| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH MCLENNAN AGENCY LLC | 300 CHERPA PLACE, STE 601 SIOUX FALLS, SD 57103 | DELTA DENTAL | $2K | — | $2K | 1.48% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH MCLENNAN AGENCY LLC | 300 N CHERAPA PL 6TH FL SIOUX FALLS, SD 57103 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $4K | $14K | 17.52% |
| MELISSA J BECK3 | 26505 LAKEVIEW PL HARTFORD, SD 57033 | AFLAC | $1K | $48 | $1K | 4.78% |
| SHAWNA STARR NYHAUG3 | 206 W MAPLE ST BERESFORD, SD 57004 | AFLAC | $605 | $52 | $657 | 2.71% |
| AWS INC3 | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $414 | $33 | $447 | 1.85% |
| PAMELA J KREBER3 | 5905 S DEER PARK DR SIOUX FALLS, SD 57108 | AFLAC | $267 | — | $267 | 1.10% |
| KRISTY ANN KAUFMAN3 | 912 S SCARLET OAK TRL SIOUX FALLS, SD 57110 | AFLAC | $155 | $55 | $210 | 0.87% |
| DOUGLAS HASLIP3 | 7227 W LANCASTER CIR SIOUX FALLS, SD 57106 | AFLAC | $207 | — | $207 | 0.86% |
| CHRIS A GUSTAFSON3 | 25977 482ND AVE BRANDON, SD 57005 | AFLAC | $170 | $35 | $205 | 0.85% |
| SHERRY M ADAMS3 | 7227 W LANCASTER CIR SIOUX FALLS, SD 57110 | AFLAC | $109 | — | $109 | 0.45% |
| BRANDY LEE HUMMEL3 | 5608 W NANCY ST SIOUX FALLS, SD 57106 | AFLAC | $106 | — | $106 | 0.44% |
| SARA KNEIP3 | 1218 6TH ST BROOKINGS, SD 57006 | AFLAC | $58 | — | $58 | 0.24% |
| JEREMY ALLEN TIMMERMANS3 | 46124 274TH ST CHANCELLOR, SD 57015 | AFLAC | $42 | $10 | $52 | 0.21% |
| TRACY L HOSTLER3 | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $48 | — | $48 | 0.20% |
| DAVID P AESOPH3 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $45 | — | $45 | 0.19% |
| MICHAEL D EVANS JR3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $41 | — | $41 | 0.17% |
| JAMES MCDONALD3 Filed as: JAMES ROBERT MADSEN | 1919 W 57TH ST STE 101 SIOUX FALLS, SD 57108 | AFLAC | $37 | — | $37 | 0.15% |
| ANDREA L SWEETER3 | 46872 283RD ST LENNOX, SD 57039 | AFLAC | $33 | — | $33 | 0.14% |
| KIM R HARMS3 | 310 BIRCH AVE AURORA, SD 57002 | AFLAC | $33 | — | $33 | 0.14% |
| RENAE SALLQUIST KNOPF3 | 1716 W GRAND ARBOR CIR SIOUX FALLS, SD 57108 | AFLAC | $29 | — | $29 | 0.12% |
| ASHLEY BENNETT LLC3 | 16 2ND AVE SW ABERDEEN, SD 57401 | AFLAC | $15 | $6 | $21 | 0.09% |
| MICHAEL BOLGER3 | 128 WOODLAND DR MADISON, SD 57042 | AFLAC | $18 | — | $18 | 0.07% |
| JAMES MCDONALD3 Filed as: JAMES J LAMBERT | 5509 S JERSEY TESS DR SIOUX FALLS, SD 57108 | AFLAC | $15 | — | $15 | 0.06% |
| JEREMY L TOMLINSON3 | 6305 W RUSSETT ST BOISE, ID 83704 | AFLAC | $12 | — | $12 | 0.05% |
| DIANE M HANSUM3 | 3922 S WESTERN AVE SIOUX FALLS, SD 57105 | AFLAC | $12 | — | $12 | 0.05% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $12 | — | $12 | 0.05% |
| MELODY B THOMPSON3 | 518 MAIN AVE BROOKINGS, SD 57006 | AFLAC | $10 | — | $10 | 0.04% |
| HEIDI ALFSON3 | 602 IRONWOOD DR HARTFORD, SD 57033 | AFLAC | $7 | — | $7 | 0.03% |
| JOLYNNE M MACK3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $7 | — | $7 | 0.03% |
| ANDREW D KRAMER3 | 6808 E STEAMBOAT TRL SIOUX FALLS, SD 57110 | AFLAC | $6 | — | $6 | 0.02% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $5 | — | $5 | 0.02% |
| HEATHER M BRAMER3 | 808 S MAPLE WATERTOWN, SD 57201 | AFLAC | $4 | — | $4 | 0.02% |
| SHON FORD LLC3 | 427 N BROADWAY AVE MILLER, SD 57362 | AFLAC | $3 | $1 | $4 | 0.02% |
| NAOMI C MCLAUGHLIN3 | 320 DEERVIEW AVE TEA, SD 57064 | AFLAC | $3 | — | $3 | 0.01% |
| NEFZGER ENTERPRISES INC3 | 524 W LAKE DR LAKE NORDEN, SD 57248 | AFLAC | $1 | — | $1 | 0.00% |
| ASHLEY D WARNER3 | 712 2ND ST SW DE SMET, SD 57231 | AFLAC | $1 | — | $1 | 0.00% |
| PERFORMANCE PLUS LLC3 | 114 N MAIN ST MITCHELL, SD 57301 | AFLAC | $1 | — | $1 | 0.00% |
| THEODORE W HONKE3 | 29478 US HIGHWAY 281 LAKE ANDES, SD 57356 | AFLAC | $1 | — | $1 | 0.00% |
| SELECT NETWORKS3 | 317 6TH AVENUE, STE 1440 DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH MCLENNAN AGENCY LLC | 300 CHERPA PLACE, STE 601 SIOUX FALLS, SD 57103 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 9.70% |
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 | 154 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 35 | $24K |
| Dental | DELTA DENTAL | 397 | $163K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 162 | $18K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 145 | $78K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 145 | $78K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 145 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 397 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.