| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRIS A GUSTAFSON3 | 928 NORTH DUBUQUE AVENUE SIOUX FALLS, SD 57110 | AFLAC | $11K | $888 | $12K | 13.29% |
| DOUGLAS HASLIP3 | 7227 WEST LANCASTER CIRCLE SIOUX FALLS, SD 57106 | AFLAC | $3K | $202 | $3K | 3.86% |
| AWS INC3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $2K | $186 | $2K | 2.00% |
| MICHAEL D EVANS JR3 | 113 5TH STREET SOUTHEAST WATERTOWN, SD 57201 | AFLAC | $1K | $196 | $1K | 1.50% |
| NANCY S CLAUSSEN3 Filed as: NANCY S. CLAUSSEN | 322 EAST 8TH STREET APARTMENT 209 SIOUX FALLS, SD 57103 | AFLAC | $573 | $9 | $582 | 0.65% |
| DAVID P AESOPH3 Filed as: DAVID P. AESOPH | 1301 SOUTH SUMMIT AVENUE SIOUX FALLS, SD 57105 | AFLAC | $365 | — | $365 | 0.41% |
| MELISSA J BECK3 Filed as: MELISSA J. BECK | 26505 LAKEVIEW PLACE HARTFORT, SD 57033 | AFLAC | $360 | $2 | $362 | 0.41% |
| MELODY B THOMPSON3 Filed as: MELODY B. THOMPSON | 1206 MAIN AVENUE SOUTH BROOKINGS, SD 57006 | AFLAC | $252 | $10 | $262 | 0.29% |
| JEREMY ALLEN TIMMERMANS3 | 3500 SOUTH PHILLIPS AVENUE SUITE 101 SIOUX FALLS, SD 57105 | AFLAC | $245 | — | $245 | 0.27% |
| TRACY L HOSTLER3 Filed as: TRACY L. HOSTLER | 3500 SOUTH PHILLIPS AVENUE SUITE 101 SIOUX FALLS, SD 57105 | AFLAC | $228 | $10 | $238 | 0.27% |
| FISHBACK INSURANCE AGENCY INC3 | 520 6TH STREET BROOKINGS, SD 57006 | AFLAC | $182 | — | $182 | 0.20% |
| JADE COMPANIES LLC3 Filed as: JADE NELSON WITHERS | 1206 MAIN AVENUE SOUTH BROOKINGS, SD 57006 | AFLAC | $90 | $29 | $119 | 0.13% |
| JAMES MCDONALD3 Filed as: JAMES J. LAMBERT | 5509 SOUTH JERSEY TESS DRIVE SIOUX FALLS, SD 57108 | AFLAC | $98 | — | $98 | 0.11% |
| SARA KNEIP3 | 1218 6TH STREET BROOKINGS, SD 57006 | AFLAC | $93 | — | $93 | 0.10% |
| TAMARA WILLIAMS3 | 5901 SOUTH HALLOW AVENUE SIOUX FALLS, SD 57106 | AFLAC | $71 | — | $71 | 0.08% |
| NAOMI C MCLAUGHLIN3 | 320 DEERVIEW AVENUE TEA, SD 57064 | AFLAC | $59 | — | $59 | 0.07% |
| SHERRY M ADAMS3 Filed as: SHERRY M. ADAMS | 7227 WEST LANCASTER CIRCLE SIOUX FALLS, SD 57106 | AFLAC | $44 | $15 | $59 | 0.07% |
| ANDREA L SWEETER3 Filed as: ANDREA L. SWEETER | 46872 283RD STREET LENNOX, SD 57039 | AFLAC | $45 | $10 | $55 | 0.06% |
| PAMELA J KREBER3 Filed as: PAMELA J KREBLER | 5905 SOUTH DEER PARK DRIVE SIUOX FALLS, SD 57108 | AFLAC | $50 | — | $50 | 0.06% |
| MELIYA REESE3 | 1017 EAST COTTONWOOD DRIVE BRANDON, SD 57005 | AFLAC | $32 | — | $32 | 0.04% |
| DEBORAH KAE LEE3 | 1901 EAST 62ND STREET SIOUX FALLS, SD 57108 | AFLAC | $26 | — | $26 | 0.03% |
| DANIEL R MEHLBRECH3 Filed as: DANIEL R. MEHLBRECH | 10620 WEST EL CAPITAN CIRCLE SUN CITY, AZ 85351 | AFLAC | $15 | — | $15 | 0.02% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J. TOMLINSON | 40 PARADISE DRIVE WATERTOWN, SD 57201 | AFLAC | $14 | — | $14 | 0.02% |
| RENAE SALLQUIST KNOPF3 Filed as: RENAE SALLQUIST KNOFF | 101 WEST KILLARNEY STRET SIOUX FALLS, SD 57108 | AFLAC | $13 | — | $13 | 0.01% |
| JOSEPH A SORENSEN3 Filed as: JOSEPH A. SORENSEN | 1008 GRAND VIEW DRIVE BERESFORD, SD 57004 | AFLAC | $7 | — | $7 | 0.01% |
| WILLIAM JAMES MURPHY3 Filed as: WILLIAM K. DUIN | 717 SOUTH LAKOTA AVENUE BRANDON, SD 57005 | AFLAC | $5 | — | $5 | 0.01% |
