| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIDWEST EMPLOYEE BENEFITS INC Filed as: MIDWEST EMPLOYEE BENEFITS | 5000 S MACARTHUR LN STE 103 SIOUX FALLS, SD 57108 | WELLMARK OF SOUTH DAKOTA INC | $11K | — | $11K | 0.81% |
| BOEN & ASSOCIATES INC Filed as: BOEN ASSOCIATES | 307 WEST 41ST ST SIOUX FALLS, SD 57105 | WELLMARK OF SOUTH DAKOTA INC | $1K | — | $1K | 0.08% |
| HEATHER M BRAMER | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $1K | $165 | $2K | — |
| NEFZGER ENTERPRISES INC | 524 W LAKE DR LAKE NORDEN, SD 57248 | AFLAC | $449 | $33 | $482 | — |
| PEAK INC | 40658 252ND ST MITCHELL, SD 57301 | AFLAC | $253 | $33 | $286 | — |
| MICHAEL D EVANS JR | 3199 SIOUX CONIFER RD WATERTOWN, SD 57201 | AFLAC | $139 | $33 | $172 | — |
| LISA K UHLIR | 8516 E WILLOW RIDGE PL SIOUX FALLS, SD 57110 | AFLAC | $78 | — | $78 | — |
| NAOMI C MCLAUGHLIN | 320 DEERFIELD AVE TEA, SD 57064 | AFLAC | $78 | — | $78 | — |
| MICHAEL D EVANS JR Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $73 | — | $73 | — |
| JOLYNNE M MACK | 113 3RD ST SE WATERTOWN, SD 57201 | AFLAC | $72 | — | $72 | — |
| JEREMY L TOMLINSON | 2805 N 36TH ST BOISE, ID 83703 | AFLAC | $54 | — | $54 | — |
| ADELINE PELSTER | 3113 EDGEWOOD PT BISMARK, ND 58503 | AFLAC | $40 | — | $40 | — |
| WARREN L FRICK | 4655 HAMPTONS DR ALPHARETTA, GA 30004 | AFLAC | $37 | — | $37 | — |
| NANCY S CLAUSSEN | 322 E 8TH ST SIOUX FALLS, SD 57103 | AFLAC | $34 | — | $34 | — |
| CAROLYN MAE AMMANN | 2013 PALISADES LN WATERTOWN, SD 57201 | AFLAC | $30 | — | $30 | — |
| LANCE D THORSON | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $29 | — | $29 | — |
| JOHN SANDQUIST | 140 HIGHLAND GREEN PORT LUDLOW, WA 98365 | AFLAC | $24 | — | $24 | — |
| DAVID P AESOPH | 2700 WEST NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $22 | — | $22 | — |
| LINDA G LESSELYOUNG | 1730 TERRITORIAL RD MADISON, SD 57042 | AFLAC | $19 | — | $19 | — |
| JOYCE SMITH | 13374 SHIRLEY ST OMAHA, NE 68144 | AFLAC | $19 | — | $19 | — |
| MICHAEL BOLGER Filed as: MICHAEL LESSELYOUNG | PO BOX 380 REDFIELD, SD 57469 | AFLAC | $16 | — | $16 | — |
| DENEY R HOFMEISTER | 912 LAKEVIEW AVE WASECA, MN 56093 | AFLAC | $12 | — | $12 | — |
| JASON MACK | 1623 7TH ST NE WATERTOWN, SD 57201 | AFLAC | $10 | — | $10 | — |
| DONALD G NORTON | 506 S MAPLE WATERTOWN, SD 57201 | AFLAC | $9 | — | $9 | — |
| BONNY J BUSDICKER | 515 SAMARA AVE APT 14 VOLGA, SD 57071 | AFLAC | $9 | — | $9 | — |
| STEPHANIE L SANDERS | 27305 LIVE OAK ROAD A437 SANTA CLARITA, CA 91384 | AFLAC | $9 | — | $9 | — |
| VICKI L ANDERSON | 6304 HARDWOOD LN CICERO, NY 13039 | AFLAC | $7 | — | $7 | — |
| WILLIAN D WENBERG | 13024 STACY LANE LITTLE ROCK, AR 72211 | AFLAC | $7 | — | $7 | — |
| TERRY L JENSEN | 2551 361 ST AVE DAWSON, MN 56232 | AFLAC | $6 | — | $6 | — |
| SARA KNEIP | 1218 6TH ST BROOKINGS, SD 57006 | AFLAC | $5 | — | $5 | — |
| SUSAN L SOEHREN | 540 VIKING DRIVE RAPID CITY, SD 57701 | AFLAC | $5 | — | $5 | — |
| STEPHANIE SANDERS | 27305 W LIVE OAK RD A437 SANTA CLARITA, CA 91384 | AFLAC | $4 | — | $4 | — |
| MERLE D BIEBER | 18932 HUNTLY TRL LAKEVILLE, MN 55044 | AFLAC | $3 | — | $3 | — |
| THE PERRY GROUP INC Filed as: PERRY INC | 3409 W MAIN ST RAPID CITY, SD 57702 | AFLAC | $3 | — | $3 | — |
| BARRY CAMPBELL | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AFLAC | $2 | — | $2 | — |
| SHAWN D BENSER | 4840 AMBER BALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $1 | — | $1 | — |
| BRUEGGEMAN INSURANCE INC3 | PO BOX 1083 WATERTOWN, SD 57201 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | — |
| MUTUAL MED INSURANCE SERVICES3 Filed as: MUTUAL MED INSURANCE SERVICES OF SD | 4321 E 60TH ST DAVENPORT, IA 52807 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | — |
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 | 137 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK OF SOUTH DAKOTA INC | 128 | $1.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 590 | $0 |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 590 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 590 | $0 |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 590 | $0 |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 590 | $0 |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 590 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 590 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.