| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $2K | $10K | 9.08% |
| LAURIE J KETTERLING3 Filed as: LAURIE KETTERLING | 7001 S LYNCREST PL STE 102 SIOUX FALLS, SD 57018 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 4.99% |
| CHRISTOPHER JOHN HANSON3 Filed as: CHRISTOPHER HANSON | 13644 SUNSHINE VALLEY RD PIEDMONT, SD 57769 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.66% |
| DANA RAUSCH3 | 6300 S OLD VILLAGE PL ST SIOUX FALS, SD 57108 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.66% |
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 | 89 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 89 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF SD | 89 | $1.2M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 187 | $113K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 187 | $113K |
| Prescription drug | WELLMARK BLUE CROSS AND BLUE SHIELD OF SD | 89 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.