| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM & BUTLER INSURANCE | 800 MAIN STREET DUBUQUE, IA 520040028 | WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA | $24K | — | $24K | 1.48% |
| SHERRY M ADAMS3 | 7227 WEST LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $3K | $125 | $3K | 3.36% |
| HEATHER M BRAMER3 Filed as: HEATHER BRAMER | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $2K | $83 | $2K | 2.84% |
| BEVERLY M SEMMENS3 Filed as: BEVERLY SEMMENS | 314 S BLAUVELT SIOUX FALLS, SD 57103 | AFLAC | $1K | — | $1K | 1.27% |
| AWS INC3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $671 | $27 | $698 | 0.81% |
| KEITH OLSON3 | 427 31ST AVE E WEST FARGO, ND 58078 | AFLAC | $622 | $24 | $646 | 0.75% |
| DOUGLAS HASLIP3 | 7227 WEST LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $427 | — | $427 | 0.50% |
| MELISSA J BECK3 | 26505 LAKEVIEW PLACE HARTFORD, SD 57033 | AFLAC | $396 | $25 | $421 | 0.49% |
| MICHELLE ALBEA3 | 11909 S 34TH ST BELLEVUE, NE 68123 | AFLAC | $410 | — | $410 | 0.48% |
| ASHLEY D WARNER3 | 712 2ND ST SW DE SMET, SD 57231 | AFLAC | $368 | $15 | $383 | 0.45% |
| JAIME R RAGINS3 Filed as: JAIME RAGINS | 31 COBBLESTONE LN LE CLAIRE, IA 52753 | AFLAC | $360 | — | $360 | 0.42% |
| HERMAN PETERSEN3 | 3728 FOX RUN PL SIOUX FALLS, SD 57103 | AFLAC | $356 | — | $356 | 0.42% |
| MICHAEL L MANTERNACH3 Filed as: MICHAEL MANTERNACH | 2512 150TH AVE MANCHESTER, IA 52057 | AFLAC | $306 | $37 | $343 | 0.40% |
| LISA K UHLIR3 Filed as: LISA UHLIR | 8516 E WILLOW RIDGE PLACE SIOUX FALLS, SD 57110 | AFLAC | $341 | — | $341 | 0.40% |
| DAVID P AESOPH3 Filed as: DAVID ASEOPH | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $292 | — | $292 | 0.34% |
| KENNETH W STEELE3 Filed as: KENNETH STEELE | PO BOX 88806 SIOUX FALLS, SD 57109 | AFLAC | $250 | — | $250 | 0.29% |
| MICHAEL C WALKER3 Filed as: MICHAEL TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $235 | — | $235 | 0.27% |
| PERFORMANCE PLUS LLC3 | 114 N MAIN ST MITCHELL, SD 57301 | AFLAC | $197 | $10 | $207 | 0.24% |
| NEFZEGER ENTERPRISES INC3 | 524 W LAKE DR LAKE NORDEN, SD 57248 | AFLAC | $182 | — | $182 | 0.21% |
| PEAK INC3 | 40658 252ND STREET MITCHELL, SD 57301 | AFLAC | $139 | — | $139 | 0.16% |
| CHRIS A GUSTAFSON3 Filed as: CHRIS GUSTAFSON | 25977 482ND AVE BRANDON, SD 57005 | AFLAC | $131 | $6 | $137 | 0.16% |
| MICHAEL BOLGER3 | 128 WOODLAND DR MADISON, SD 57042 | AFLAC | $135 | — | $135 | 0.16% |
| BRAD P LUFKIN3 Filed as: BRAD LUFKIN | 5530 WEST PKWY STE 500 JOHNSTON, IA 50131 | AFLAC | $135 | — | $135 | 0.16% |
| MICHAEL FRASIER3 | 4001 FELLAND RD STE 113 MADISON, WI 53718 | AFLAC | $113 | $14 | $127 | 0.15% |
| RONALD L HOVICK3 Filed as: RONALD HOVICK | 2214 SW 43RD TERR CAPE CORAL, FL 33914 | AFLAC | $116 | — | $116 | 0.14% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL EVANS JR | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $112 | — | $112 | 0.13% |
| JOLYNNE M MACK3 Filed as: JOLYNNE MACK | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $99 | — | $99 | 0.12% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PRKW S STE C FARGO, ND 58104 | AFLAC | $94 | $4 | $98 | 0.11% |
| CORY D NELSON3 Filed as: CORY NELSON | 215 HIGHWAY 965 NE STE 1 NORTH LIBERTY, IA 52317 | AFLAC | $97 | — | $97 | 0.11% |
| THE TODD GROUP3 | 602 MAIN ST STE 200 CEDAR FALLS, IA 50613 | AFLAC | $95 | — | $95 | 0.11% |
| C SUE MCKENZIE3 | 10016 W BOLIVAR DR SUN CITY, AZ 85351 | AFLAC | $77 | — | $77 | 0.09% |