| JESSE A REISCH3 Filed as: JESSE A. REISCH | 1505 SOUTH MONTICELLO AVENUE SIOUX FALLS, SD 57106 | AFLAC | $4 | — | $4 | 0.00% |
| SHIRLEE M HANSON3 Filed as: SHIRLEE M. HANSON | 7310 WEST 58TH STREET SIOUX FALLS, SD 57106 | AFLAC | $3 | — | $3 | 0.00% |
| STEVEN L. VONK3 Filed as: STEVEN VONK | 1602 10TH STREET ROCK VALLEY, IA 51247 | AFLAC | $2 | — | $2 | 0.00% |
| RUSSELL J HANSON3 Filed as: RUSSELL J. HANSON | 6601 WEST 61ST STREET SIOUX FALLS, SD 57106 | AFLAC | $1 | — | $1 | 0.00% |
| JANE POTTEBAUM3 | 19258 HAWTHORNE AVENUE CARROLL, IA 51401 | AFLAC | $1 | — | $1 | 0.00% |
| BRAD L NEUGEBAUER3 | 101 WEST 69TH STREET SUITE 200 SIOUX FALLS, SD 57108 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 13.28% |
| ROGERS BENEFIT GROUP INC3 | 5110 NORTH 40TH STREET SUITE 234 PHOENIX, AZ 85018 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.37% |
| CHRIS A GUSTAFSON3 Filed as: CHRIS A. GUSTAFSON | 108 CHICORY DRIVE BRANDON, SD 57005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $912 | — | $912 | 15.82% |
| DOUGLAS HASLIP3 | 7227 WEST LANCASTER CIRCLE SIOUX FALLS, SD 57106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $253 | — | $253 | 4.39% |
| AWS INC3 Filed as: AWS, INC | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $157 | — | $157 | 2.72% |
| ANDREA L SWEETER3 Filed as: ANDREA L. SWEETER | 46872 283RD STREET LENNOX, SD 57039 | CONTINENTAL AMERICAN INSURANCE COMPANY | $127 | — | $127 | 2.20% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL D. EVANS JR. | 113 5TH STREET SOUTH EAST WATERTOWN, SD 57201 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.66% |
| MELISSA J BECK3 Filed as: MELISSA J. BECK | 26505 LAKEVIEW PLACE HARTFORD, SD 57033 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.54% |
| SHERRY M ADAMS3 Filed as: SHERRY M. ADAMS | 3305 NORTH 8TH AVENUE SIOUX FALLS, SD 57104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.40% |
| JOLYNNE M MACK3 Filed as: JOLYNNE M. MACK | 113 5TH STREET SOUTH EAST WATERTOWN, SD 57201 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.24% |
| BRADY L WEISENBERGER3 Filed as: BRADY L. WEISENBERGER | 2102 26 1/2 COURT STREET FARGO, ND 58103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.17% |
| NANCY S CLAUSSEN3 Filed as: NANCY S. CLAUSSEN | 322 EAST 8TH STREET APARTMENT 209 SIOUX FALLS, SD 57103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.16% |
| MELODY B THOMPSON3 Filed as: MELODY B. THOMPSON | 1206 MAIN AVENUE SOUTH BROOKINGS, SD 57006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.10% |
| TRACY L HOSTLER3 Filed as: TRACY L. LOBAN HOSTLER | 3500 SOUTH PHILLIPS AVENUE SUITE 101 SIOUX FALLS, SD 57105 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.05% |
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 | 191 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 191 | $1.2M |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 387 | $120K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN INS CO | 183 | $3K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 217 | $47K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 217 | $47K |
| Other(2 contracts, 2 carriers) | AFLAC | 137 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 387 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.