| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAKOTACARE ADMINISTRATIVE SERVICES5 | 2600 WEST 49TH ST SIOUX FALLS, SD 57105 | HM LIFE INSURANCE COMPANY | $47K | $0 | $47K | 9.54% |
| DAN MAGUIRE BLACK HILLS INS AGENCY3 Filed as: DAN MAGUIRE | 820 ST JOSEPH PO BOX 3330 RAPID CITY, SD 57709 | HM LIFE INSURANCE COMPANY | $17K | $0 | $17K | 3.48% |
| CARVER INSURANCE, INC.3 Filed as: CARVER INSURANCE | 3202 W MAIN ST STE B RAPID CITY, SD 57702 | HM LIFE INSURANCE COMPANY | $10K | $0 | $10K | 1.99% |
| BLACK HILLS INSURANCE AGENCY Filed as: BLACK HILLS AGENCY INC | 820 ST JOSEPH ST PO BOX 3330 RAPID CITY, SD 57709 | DELTA DENTAL OF SOUTH DAKOTA | $3K | $0 | $3K | 1.31% |
| BLACK HILLS INSURANCE AGENCY3 Filed as: BLACK HILLS INS AGENCY INC | PO BOX 3330 RAPID CITY, SD 57709 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 3.41% |
| BLACK HILLS INSURANCE AGENCY3 Filed as: BLACK HILLS INS AGENCY INC | PO BOX 3330 RAPID CITY, SD 57709 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 8.61% |
| BLACK HILLS INSURANCE AGENCY | 820 ST JOSEPH ST RAPID CITY, SD 57701 | VISION SERVICES PLAN | $2K | $0 | $2K | 4.47% |
| BLACK HILLS INSURANCE AGENCY3 Filed as: BLACK HILLS INS AGENCY INC | PO BOX 3330 RAPID CITY, SD 57709 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $959 | $0 | $959 | 12.43% |
| BLACK HILLS INSURANCE AGENCY Filed as: BLACK HILLS INS AGENCY INC | 820 ST JOSEPH ST RAPID CITY, SD 57709 | CHUBB | $122 | $0 | $122 | 15.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DAKOTACARE ADMINISTRATIVE SERVICES EIN 46-0424322 | Contract Administrator Service code 13 | 2600 WEST 49TH ST SIOUX FALLS, SD 57105 | $103K |
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 | 277 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 282 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HM LIFE INSURANCE COMPANY | 390 | $490K |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 504 | $255K |
| Vision | VISION SERVICES PLAN | 450 | $34K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 278 | $110K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 278 | $53K |
| Other(3 contracts, 2 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 278 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 504 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.