| 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 | $21K | — | $21K | 1.64% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $3K | $15K | 18.39% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $840 | $840 | 1.04% |
| FREIMARK & ASSOCIATES3 Filed as: FREIMARK & ASSOCIATES INC | 812 10TH ST SW WATERTOWN, SD 572014128 | METROPOLITAN LIFE INSURANCE COMPANY | — | $11 | $11 | 0.01% |
| SHERRY M ADAMS3 | 7227 WEST LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $2K | $88 | $2K | 2.59% |
| HEATHER M BRAMER3 Filed as: HEATHER BRAMER | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $2K | $79 | $2K | 2.56% |
| BEVERLY M SEMMENS3 Filed as: BEVERLY SEMMENS | 314 S BLAUVELT SIOUX FALLS, SD 57103 | AFLAC | $698 | — | $698 | 1.04% |
| AWS INC3 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $449 | $21 | $470 | 0.70% |
| ASHLEY D WARNER3 | 712 2ND ST SW DE SMET, SD 57231 | AFLAC | $316 | $18 | $334 | 0.50% |
| DOUGLAS HASLIP3 | 7227 W LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $285 | — | $285 | 0.43% |
| JEFFREY J YOUNG3 | 7014 S WITZKE PL SIOUX FALLS, SD 57106 | AFLAC | $214 | $21 | $235 | 0.35% |
| HERMAN PETERSEN3 | 3728 FOX RUN PL SIOUX FALLS, SD 57103 | AFLAC | $230 | — | $230 | 0.34% |
| LISA K UHLIR3 Filed as: LISA UHLIR | 8516 E WILLOW RIDGE PLACE SIOUX FALLS, SD 57110 | AFLAC | $223 | — | $223 | 0.33% |
| MICHAEL L MANTERNACH3 | 2512 150TH AVE MANCHESTER, IA 52057 | AFLAC | $179 | $31 | $210 | 0.31% |
| KEITH OLSON3 | 427 31ST AVE E WEST FARGO, ND 58078 | AFLAC | $188 | — | $188 | 0.28% |
| DAVID P AESOPH3 Filed as: DAVID ASEOPH | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $183 | — | $183 | 0.27% |
| MELISSA J BECK3 | 26505 LAKEVIEW PLACE HARTFORD, SD 57033 | AFLAC | $156 | — | $156 | 0.23% |
| KENNETH W STEELE3 Filed as: KENNETH STEELE | PO BOX 88806 SIOUX FALLS, SD 57109 | AFLAC | $155 | — | $155 | 0.23% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $150 | — | $150 | 0.22% |
| JASON MACK3 | 1623 7TH ST NE WATERTOWN, SD 57201 | AFLAC | $109 | $40 | $149 | 0.22% |
| MICHELLE ALBEA3 | 11909 S 34TH ST BELLEVUE, NE 68123 | AFLAC | $144 | — | $144 | 0.21% |
| NEFZEGER ENTERPRISES INC3 | 524 W LAKE DR LAKE NORDEN, SD 57248 | AFLAC | $137 | — | $137 | 0.20% |
| BRAD P LUFKIN3 Filed as: BRAD LUFKIN | 5530 WEST PKWY STE 500 JOHNSTON, IA 50131 | AFLAC | $130 | — | $130 | 0.19% |
| MICHAEL BOLGER3 | 128 WOODLAND DR MADISON, SD 57042 | AFLAC | $111 | — | $111 | 0.17% |
| TRACY L HOSTLER3 | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $109 | $2 | $111 | 0.17% |
| JAIME R RAGINS3 Filed as: JAIME RAGINS | 31 COBBLESTONE LN LE CLAIRE, IA 52753 | AFLAC | $103 | — | $103 | 0.15% |
| THEODORE W HONKE3 Filed as: THEODORE HONKE | 29478 US HIGHWAY 281 LAKE ANDES, SD 57356 | AFLAC | $99 | — | $99 | 0.15% |
| CHRIS A GUSTAFSON3 Filed as: CHRIS GUSTAFSON | 25977 482ND AVE BRANDON, SD 57005 | AFLAC | $99 | — | $99 | 0.15% |
| THE TODD GROUP3 | 100 E 2ND ST UNIT 205 CEDAR FALLS, IA 50613 | AFLAC | $92 | — | $92 | 0.14% |
