| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 161 WASHINGTON STREET CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $14K | — | $14K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 161 WASHINGTON STREET CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 15.00% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $599 | $599 | 1.97% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$14K | — | -$14K | -45.24% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $584 | $584 | 1.99% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$9K | — | -$9K | -29.65% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $320 | $320 | 1.30% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$6K | — | -$6K | -24.45% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $398 | $398 | 2.27% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$8K | — | -$8K | -45.90% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 161 WASHINGTON STREET CONSHOHOCKEN, PA 19428 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $285 | $285 | 2.05% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$5K | — | -$5K | -38.34% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $251 | $251 | 1.91% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$4K | — | -$4K | -29.56% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $248 | $248 | 2.12% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$5K | — | -$5K | -45.93% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $135 | $135 | 2.13% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$4K | — | -$4K | -56.31% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $61 | $61 | 2.30% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$566 | — | -$566 | -21.35% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $597 | — | $597 | 43.39% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $18 | $18 | 1.31% |
| SD AUTO DEALERS ASSOC4 | PO BOX 89008 SIOUX FALLS, SD 57109 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $25 | $25 | 2.63% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | -$950 | — | -$950 | -100.11% |
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 | 506 | 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) | 506 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 710 | $91K |
| Short-term disability(10 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 61 | $151K |
| Long-term disability(11 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 248 | $216K |
| Stop-loss / reinsurancereinsurance(9 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 61 | $148K |
| Other(12 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 598 | $166K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 710 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.