| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PAMELA J KREBER4 | 5905 S DEER PARK DR SIOUX FALLS, SD 57108 | AFLAC | $4K | $236 | $4K | 5.01% |
| GUENOT ENTERPRISES INC4 | 1501 CENTRE ST STE 101 RAPID CITY, SD 57703 | AFLAC | $2K | $21 | $2K | 1.92% |
| MELISSA J BECK4 | 26505 LAKEVIEW PL HARTFORD, SD 57033 | AFLAC | $655 | $48 | $703 | 0.88% |
| AWS INC4 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $603 | $48 | $651 | 0.81% |
| GREGORY A NESS4 | 3701 WESTMOOR DR MOORHEAD, MN 56560 | AFLAC | $589 | $0 | $589 | 0.73% |
| BRITTANY MARIE URAN4 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $391 | $5 | $396 | 0.49% |
| AMBER MARIE LIND4 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $317 | $5 | $322 | 0.40% |
| JACLYN ROSE MANN4 | 6716 DUNSMORE RD RAPID CITY, SD 57702 | AFLAC | $261 | $0 | $261 | 0.33% |
| RENAE SALLQUIST KNOPF4 | 1716 W GRAND ARBOR CIR SIOUX FALLS, SD 57108 | AFLAC | $179 | $0 | $179 | 0.22% |
| THOMAS J CASSADY4 | 2731 12TH AVE S STE B FARGO, ND 58103 | AFLAC | $167 | $0 | $167 | 0.21% |
| MEHLBRECH INSURANCE INC4 | 47152 257TH ST CROOKS, SD 57020 | AFLAC | $160 | $0 | $160 | 0.20% |
| JEREMY ALLEN TIMMERMANS4 | 46124 274TH ST CHANCELLOR, SD 57015 | AFLAC | $143 | $0 | $143 | 0.18% |
| TRACY L HOSTLER4 | 518 MAIN AVE BROOKINGS, SD 57006 | AFLAC | $117 | $0 | $117 | 0.15% |
| SHAWN D BENSER4 | 4840 AMBR VALLEY7 PKWY S STE C FARGO, ND 58104 | AFLAC | $116 | $0 | $116 | 0.14% |
| MICHAEL BOLGER4 | 128 WOODLAND DR MADISON, SD 57042 | AFLAC | $111 | $0 | $111 | 0.14% |
| MELODY B THOMPSON4 | 1601 BLAIRHILL CIR BROOKINGS, SD 57006 | AFLAC | $108 | $0 | $108 | 0.13% |
| MICHAEL D EVANS JR4 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $85 | $0 | $85 | 0.11% |
| SASHA CAMPBELL4 Filed as: SASHA L CAMPBELL | 2731 12TH AVE S STE B FARGO, ND 58103 | AFLAC | $84 | $0 | $84 | 0.10% |
| SHAWNA STARR NYHAUG4 | 206 W MAPLE ST BERESFORD, SD 57004 | AFLAC | $79 | $0 | $79 | 0.10% |
| MICHAEL D EVANS JR4 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $67 | $0 | $67 | 0.08% |
| DEBORAH KAE LEE4 | 4303 W TOWNSLEY PL SIOUX FALLS, SD 57108 | AFLAC | $61 | $0 | $61 | 0.08% |
| SARA KNEIP4 | 1500 FRANKLIN AVE BROOKINGS, SD 57006 | AFLAC | $51 | $0 | $51 | 0.06% |
| ROBERTA JO ANDERSON4 | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $42 | $0 | $42 | 0.05% |
| LISA K UHLIR4 | 8516 E WILLOW RIDGE PL SIOUX FALLS, SD 57110 | AFLAC | $36 | $0 | $36 | 0.04% |
| DAVID P AESOPH4 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $34 | $0 | $34 | 0.04% |
| SHERRY M ADAMS4 | 7227 W LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $33 | $0 | $33 | 0.04% |
| SANDRA F STRANDLIEN4 | 1307 NP AVE N FARGO, ND 58102 | AFLAC | $30 | $0 | $30 | 0.04% |
| APRIL MAE JORGENSEN4 | 9436 W BROEK DR SIOUX FALLS, SD 57106 | AFLAC | $27 | $0 | $27 | 0.03% |
