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS BROKERS, LLC | 6873 N. WEST FRESNO, CA 93711 | CONTINENTAL AMERICAN INSURANCE COMPANY | $796 | $0 | $796 | 0.36% |
| DAWN T SUCHECKI3 Filed as: DAWN M TYACK | 829 TEMPUS CIR ARROYO GRANDE, CA 93420 | CONTINENTAL AMERICAN INSURANCE COMPANY | $525 | $0 | $525 | 0.24% |
| BRENDA LOREN BERNSTEIN3 Filed as: BRENDA L BERNSTEIN | 1003 N 12TH ST GROVER BEACH, CA 93433 | CONTINENTAL AMERICAN INSURANCE COMPANY | $493 | $0 | $493 | 0.22% |
| JENNIFER MARGARET ENGELMEIER3 Filed as: JENNIFER M ENGELMEIER | 1150 GROVE STREET SAN LUIS OBISPO, CA 93401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $289 | $0 | $289 | 0.13% |
| DANIEL VORDALE INS SVCS INC3 | 712 MERCURY AVENUE LOMPOC, CA 93436 | CONTINENTAL AMERICAN INSURANCE COMPANY | $143 | $0 | $143 | 0.06% |
| BRIAN MCKELLAR3 | 1342 TRAPPERS RDG AMMON, ID 83401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $74 | $0 | $74 | 0.03% |
| LUIS A SANCHEZ3 | 823 JENNIFER CT SANTA MARIA, CA 93454 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | $0 | $26 | 0.01% |
| TOMOKO K HAYASHI3 | 582 CAMINO MERCADO ARROYO GRANDE, CA 93420 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | $0 | $18 | 0.01% |
| ANIBAL ZACARIAS3 | 1946 VIA CARRO SANTA MARIA, CA 93458 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | $0 | $18 | 0.01% |
| KORI R HARVEY3 | 1173 FAIR OAKS AVE #62 ARROYO GRANDE, CA 93420 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.00% |
| ACRISURE LLC3 Filed as: DIBUDUO & DEFENDIS INS AGCY INC | PO BOX 5479 FRESNO, CA 93755 | AFLAC | $779 | $0 | $779 | 4.54% |
| DAWN T SUCHECKI3 Filed as: DAWN M TYACK | 582 CAMINO MERCADO ARROYO GRANDE, CA 93420 | AFLAC | $406 | $3 | $409 | 2.38% |
| DANIEL VORDALE INS SVCS INC3 | 712 MERCURY AVENUE LOMPOC, CA 93436 | AFLAC | $338 | $0 | $338 | 1.97% |
| JENNIFER MARGARET ENGELMEIER3 | 1150 GROVE STREET SAN LUIS OBISPO, CA 93401 | AFLAC | $193 | $13 | $206 | 1.20% |
| BRENDA LOREN BERNSTEIN3 | 1003 N 12TH ST GROVER BEACH, CA 93433 | AFLAC | $164 | $1 | $165 | 0.96% |
| AARON ROJO3 | 42990 PARK PL, APT 1 PALM DESERT, CA 92260 | AFLAC | $73 | $0 | $73 | 0.43% |
| TIRZO A LOPEZ3 | 4368 HERADO DR GUADALUPE, CA 93434 | AFLAC | $48 | — | $48 | 0.28% |
| EDWARD D SOMMER3 Filed as: EDWARD A ECHEVERRIA | 261 EL CERRITO DR NIPOMO, CA 93444 | AFLAC | $33 | $0 | $33 | 0.19% |
| BRIAN MCKELLAR3 | 1342 TRAPPERS RDG AMMON, ID 83401 | AFLAC | $9 | $3 | $12 | 0.07% |
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 | 349 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 349 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 349 | $2.4M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 349 | $1.5M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 349 | $1.5M |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 349 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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.