| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIDWEST EMPLOYEE BENEFITS INC3 | 5000 S MACARTHER LN #103 SIOUX FALLS, SD 57108 | WELLMARK OF SOUTH DAKOTA, INC. | $15K | — | $15K | 1.90% |
| TODD FREIMARK3 | 812 10TH STREET SW WATERTOWN, SD 57201 | DELTA DENTAL OF SOUTH DAKOTA | $2K | — | $2K | 1.95% |
| HEATHER M BRAMER3 Filed as: HEATHER BRAMER | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $2K | $11 | $2K | 7.37% |
| NEFZGER ENTERPRISES INC3 | 624 WEST LAKE DRIVE LAKE NORDEN, SD 57248 | AFLAC | $506 | $3 | $509 | 1.79% |
| JOLYNNE M MACK3 Filed as: JOLYNNE MACK | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $334 | — | $334 | 1.17% |
| WARREN L FRICK3 Filed as: WARREN FRICK | 4655 HAMPTONS DRIVE ALPHARETTA, GA 30004 | AFLAC | $312 | — | $312 | 1.10% |
| PEAK INC3 Filed as: PEAK INC. | 113 S BURR STE 300 PO BOX 514 MITCHELL, SD 57301 | AFLAC | $295 | $3 | $298 | 1.05% |
| JEREMY L TOMLINSON3 Filed as: JEREMY TOMLINSON | 7825 WASHINGTON AVE S STE 425 MINNEAPOLIS, MN 55439 | AFLAC | $189 | — | $189 | 0.66% |
| LANCE D THORSON3 Filed as: LANCE THORSON | 113 5TH SW SE WATERTOWN, SD 57201 | AFLAC | $161 | — | $161 | 0.57% |
| TERRI BRUNER3 | 512 S LAKE DRIVE WATERTOWN, SD 57201 | AFLAC | $132 | — | $132 | 0.46% |
| CAROL FOX3 | 42312 199TH STREET BANCROFT, SD 57353 | AFLAC | $124 | — | $124 | 0.44% |
| WILLIAM D WENBERG3 Filed as: WILLIAM WENBERG | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $122 | — | $122 | 0.43% |
| MICHAEL C WALKER3 Filed as: MICHAEL TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $112 | — | $112 | 0.39% |
| CHRISTIE L WOOKEY3 Filed as: CHRISTIE WOOKEY | 808 SOUTH MAPLE WATERTOWN, SD 57201 | AFLAC | $108 | — | $108 | 0.38% |
| JEREMY D FOX3 Filed as: JEREMY FOX | 42312 199TH STREET BANCROFT, SD 57353 | AFLAC | $107 | — | $107 | 0.38% |
| NAOMI C MCLAUGHLIN3 Filed as: NAOMI MCLAUGHLIN | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $96 | — | $96 | 0.34% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL D EVANS JR. | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $85 | $3 | $88 | 0.31% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL D EVANS JR. | 3199 SIOUX CONIFER RD WATERTOWN, SD 57201 | AFLAC | $67 | — | $67 | 0.24% |
| NANCY CLAUSSEN3 | 322 E 8TH ST APT 209 SIOUX FALLS, SD 57103 | AFLAC | $67 | — | $67 | 0.24% |
| DAVID J MCCLELLAN3 Filed as: DAVID AESOPH | 1301 SOUTH SUMMIT AVE SIOUX FALLS, SD 57105 | AFLAC | $63 | — | $63 | 0.22% |
| CAROLYN MAE AMMANN3 Filed as: CAROLYN AMMANN | 2013 PALISADES LN WATERTOWN, SD 57201 | AFLAC | $56 | — | $56 | 0.20% |
| DEBORAH J LANGENFELD HOOPS3 Filed as: DEBORAH LANGENFELD HOOPS | PO BOX 462 HURON, SD 57350 | AFLAC | $56 | — | $56 | 0.20% |
| JULIA KREJCHI3 | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $31 | $5 | $36 | 0.13% |
| LISA A PERRI3 Filed as: LISA UHLIR | 8516 E WILLOW RIDGE PLACE SIOUX FALLS, SD 57110 | AFLAC | $28 | — | $28 | 0.10% |
| JUSTINE DEVILLE3 | 5514 7TH AVE SW WATERTOWN, SD 57201 | AFLAC | $20 | — | $20 | 0.07% |
| AWS INC3 | 1919 WEST 57TH STREET, SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $6 | — | $6 | 0.02% |
| FREIMARK & ASSOCIATES3 | PO BOX 784 WATERTOWN, SD 57201 | VISION SERVICE PLAN | $940 | — | $940 | 6.13% |
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 | 123 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 48 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 11 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK OF SOUTH DAKOTA, INC. | 117 | $814K |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 232 | $82K |
| Vision | VISION SERVICE PLAN | 84 | $15K |
| Short-term disability | AFLAC | 47 | $28K |
| Prescription drug | WELLMARK OF SOUTH DAKOTA, INC. | 117 | $814K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.