| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOEN & ASSOCIATES INC3 | 7119 SOUTH LYNCREST PLACE SIOUX FALLS, SD 57108 | PRINCIPAL LIFE INSURANCE COMPANY | $33K | — | $33K | 13.10% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | — | $23K | $23K | 9.17% |
| GIS BENEFITS INC DBA BOON CHAPMAN3 | 9401 AMBERGLEN BOULEVARD BUILDING 1, SUITE 100 AUSTIN, TX 78729 | PRINCIPAL LIFE INSURANCE COMPANY | — | $430 | $430 | 0.17% |
| CHRIS A GUSTAFSON3 | 25977 482ND AVENUE BRANDON, SD 57005 | AFLAC | $1K | $33 | $1K | 6.89% |
| HEATHER ROWE3 | 27007 SERENITY PLACE CHANCELLOR, SD 57015 | AFLAC | $403 | — | $403 | 1.89% |
| MAX P EVANS3 | 3199 SIOUX CONIFER ROAD WATERTOWN, SD 57201 | AFLAC | $368 | — | $368 | 1.72% |
| AWS INC3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $319 | — | $319 | 1.50% |
| ERICA HAZELTON3 | 1313 SOUTH PARKVIEW BOULEVARD BRANDON, SD 57005 | AFLAC | $236 | — | $236 | 1.11% |
| KRISTY ANN KAUFMAN3 | 912 SOUTH SCARLET OAK TRAIL SIOUX FALLS, SD 57110 | AFLAC | $230 | — | $230 | 1.08% |
| CAREN A STRAATMEYER3 | 3412 WEST RALPH ROGERS ROAD APARTMENT 103 SIOUX FALLS, SD 57108 | AFLAC | $154 | — | $154 | 0.72% |
| CRAIG S STADTFELD3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $56 | $8 | $64 | 0.30% |
| C SUE MCKENZIE3 | 10016 WEST BOLIVAR DRIVE SUN CITY, AZ 85351 | AFLAC | $33 | — | $33 | 0.15% |
| TRACY LYNN MANGOLD3 Filed as: TRACY GAGLIARDI BEST | 1488 SLEEPY HOLLOW LANE NEW BRAUNFELS, TX 78103 | AFLAC | $31 | — | $31 | 0.15% |
| LISA K UHLIR3 | 8516 EAST WILLOW RIDGE PLACE SIOUX FALLS, SD 57110 | AFLAC | $30 | — | $30 | 0.14% |
| SHAWNA STARR NYHAUG3 | 206 WEST MAPLE STREET BERESFORD, SD 57004 | AFLAC | $30 | — | $30 | 0.14% |
| EMANUEL GAGLIARDI3 | 1488 SLEEPY HOLLOW LANE NEW BRAUNFELS, TX 78130 | AFLAC | $29 | — | $29 | 0.14% |
| KENNETH W STEELE3 | PO BOX 88806 SIOUX FALLS, SD 57109 | AFLAC | $27 | — | $27 | 0.13% |
| TARA M HELLER3 | 10428 NORTH POTTER AVENUE KANSAS CITY, MO 64157 | AFLAC | $27 | — | $27 | 0.13% |
| KIM R HARMS3 | 310 BIRCH AVENUE AURORA, SD 57002 | AFLAC | $18 | — | $18 | 0.08% |
| CHARLES L PRICE3 | 915 EAST DONEGAL STREET O NEILL, NE 68763 | AFLAC | $17 | — | $17 | 0.08% |
| WILLIAM D WENBERG3 | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $17 | — | $17 | 0.08% |
| CHRISTIAN M KRUEGER3 | 2633 FAIRWOOD DRIVE NEW BRAUNFELS, TX 78132 | AFLAC | $16 | — | $16 | 0.07% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DRIVE WATERTOWN, SD 57201 | AFLAC | $6 | — | $6 | 0.03% |
| JADE COMPANIES LLC3 | 600 STEVENS PORT DRIVE SUITE 300 DAKOTA DUNES, SD 57049 | AFLAC | $5 | — | $5 | 0.02% |
| TRACY L HOSTLER3 | 518 MAIN AVENUE BROOKINGS, SD 57006 | AFLAC | $4 | — | $4 | 0.02% |
| THE LUTHER GROUP LLC3 | 6525 NORTHWEST MELODY COURT PARKVILLE, MO 64152 | AFLAC | $4 | — | $4 | 0.02% |
| CHRIS A GUSTAFSON3 | 25977 482ND AVENUE BRANDON, SD 57005 | AFLAC | $471 | $24 | $495 | 3.78% |
| KRISTY ANN KAUFMAN3 | 912 SOUTH SCARLET OAK TRAIL SIOUX FALLS, SD 57110 | AFLAC | $350 | $101 | $451 | 3.45% |
| ERICA HAZELTON3 | 1313 SOUTH PARKVIEW BOULEVARD BRANDON, SD 57005 | AFLAC | $413 | — | $413 | 3.16% |
| HEATHER ROWE3 | 27007 SERENITY PLACE CHANCELLOR, SD 57015 | AFLAC | $399 | — | $399 | 3.05% |
| AWS INC3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $222 | $24 | $246 | 1.88% |
| CRAIG S STADTFELD3 | 1919 WEST 57TH STREET SUITE 101 SIOUX FALLS, SD 57108 | AFLAC | $21 | — | $21 | 0.16% |
| SHAWNA STARR NYHAUG3 | 206 WEST MAPLE STREET BERESFORD, SD 57004 | AFLAC | $19 | — | $19 | 0.15% |
| PATRICK K RICKERL3 | 3300 SOUTH PILLSBERRY AVENUE SIOUX FALLS, SD 57103 | AFLAC | $2 | — | $2 | 0.02% |
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 | 281 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 190 | $1.4M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 235 | $249K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 235 | $249K |
| Life insurance(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 235 | $284K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 235 | $249K |
| Other(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 235 | $284K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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."
No prospect flags tripped on this filing.