Form 5500 · Employee benefit plan · DULLES, VA
GUERNSEY INC
GUERNSEY INC of DULLES, VA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-0992207 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC | Health | 92 | December | $30,573 |
| CAPITAL ADVANTAGE ASSURANCE COMPANY | Health | 81 | December | $14,112 |
| GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 125 | December | $7,475 |
| DELTA DENTAL OF VIRGINIA | Dental | 181 | December | $7,327 |
| STANDARD INSURANCE COMPANY | — | 159 | December | $3,832 |
| STANDARD INSURANCE COMPANY | Disability | 21 | December | $3,074 |
| STRYDEN, INC | Vision | 154 | December | $1,670 |
| STANDARD INSURANCE COMPANY | Life | 159 | December | $1,385 |
Questions
Who is GUERNSEY INC's benefits broker?
Per its most recent Form 5500 Schedule A, GUERNSEY INC's broker of record is ACRISURE LLC.
What insurance carrier does GUERNSEY INC use?
GUERNSEY INC's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC, among 8 disclosed carriers.
When does GUERNSEY INC's group plan renew?
The most recent Schedule A policy period for GUERNSEY INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GUERNSEY INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.