| DEBORAH J LANGENFELD HOOPS3 | PO BOX 462 HURON, SD 57350 | AFLAC | $76 | — | $76 | 0.09% |
| TYONIA N EGGERS3 | 607 ROSEWOOD AVE PAPILLION, NE 68133 | AFLAC | $73 | — | $73 | 0.09% |
| WILLIAM D WENBERG3 Filed as: WILLIAM WENBERG | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $60 | — | $60 | 0.07% |
| THE TODD GROUP3 | 100 E 2ND ST UNIT 205 CEDAR FALLS, IA 50613 | AFLAC | $53 | — | $53 | 0.06% |
| JEREMY L TOMLINSON3 Filed as: JEREMY TOMLINSON | 2805 N 36TH ST BOISE, ID 83703 | AFLAC | $51 | — | $51 | 0.06% |
| ANDREA L SWEETER3 | 46872 283RD STREET LENNOX, SD 57039 | AFLAC | $49 | — | $49 | 0.06% |
| SIDNEY LAYNE LAHR3 | 1012 1ST AVE W DYERSVILLE, IA 52040 | AFLAC | $40 | $5 | $45 | 0.05% |
| ERIC PALMER3 | 114 N MAIN ST MITCHELL, SD 57301 | AFLAC | $39 | $5 | $44 | 0.05% |
| PENELOPE CORE3 | 25663 OLD LINCOLN HWY HONEY CREEK, IA 51542 | AFLAC | $41 | — | $41 | 0.05% |
| SARA KNEIP3 | 1218 6TH STREET BROOKINGS, SD 57006 | AFLAC | $41 | — | $41 | 0.05% |
| TERRELL & COMPANY INC3 | 5530 WEST PKWY STE 100 JOHNSTON, IA 50131 | AFLAC | $32 | $7 | $39 | 0.05% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PRKW S STE C FARGO, ND 58104 | AFLAC | $33 | — | $33 | 0.04% |
| ANDREW C MJONESS3 | 4840 AMBER VALLEY PRKW S STE C FARGO, ND 58104 | AFLAC | $29 | — | $29 | 0.03% |
| HEATHER STOLSMARK3 | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $18 | $11 | $29 | 0.03% |
| RIVER VIEW INC3 | 43127 NW JIM RIVER RD LESTERVILLE, SD 57040 | AFLAC | $24 | — | $24 | 0.03% |
| MARY L SAVOLD3 Filed as: MARY SAVOLD | 3430 S SHELDON LN APT 207 SIOUX FALLS, SD 57105 | AFLAC | $23 | — | $23 | 0.03% |
| CRAIG S STADTFELD3 Filed as: CRAIG G STADFELD | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $19 | $4 | $23 | 0.03% |
| JARVIS ANTHONY THOMAS3 | 2959 SUMMER DRIVE DUBUQUE, IA 52002 | AFLAC | $17 | $2 | $19 | 0.02% |
| ABBY J BREITLING3 | 3500 S PHILLIPS AVE STE 101 SIOUX FALLS, SD 57105 | AFLAC | $17 | — | $17 | 0.02% |
| CAREN A STRAATMEYER3 Filed as: CAREN STRAATMEYER | 704 EAST 70TH PL SIOUX FALLS, SD 57108 | AFLAC | $16 | — | $16 | 0.02% |
| DEBORAH KAE LEE3 | 4303 W TOWNSLEY PLACE SIOUX FALLS, SD 57108 | AFLAC | $15 | — | $15 | 0.02% |
| NAOMI C MCLAUGHLIN3 Filed as: NAOMI MCLAUGHLIN | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $14 | — | $14 | 0.02% |
| MARY BRENDE3 | 3101 E 33RD ST SIOUX FALLS, SD 57103 | AFLAC | $14 | — | $14 | 0.02% |
| JAMES MCDONALD3 Filed as: JAMES MADSEN | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $14 | — | $14 | 0.02% |
| JEREMY ALLEN TIMMERMANS3 Filed as: JEREMY TIMMERMANS | 46124 274TH ST CHANCELLOR, SD 57015 | AFLAC | $14 | — | $14 | 0.02% |
| THEODORE W HONKE3 Filed as: THEODORE HONKE | 40588 252ND ST MITCHELL, SD 57301 | AFLAC | $13 | — | $13 | 0.02% |
| LINDA J HARMS3 | 2293 140TH ST TRIPOLI, IA 50676 | AFLAC | $13 | — | $13 | 0.02% |
| MATTHEW D BUTLER3 Filed as: MATTHEW BUTLER | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $13 | — | $13 | 0.02% |
| CASEY J HIGGINS3 | 3083 LYMANS RUN SUN PRAIRIE, WI 53590 | AFLAC | $12 | $0 | $12 | 0.01% |
| TINA M KECK3 Filed as: TINA KECK | 440 LOWELL ST DUBUQUE, IA 52001 | AFLAC | $12 | — | $12 | 0.01% |
| MELIYA REESE3 | 1017 COTTONWOOD DRIVE BRANDON, SD 57005 | AFLAC | $11 | — | $11 | 0.01% |
| MELODY B THOMPSON3 Filed as: MELODY THOMPSON | 1212 MAIN AVENUE SOUTH BROOKINGS, SD 57006 | AFLAC | $11 | — | $11 | 0.01% |
