form5500lookup

Form 5500 · Employee benefit plan · NAPLES, FL

ACRISURE, LLC DBA GULFSHORE INSURANCE

The filing calls this plan ACRISURE, LLC.

ACRISURE, LLC DBA GULFSHORE INSURANCE of NAPLES, FL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ACRISURE LLC DBA GULFSHORE INS. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-3554645 · plan 501 · plan year 2023, filed Jul 24, 2024

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
103
Active at start of year
103
Active at end of year
98
Disclosed commissions
$3,068
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF FLORIDA75 of 103 participants (73%) on the largest contract
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA98 of 103 participants (95%)
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA98 of 103 participants (95%)
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA98 of 103 participants (95%)
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA98 of 103 participants (95%)

Also declared: death benefits.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 75 people.

Reported premium across the insured contracts is $907,994, with $3,068 in disclosed broker commissions — about 0.3% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

ACRISURE LLC DBA GULFSHORE INS is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF FLORIDA, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and HEALTH OPTIONS. BLUE CROSS BLUE SHIELD OF FLORIDA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability98Jan 1, 2024$157,357$3,068
BLUE CROSS BLUE SHIELD OF FLORIDAHealth75Jan 1, 2024$644,322$0
HEALTH OPTIONSHealth15Jan 1, 2024$106,315$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ACRISURE, LLC DBA GULFSHORE INSUR. HEATHER MACDOUGALL
EIN 26-3554645

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 18,488 employees, 58 recordable cases, 494 days away from work.

EmployeesThe company's own average for the year
18,488
Hours worked
42,660,800
Recordable cases
58
Days away from work
494

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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