No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELLMARK BLUE CROSS BLUE SHIELD SD EIN 42-1459204 BENEFITS ADMINISTRATOR | Claims processing; Direct payment from the plan Service code 12 | — | $267K |
| PRINCIPAL LIFE INSURANCE COMPANY EIN 42-0127290 BENEFITS ADMINISTRATOR | Claims processing; Direct payment from the plan Service code 12 | — | $21K |
| INNOVATIVE BUSINESS CONSULTANTS EIN 20-3051128 SERVICE PROVIDER | Other services; Direct payment from the plan Service code 49 | — | $14K |
| VITAL WORKLIFE INC EIN 41-1456089 SERVICE PROVIDER | Other services; Direct payment from the plan Service code 49 | — | $7K |
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 | 298 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 742 | $155K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 742 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 742 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.