| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRIS A GUSTAFSON3 | 928 NORTH DUBUQUE AVENUE SIOUX FALLS, SD 57110 | AFLAC | $11K | $49 | $11K | 12.54% |
| AWS INC3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $2K | $10 | $2K | 1.97% |
| DOUGLAS HASLIP3 | 7227 WEST LANCASTER CIRCLE SIOUX FALLS, SD 57106 | AFLAC | $2K | $9 | $2K | 1.73% |
| MELISSA J BECK3 Filed as: MELISSA J. BECK | 26505 LAKEVIEW PLACE HARTFORT, SD 57033 | AFLAC | $1K | $1 | $1K | 1.60% |
| ANDREA L SWEETER3 Filed as: ANDREA L. SWEETER | 46872 283RD STREET LENNOX, SD 57039 | AFLAC | $595 | — | $595 | 0.67% |
| MELISSA J BECK3 | 26505 LAKEVIEW PLACE HARTFORD, DC 57033 | AFLAC | $509 | — | $509 | 0.57% |
| MICHAEL D EVANS JR3 | 113 5TH STREET SOUTHEAST WATERTOWN, SD 57201 | AFLAC | $415 | — | $415 | 0.47% |
| DAVID P AESOPH3 Filed as: DAVID P. AESOPH | 1301 SOUTH SUMMIT AVENUE SIOUX FALLS, SD 57105 | AFLAC | $228 | — | $228 | 0.26% |
| JEREMY ALLEN TIMMERMANS3 | 3500 SOUTH PHILLIPS AVENUE SUITE 101 SIOUX FALLS, SD 57105 | AFLAC | $184 | $23 | $207 | 0.23% |
| JAMES MCDONALD3 Filed as: JAMES J. LAMBERT | 5509 SOUTH JERSEY TESS DRIVE SIOUX FALLS, SD 57108 | AFLAC | $123 | — | $123 | 0.14% |
| MELODY B THOMPSON3 Filed as: MELODY B. THOMPSON | 1206 MAIN AVENUE SOUTH BROOKINGS, SD 57006 | AFLAC | $107 | — | $107 | 0.12% |
| TRACY L HOSTLER3 Filed as: TRACY L. HOSTLER | 3500 SOUTH PHILLIPS AVENUE SUITE 101 SIOUX FALLS, SD 57105 | AFLAC | $98 | $5 | $103 | 0.12% |
| SARA KNEIP3 | 1218 6TH STREET BROOKINGS, SD 57006 | AFLAC | $97 | — | $97 | 0.11% |
| ANDREA L SWEETER3 | 46872 283RD STREET LENNOX, SD 57039 | AFLAC | $80 | — | $80 | 0.09% |
| RENAE SALLQUIST KNOPF3 | 1001 WEST KILLARNEY STREET SIOUX FALLS, SD 57108 | AFLAC | $65 | — | $65 | 0.07% |
| MONICA S KINNER3 | 7212 WEST 65TH STREET SIOUX FALLS, SD 57106 | AFLAC | $63 | — | $63 | 0.07% |
| NAOMI C MCLAUGHLIN3 | 320 DEERVIEW AVENUE TEA, SD 57064 | AFLAC | $59 | — | $59 | 0.07% |
| PAMELA J KREBER3 Filed as: PAMELA J KREBLER | 5905 SOUTH DEER PARK DRIVE SIUOX FALLS, SD 57108 | AFLAC | $57 | — | $57 | 0.06% |
| WILLIAM JAMES MURPHY3 Filed as: WILLIAM K. DUIN | 7728 WEST JUSTICE STREET SIOUX FALLS, SD 57106 | AFLAC | $46 | — | $46 | 0.05% |
| TAMARA WILLIAMS3 | 5901 SOUTH HALLOW AVENUE SIOUX FALLS, SD 57106 | AFLAC | $39 | $5 | $44 | 0.05% |
| FISHBACK INSURANCE AGENCY INC3 | 520 6TH STREET BROOKINGS, SD 57006 | AFLAC | $22 | — | $22 | 0.02% |
| DEBORAH KAE LEE3 | 1901 EAST 62ND STREET SIOUX FALLS, SD 57108 | AFLAC | $22 | — | $22 | 0.02% |
| SHIRLEE M HANSON3 | 7310 WEST 58TH STREET SIOUX FALLS, SD 57106 | AFLAC | $20 | — | $20 | 0.02% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J. TOMLINSON | 40 PARADISE DRIVE WATERTOWN, SD 57201 | AFLAC | $15 | — | $15 | 0.02% |
