| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WESTERN BENEFITS GROUP INC3 | PO BOX 8124 RAPID CITY, SD 57709 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $89K | $27K | $116K | 3.22% |
| MARK K VICKERS3 | PO BOX 8124 RAPID CITY, SD 57709 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 14.61% |
| WESTERN BENEFITS GROUP INC3 | PO BOX 8124 RAPID CITY, SC 57709 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $24 | $24 | 0.03% |
| WELLMARK INC3 Filed as: WELLMARK BCBS | 1601 W MADISON ST PO BOX 5023 SIOUX FALLS, SD 57117 | DELTA DENTAL OF SOUTH DAKOTA | $2K | — | $2K | — |
| WELLMARK INC3 Filed as: WELLMARK BCBS | 1601 W MADISON ST PO BOX 5023 SIOUX FALLS, SD 57117 | DELTA DENTAL OF SOUTH DAKOTA | $349 | — | $349 | — |
| WELLMARK INC3 Filed as: WELLMARK BCBS | 1601 W MADISON ST PO BOX 5023 SIOUX FALLS, SD 57117 | DELTA DENTAL OF SOUTH DAKOTA | $26 | — | $26 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELOITTE & TOUCHE LLP EIN 13-3891517 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| WELLS FARGO EIN 94-1347393 TRUSTEE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $2K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 231 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 3,047 | $40.9M |
| Dental(3 contracts) | DELTA DENTAL OF SOUTH DAKOTA | 518 | $0 |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 29 | $3.7M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $3.6M |
| Prescription drug | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 3,047 | $40.9M |
| Stop-loss / reinsurancereinsurance | WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | 3,047 | $40.9M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 0 | $3.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,047 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.