| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LORI LEWISON3 | 4301 W 57TH ST STE 126 SIOUX FALLS, SD 571082258 | VISION SERVICE PLAN | $1K | — | $1K | 4.54% |
| MUTUAL MED INSURANCE SERVICES3 | 5900 S DORAL AVENUE PO BOX 91007 SIOUX FALLS, SD 57109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 15.00% |
| MUTUAL MED INSURANCE SERVICES3 | 5900 S DORAL AVENUE PO BOX 91007 SIOUX FALLS, SD 57109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 10.00% |
| MUTUAL MED INSURANCE SERVICES3 | 5900 S DORAL AVENUE PO BOX 91007 SIOUX FALLS, SD 57109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $852 | — | $852 | 12.66% |
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 | 207 | 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) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK OF SOUTH DAKOTA INC | 207 | $1.4M |
| Vision | VISION SERVICE PLAN | 153 | $32K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 280 | $11K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 60 | $30K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 60 | $37K |
| Prescription drug | WELLMARK OF SOUTH DAKOTA INC | 207 | $1.4M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 280 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.