| RONALD L HOVICK3 | 2214 SW 43RD TER CAPE CORAL, FL 33914 | AFLAC | $85 | — | $85 | 0.13% |
| JOLYNNE M MACK3 Filed as: JOLYNNE MACK | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $78 | — | $78 | 0.12% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL EVANS JR | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $67 | — | $67 | 0.10% |
| PERFORMANCE PLUS LLC3 | 114 N MAIN ST MITCHELL, SD 57301 | AFLAC | $56 | $10 | $66 | 0.10% |
| KRISTI ENDRES3 | 1305 22ND ST NE WATERTOWN, SD 57201 | AFLAC | $45 | $9 | $54 | 0.08% |
| CORY D NELSON3 Filed as: CORY NELSON | 215 HIGHWAY 965 NE STE 3 NORTH LIBERTY, IA 52317 | AFLAC | $52 | — | $52 | 0.08% |
| DEBORAH J LANGENFELD HOOPS3 | PO BOX 462 HURON, SD 57350 | AFLAC | $44 | — | $44 | 0.07% |
| JEREMY L TOMLINSON3 Filed as: JEREMY TOMLINSON | 8465 W WINCHESTER DR BOISE, ID 83703 | AFLAC | $43 | — | $43 | 0.06% |
| ERIC PALMER3 | 114 N MAIN ST MITCHELL, SD 57301 | AFLAC | $35 | $7 | $42 | 0.06% |
| C SUE MCKENZIE3 | 10016 W BOLIVAR DR SUN CITY, AZ 85351 | AFLAC | $41 | — | $41 | 0.06% |
| WILLIAM D WENBERG3 | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $37 | — | $37 | 0.06% |
| SHON FORD LLC3 | 427 N BROADWAY AVE MILLER, SD 57362 | AFLAC | $26 | $9 | $35 | 0.05% |
| MATTHEW J SCHNEIDER3 | 1225 E RIVER DR DAVENPORT, IA 52803 | AFLAC | $26 | $7 | $33 | 0.05% |
| ANDREA L SWEETER3 | 46872 283RD STREET LENNOX, SD 57039 | AFLAC | $32 | — | $32 | 0.05% |
| SARA KNEIP3 | 1218 6TH STREET BROOKINGS, SD 57006 | AFLAC | $25 | — | $25 | 0.04% |
| TONYA L REMLEY3 | 1225 E RIVER DR STE 302 DAVENPORT, IA 52803 | AFLAC | $16 | $7 | $23 | 0.03% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PRKW S STE C FARGO, ND 58104 | AFLAC | $22 | — | $22 | 0.03% |
| GRANT A HOUWMAN3 | 200 S PHILLIIPS AVE STE 200 SIOUX FALLS, SD 57104 | AFLAC | $22 | — | $22 | 0.03% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PRKW S STE C FARGO, ND 58104 | AFLAC | $20 | — | $20 | 0.03% |
| MELODY B THOMPSON3 Filed as: MELODY THOMPSON | 518 MAIN AVE BROOKINGS, SD 57006 | AFLAC | $19 | — | $19 | 0.03% |
| ABBY J BREITLING3 | 3500 S PHILLIPS AVE STE 101 SIOUX FALLS, SD 57105 | AFLAC | $18 | — | $18 | 0.03% |
| MARY BRENDE3 | 3101 E 33RD ST SIOUX FALLS, SD 57103 | AFLAC | $15 | — | $15 | 0.02% |
| TERRELL & COMPANY INC3 | 4401 WESTOWN PKWY STE 350 WEST DES MOINES, IA 50266 | AFLAC | $15 | — | $15 | 0.02% |
| LINDA J HARMS3 | 2293 140TH ST TRIPOLI, IA 50676 | AFLAC | $14 | — | $14 | 0.02% |
| TYONIA N EGGERS3 | 102 BASS ST STORM LAKE, IA 50588 | AFLAC | $14 | — | $14 | 0.02% |
| MATTHEW D BUTLER3 Filed as: MATTHEW BUTLER | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $13 | — | $13 | 0.02% |
| JARVIS ANTHONY THOMAS3 | 2959 SUMMER DRIVE DUBUQUE, IA 52002 | AFLAC | $12 | — | $12 | 0.02% |
| JODY L KLUDT3 | 43127 NW JIM RIVER RD LESTERVILLE, SD 57040 | AFLAC | $11 | — | $11 | 0.02% |
| TINA M KECK3 | 440 LOWELL ST DUBUQUE, IA 52001 | AFLAC | $10 | — | $10 | 0.01% |
| NAOMI C MCLAUGHLIN3 | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $10 | — | $10 | 0.01% |