| ANDREW C MJONESS3 Filed as: ANDREW MJONESS | 2917 14TH AVE S MOORHEAD, MN 56560 | AFLAC | $11 | — | $11 | 0.01% |
| ROBIN R NEFZGER3 | 524 WEST LAKE DRIVE LAKE NORDEN, SD 57248 | AFLAC | $10 | — | $10 | 0.01% |
| TERRELL & COMPANY INC3 | 4401 WESTOWN PKWY STE 350 WEST DES MOINES, IA 50266 | AFLAC | $10 | — | $10 | 0.01% |
| TONYA L REMLEY3 | 1225 E RIVER DR STE 302 DAVENPORT, IA 52803 | AFLAC | $10 | — | $10 | 0.01% |
| LANCE D THORSON3 Filed as: LANCE THORSON | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $9 | — | $9 | 0.01% |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY CT NATCHEZ, MS 39120 | AFLAC | $9 | — | $9 | 0.01% |
| SCOTT R FRITCHER3 | 3511 131ST ST URBANDALE, IA 50323 | AFLAC | $8 | — | $8 | 0.01% |
| MONICA WHITE3 Filed as: MONICA L WHITE | 28876 DELTA AVE TREYNOR, IA 51575 | AFLAC | $8 | — | $8 | 0.01% |
| JASON GARCIA3 | 722 DENVER ST WATERLOO, IA 50702 | AFLAC | $7 | — | $7 | 0.01% |
| ROXANNE M FIECHTNER3 Filed as: ROXANNE FIECHTNER | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $3 | $4 | $7 | 0.01% |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $6 | — | $6 | 0.01% |
| MELODY B THOMPSON3 Filed as: MELODY THOMPSON | 518 MAIN AVE BROOKINGS, SD 57006 | AFLAC | $6 | — | $6 | 0.01% |
| TRACY L HOSTLER3 Filed as: TRACY HOSTLER | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $2 | $4 | $6 | 0.01% |
| RENALDUS N WENTZ3 Filed as: RENALDUS WENTZ | 2038 FOREST PARK DR BILLINGS, MT 59102 | AFLAC | $5 | — | $5 | 0.01% |
| CASEY J HIGGINS3 | 9347 LIZARD ROCK TRL COLORADO SPRINGS, CO 80924 | AFLAC | $2 | $2 | $4 | 0.00% |
| KACY A GRUENKEMEYER3 Filed as: KACY GRUENKEMEYER | 325 CHEROKEE BLVD STE 102 CHATTANOOGA, TN 37405 | AFLAC | $3 | — | $3 | 0.00% |
| CHARLES L PRICE3 Filed as: CHARLES PRICE | 915 E DONEGAL ONEILL, NE 68763 | AFLAC | $3 | — | $3 | 0.00% |
| MITCHELL J MCCALL3 Filed as: MITCHELL MCCALL | 3 STONERIDGE DR KEOKUK, IA 52632 | AFLAC | $2 | — | $2 | 0.00% |
| RICHARD R KIMBROUGH3 Filed as: RICHARD KIMBROUGH | 1972 MUIRFILED WAY SE PALM BAY, FL 32909 | AFLAC | $2 | — | $2 | 0.00% |
| HEATHER D SWANSON3 | 4517 49TH PL DES MOINES, IA 50310 | AFLAC | $2 | — | $2 | 0.00% |
| BERNARD J BRAZEAU3 | 6705 GRIMES STREET INDIANOLA, IA 50125 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIAM M BARNETT3 | 703 NORTH SAGEHORN DRIVE HARTFORD, SD 57033 | AFLAC | $2 | — | $2 | 0.00% |
| KARA M CARMODY3 | 718 HOYT AVE E. ST ST. PAUL, MN 55106 | AFLAC | $1 | — | $1 | 0.00% |
| JACQUELYN KIMBROUGH3 | 1680 BURR OAKS DRIVE WEST DES MOINES, IA 50266 | AFLAC | $1 | — | $1 | 0.00% |
| STACEY LYN CASTELLANETA3 Filed as: STACEY SCHROCK | 3616 UNIVERSITY AVE APT 4 DES MOINES, IA 50311 | AFLAC | $1 | — | $1 | 0.00% |
| MK SWAN INC3 | 6610 HARVEST DR PAPILLION, NE 68133 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES L HAYES3 Filed as: JAMES HAYES | 1547 CEDAR SPRINGS CT NORTH LIBERTY, IA 52317 | AFLAC | $1 | — | $1 | 0.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $3K | $15K | 18.42% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $793 | $793 | 0.95% |
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 | 186 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA | 188 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 248 | $83K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 248 | $83K |
| Short-term disability | AFLAC | 131 | $86K |
| Prescription drug | WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA | 188 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.