| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH MCLENNAN AGENCY LLC | 300 N CHERAPA PL STE 601 SIOUX FALLS, SD 57103 | DELTA DENTAL OF SOUTH DAKOTA | $2K | $0 | $2K | 1.90% |
| MARSH & MCLENNAN AGENCY LLC3 | 300 CHERAPA PL STE 601 SIOUX FALLS, SD 57103 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $0 | $9K | 11.65% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE 400 PARK 80 PLAZA 2 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $806 | $806 | 1.03% |
| MARSH & MCLENNAN AGENCY LLC3 | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 45140 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $11 | $11 | 0.01% |
| DESIREE J MENDEL3 | PO BOX 33 CAPUTA, SD 57725 | AFLAC | $2K | $40 | $2K | 6.27% |
| AMBER MARIE LIND3 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $576 | $6 | $582 | 1.77% |
| BETH A GOODWIN3 | 4455 SEEAIRE ST RAPID CITY, SD 57702 | AFLAC | $502 | $6 | $508 | 1.54% |
| BROOKE A GEDDES3 | 592 BUTTERCUP CT SPEARFISH, SD 57783 | AFLAC | $363 | $0 | $363 | 1.10% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | AFLAC | $280 | $0 | $280 | 0.85% |
| JACLYN ROSE MANN3 | 6716 DUNSMORE RD RAPID CITY, SD 57702 | AFLAC | $145 | $0 | $145 | 0.44% |
| WENDY L SWARTZ3 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $145 | $0 | $145 | 0.44% |
| DUSTIN PRICE3 | 1664 ATLANTA CIR MANITOWOC, WI 54220 | AFLAC | $138 | $0 | $138 | 0.42% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 412703 BOSTON, MA 02241 | AFLAC | $132 | $0 | $132 | 0.40% |
| EUGENE BUTCH LINSTER3 | 3611 ANGEL WAY RAPID CITY, SD 57703 | AFLAC | $107 | $0 | $107 | 0.33% |
| DENISE M ERICKSON3 | 24012 BRIDLE RIDGE RD RAPID CITY, SD 57701 | AFLAC | $72 | $0 | $72 | 0.22% |
| PATSY ROBERTSON3 | 32239 PONDEROSA DR # 29 BURBANK, SD 57010 | AFLAC | $66 | $0 | $66 | 0.20% |
| MICHAEL D EVANS JR3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $62 | $0 | $62 | 0.19% |
| CHRISTOPHER J ZELLNER3 | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $56 | $0 | $56 | 0.17% |
| SHARON M ABERLE3 | 3001 LAZELLE ST LOT 16 STURGIS, SD 57785 | AFLAC | $29 | $0 | $29 | 0.09% |
| PAUL W DESPIRITO3 | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $26 | $0 | $26 | 0.08% |
| DUANE E ROBBINS3 | 8151 LABRADOR TRL RAPID CITY, SD 57702 | AFLAC | $22 | $0 | $22 | 0.07% |
| RUSSELL C MOLSTAD JR3 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $21 | $0 | $21 | 0.06% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $14 | $0 | $14 | 0.04% |
| JOLYNNE M MACK3 | 1301 4TH ST NE WATERTOWN, SD 57201 | AFLAC | $14 | $0 | $14 | 0.04% |
| SHELTA RAMBUR3 | 22 SWAIM RD SHERIDAN, WY 82801 | AFLAC | $13 | $0 | $13 | 0.04% |
| KEVIN B VINING3 | 47269 255TH ST RENNER, SD 57055 | AFLAC | $11 | $0 | $11 | 0.03% |
| JOHN J FREDERICK3 | PO BOX 554 8108 US HIGHWAY 14 DAYTON, WY 82836 | AFLAC | $6 | $0 | $6 | 0.02% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $3 | $0 | $3 | 0.01% |
| JEREMY L TOMLINSON3 | 6305 W RUSSETT ST BOISE, ID 83704 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL MCCRODEN3 | 3112 RUST RIDGE CT RAPID CITY, SD 57703 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $965 | $6K | 26.62% |
| BRADLEY HALVERSON3 | 319 W 5TH ST BLUE EARTH, MN 56013 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $432 | $2K | 8.77% |
| NATALIE SUZANNE FONVILLE3 | 2415 ZENITH AVE N GOLDEN VALLEY, MN 55422 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $524 | $2K | 8.06% |
| BRENDA LEE CANNING3 | 4227 THRU ST SAINT CLOUD, MN 56303 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $649 | $605 | $1K | 5.32% |
| WESLEY DALE GINSBACH3 | 18704 KNUTSON RD NEWELL, SD 57760 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $40 | $0 | $40 | 0.17% |
| MARSH & MCLENNAN AGENCY LLC3 | 33213 COLLECTION CENTER DR CHICAGO, IL 60693 | VISION SERVICE PLAN | $937 | $0 | $937 | 6.15% |
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 | 145 | 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) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 93 | $969K |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 170 | $89K |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 145 | $94K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 145 | $78K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 145 | $111K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 145 | $78K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 145 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.