| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 50263 | AVERA HEALTH PLANS, INC. | $30K | $0 | $30K | 2.04% |
| BLACK HILLS INSURANCE AGENCY3 | PO BOX 3330 RAPID CITY, SD 57701 | AVERA HEALTH PLANS, INC. | $13K | $0 | $13K | 0.90% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 91147 SIOUX FALLS, SD 57108 | DELTA DENTAL OF SOUTH DAKOTA | $2K | $0 | $2K | 1.18% |
| CARVER INSURANCE, INC.3 Filed as: CARVER INSURANCE INC | 3202 WEST MAIN STREET, SUITE B RAPID CITY, SD 57702 | DELTA DENTAL OF SOUTH DAKOTA | $445 | $0 | $445 | 0.23% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50263 | OPTILEGRA, INC. | $2K | $0 | $2K | 6.53% |
| BLACK HILLS INSURANCE AGENCY3 | PO BOX 3330 RAPID CITY, SD 57709 | OPTILEGRA, INC. | $1K | $0 | $1K | 3.47% |
| DAKOTACARE ADMINISTRATIVE SERVICES3 Filed as: DAKOTACARE ADMIN SERVICES | PO BOX 7406 SIOUX FALLS, SD 57117 | COMPANION LIFE INSURANCE COMPANY | $1K | $0 | $1K | 21.29% |
| SUMMIT REINSURANCE SERVICES INC3 | 7030 POINT IVERNESS WAY SUITE 350 FORT WAYNE, IN 46804 | COMPANION LIFE INSURANCE COMPANY | $119 | $0 | $119 | 1.99% |
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 | 269 | 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) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AVERA HEALTH PLANS, INC. | 294 | $1.5M |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 444 | $193K |
| Vision | OPTILEGRA, INC. | 252 | $35K |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 193 | $6K |
| Prescription drug | AVERA HEALTH PLANS, INC. | 294 | $1.5M |
| Other | COMPANION LIFE INSURANCE COMPANY | 193 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 444 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.