| STEVEN L. VONK3 Filed as: STEVEN VONK | 1602 10TH STREET ROCK VALLEY, IA 51247 | AFLAC | $15 | — | $15 | 0.02% |
| JANE POTTEBAUM3 | 19258 HAWTHORNE AVENUE CARROLL, IA 51401 | AFLAC | $13 | — | $13 | 0.01% |
| DANIEL R MEHLBRECH3 Filed as: DANIEL R. MEHLBRECH | 10620 WEST EL CAPITAN CIRCLE SUN CITY, AZ 85351 | AFLAC | $12 | — | $12 | 0.01% |
| JESSE A REISCH3 Filed as: JESSE A. REISCH | 1505 SOUTH MONTICELLO AVENUE SIOUX FALLS, SD 57106 | AFLAC | $11 | — | $11 | 0.01% |
| JOLYNNE M MACK3 Filed as: JOLYNNE MACK | 113 5TH STREET SOUTHEAST WATERTOWN, SD 57201 | AFLAC | $11 | — | $11 | 0.01% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PARKWAY SOUTH SUITE C FARGO, ND 58104 | AFLAC | $11 | — | $11 | 0.01% |
| JOSEPH A SORENSEN3 Filed as: JOSEPH A. SORENSEN | 1008 GRAND VIEW DRIVE BERESFORD, SD 57004 | AFLAC | $6 | — | $6 | 0.01% |
| SHERRY M ADAMS3 Filed as: SHERRY M. ADAMS | 7227 WEST LANCASTER CIRCLE SIOUX FALLS, SD 57106 | AFLAC | $3 | — | $3 | 0.00% |
| SHIRLEE M HANSON3 Filed as: SHIRLEE M. HANSON | 7310 WEST 58TH STREET SIOUX FALLS, SD 57106 | AFLAC | $3 | — | $3 | 0.00% |
| KALIE R GILBERT3 | 3511 E MADISON DRIVE FAYETTEVILLE, AR 72701 | AFLAC | $3 | — | $3 | 0.00% |
| KACY A GRUENKEMEYER3 | 11116 AURORA AVENUE URBANDALE, IA 50322 | AFLAC | $2 | — | $2 | 0.00% |
| CHERYL HAYES3 Filed as: CHERYL Y HAYES | 611 NORTH HILL STREET SILOAM SPRINGS, AR 72761 | AFLAC | $2 | — | $2 | 0.00% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PARKWAY SOUTH SUITE C FARGO, ND 58104 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTT R FRITCHER3 | 9655 NORTHWEST 74TH PLACE GRIMES, IA 50111 | AFLAC | $0 | — | $0 | 0.00% |
| HEATHER D SWANSON3 | 4608 67TH STREET URBANDALE, IA 50322 | AFLAC | $0 | — | $0 | 0.00% |
| KARA M CARMODY3 | 718 HOYT AVENUE EAST STREET ST PAUL, MN 55106 | AFLAC | $0 | — | $0 | 0.00% |
| WILLIAM M BARNETT3 | 703 NORTH SAGEHORN DRIVE HARTGORD, SD 57033 | AFLAC | $0 | — | $0 | 0.00% |
| BRAD L NEUGEBAUER3 | 101 WEST 69TH STREET SUITE 200 SIOUX FALLS, SD 57108 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 12.28% |
| ROGERS BENEFIT GROUP INC3 | 5110 NORTH 40TH STREET SUITE 234 PHOENIX, AZ 85018 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 3.42% |
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 | 243 | 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) | 243 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 242 | $1.5M |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 478 | $148K |
| Vision | VISION SERVICE PLAN | 240 | $6K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 325 | $59K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 325 | $59K |
| Other | AFLAC | 173 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 478 | — |
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.