| DOUGLAS HASLIP4 | 7227 W LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $26 | $0 | $26 | 0.03% |
| NAOMI C MCLAUGHLIN4 | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $26 | $0 | $26 | 0.03% |
| JOLYNNE M MACK4 | 1301 4TH ST NE WATERTOWN, SD 57201 | AFLAC | $22 | $0 | $22 | 0.03% |
| BRADY L WEISENBERGER4 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $22 | $0 | $22 | 0.03% |
| PATTI L MOLSTAD4 | 433 MINNESOTA ST RAPID CITY, SD 57701 | AFLAC | $22 | $0 | $22 | 0.03% |
| JEREMY L TOMLINSON4 | 6305 W RUSSETT ST BOISE, ID 83704 | AFLAC | $18 | $0 | $18 | 0.02% |
| TIMOTHY L CASS4 | 227 NELTOM DR PIERRE, SD 57501 | AFLAC | $18 | $0 | $18 | 0.02% |
| WILLIAM D WENBERG4 | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $16 | $0 | $16 | 0.02% |
| JEREMY E GUTHMILLER4 | PO BOX 182 TAYLOR, ND 58686 | AFLAC | $15 | $0 | $15 | 0.02% |
| CHRIS A GUSTAFSON4 | 25977 482ND AVE BRANDON, SD 57005 | AFLAC | $13 | $0 | $13 | 0.02% |
| CAREN A STRAATMEYER4 | 3412 W RALPH ROGERS RD APT 103 SIOUX FALLS, SD 57108 | AFLAC | $12 | $0 | $12 | 0.01% |
| THE PERRY GROUP INC4 Filed as: PERRY INC | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $12 | $0 | $12 | 0.01% |
| SHERI R MEIS4 | 12121 165TH AVE FERGUS FALLS, MN 56537 | AFLAC | $12 | $0 | $12 | 0.01% |
| JUDITH R SIDES4 | 1210 MOUNTAIN SPRINGS LN RAPID CITY, SD 57702 | AFLAC | $11 | $0 | $11 | 0.01% |
| CRAIG S STADTFELD4 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $10 | $0 | $10 | 0.01% |
| DIANE M HANSUM4 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $9 | $0 | $9 | 0.01% |
| HEATHER M BRAMER4 | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $6 | $0 | $6 | 0.01% |
| TERRY E ANDERSON4 | 700 CEDAR ST STE 185 ALEXANDRIA, MN 56308 | AFLAC | $6 | $0 | $6 | 0.01% |
| KENNETH W STEELE4 | PO BOX 88806 SIOUX FALLS, SD 57109 | AFLAC | $5 | $0 | $5 | 0.01% |
| MICHELE K WILLEY4 | 122 E MAIN ST 185 LAKELAND, FL 33801 | AFLAC | $4 | $0 | $4 | 0.00% |
| NEFZGER ENTERPRISES INC4 | 524 W LAKE DR LAKE NORDEN, SD 57248 | AFLAC | $3 | $0 | $3 | 0.00% |
| EUGENE BUTCH LINSTER4 | 3611 ANGEL WAY RAPID CITY, SD 57703 | AFLAC | $3 | $0 | $3 | 0.00% |
| THEODORE W HONKE4 | 29478 US HIGHWAY 281 LAKE ANDES, SD 57356 | AFLAC | $2 | $0 | $2 | 0.00% |
| WILLIAM M BARNETT4 | 703 N SAGEHORN DR HARTFORD, SD 57033 | AFLAC | $1 | $0 | $1 | 0.00% |
| BOEN & ASSOCIATES INC3 | PO BOX 89010 SIOUX FALLS, SD 57109 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 15.00% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK OF SOUTH DAKOTA INC | 119 | $1.6M |
| Dental | AFLAC | 82 | $80K |
| Vision | AFLAC | 82 | $80K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 82 | $106K |
| Short-term disability | AFLAC | 82 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.