| TYONIA EGGERS INC3 | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $10 | — | $10 | 0.01% |
| HEATHER ROWE3 Filed as: HEATHER M STOLSMARK | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $10 | — | $10 | 0.01% |
| SASHA CAMPBELL3 | 2731 12TH AVE STE B FARGO, ND 58103 | AFLAC | $9 | — | $9 | 0.01% |
| SIDNEY LAYNE LAHR3 | 1012 1ST AVE W DYERSVILLE, IA 52040 | AFLAC | $8 | — | $8 | 0.01% |
| CRAIG S STADTFELD3 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $8 | — | $8 | 0.01% |
| ROXANNE M FIECHTNER3 | 2820 SWEETGRASS DR BROOKINGS, SD 57006 | AFLAC | $8 | — | $8 | 0.01% |
| JASON GARCIA3 | 722 DENVER ST WATERLOO, IA 50702 | AFLAC | $7 | — | $7 | 0.01% |
| LANCE D THORSON3 Filed as: LANCE THORSON | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $7 | — | $7 | 0.01% |
| MARY L SAVOLD3 | 3430 S SHELDON LN APT 207 SIOUX FALLS, SD 57105 | AFLAC | $7 | — | $7 | 0.01% |
| THOMAS J CASSADY3 | 2731 12TH AVE STE B FARGO, ND 58103 | AFLAC | $7 | — | $7 | 0.01% |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY CT NATCHEZ, MS 39120 | AFLAC | $6 | — | $6 | 0.01% |
| REMLEY BENEFITS LLC3 | 1225 E RIVER DR STE DAVENPORT, IA 52803 | AFLAC | $6 | — | $6 | 0.01% |
| CAREN A STRAATMEYER3 Filed as: CAREN STRAATMEYER | 704 EAST 70TH PL SIOUX FALLS, SD 57108 | AFLAC | $5 | — | $5 | 0.01% |
| SCOTT R FRITCHER3 | 3511 131ST ST URBANDALE, IA 50323 | AFLAC | $5 | — | $5 | 0.01% |
| CAREN A STRAATMEYER3 | 704 E 70TH PL SIOUX FALLS, SD 57108 | AFLAC | $5 | — | $5 | 0.01% |
| JOSHUA D TERRELL3 | 812 VENETIAN ISLES DR APT 1 LAKE PARK, FL 33403 | AFLAC | $5 | — | $5 | 0.01% |
| RIVER VIEW INC3 | 43127 NW JIM RIVER RD LESTERVILLE, SD 57040 | AFLAC | $4 | — | $4 | 0.01% |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $3 | — | $3 | 0.00% |
| RICHARD R KIMBROUGH3 Filed as: RICHARD KIMBROUGH | 6380 N PARK MEADOW WAY APT 203 BOISE, ID 83713 | AFLAC | $2 | — | $2 | 0.00% |
| HEATHER D SWANSON3 | 115 SD BAYTREE DR WAUKEE, IA 50263 | AFLAC | $2 | — | $2 | 0.00% |
| BERNARD J BRAZEAU3 | 6705 GRIMES STREET INDIANOLA, IA 50125 | AFLAC | $2 | — | $2 | 0.00% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DR KEOKUK, IA 52632 | AFLAC | $2 | — | $2 | 0.00% |
| HEIDI ALFSON3 | 602 IRONWOOD DR HARTFORD, SD 57033 | AFLAC | $2 | — | $2 | 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% |
| RENALDUS N WENTZ3 | 2038 FOREST PARK DR BILLINGS, MT 59102 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIAM M BARNETT3 | 703 N SAGEHORN DR HARTFORD, SD 57003 | AFLAC | $1 | — | $1 | 0.00% |
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 | 160 | 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) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA | 160 | $1.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 219 | $81K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 219 | $81K |
| Short-term disability | AFLAC | 108 | $67K |
| Prescription drug | WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA | 160 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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.