| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAKOTACARE ADMINISTRATIVE SERVICES5 | 2600 WEST 49TH ST. SIOUX FALLS, SD 57105 | BERKLEY LIFE AND HEALTH INSURANCE CO. | $96K | $14K | $110K | 15.93% |
| BOB CLARK INSURANCE INC3 | PO BOX 278 PIERRE, SD 57501 | BERKLEY LIFE AND HEALTH INSURANCE CO. | $7K | — | $7K | 1.04% |
| DAKOTACARE ADMINISTRATIVE SERVICES5 | PO BOX 7406 ATTN DAN ABERSON SIOUX FALLS, SD 57117 | COMPANION LIFE | $29K | — | $29K | 23.22% |
| SUMMIT REINSURANCE SERVICES INC3 | 7030 POINTE INVERNESS WAY STE 350 FORT WAYNE, IN 46804 | COMPANION LIFE | $2K | — | $2K | 1.86% |
| AZIZ E MAMOUNI3 | 6401 S LYNCREST AVE APT 207 SIOUX FALLS, SD 57108 | OPTILEGRA, INC | $692 | — | $692 | 1.96% |
| BANKWEST INC DBA BANKWEST INSURANCE3 | 420 S. PIERRE STREET PIERRE, SD 57501 | RELIANCE STANDARD | $3K | — | $3K | 10.54% |
| DAKOTACARE ADMINISTRATIVE SERVICES5 | PO BOX 7406 ATTN DAN ABERSON SIOUX FALLS, SD 57117 | COMPANION LIFE | $4K | — | $4K | 20.89% |
| SUMMIT REINSURANCE SERVICES INC3 | 7030 POINTE INVERNESS WAY STE 350 FORT WAYNE, IN 46804 | COMPANION LIFE | $323 | — | $323 | 1.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DAKOTACARE ADMINISTRATIVE SERVICES EIN 46-0424322 | Contract Administrator Service code 13 | 2600 WEST 49TH STREET SIOUX FALLS, SD 57105 | $87K |
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 | 282 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 297 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BERKLEY LIFE AND HEALTH INSURANCE CO. | 571 | $689K |
| Vision | OPTILEGRA, INC | 282 | $35K |
| Life insurance(2 contracts) | COMPANION LIFE | 302 | $141K |
| Long-term disability | RELIANCE STANDARD | 230 | $31K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 571 | $689K |
| Other | COMPANION LIFE | 302 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 571 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.