| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOARD AGENCY INC3 | 1520 69TH ST. NW MINOT, ND 58703 | AFLAC | $5K | $309 | $6K | 4.43% |
| LEANNE R PETERSON3 | 603 STEVENSON ST. NW BERTHOLD, ND 58718 | AFLAC | $2K | $59 | $2K | 1.89% |
| JANEL FUCHS3 Filed as: JANEL K FUCHS | 516 7TH AVE. SE MINOT, ND 58701 | AFLAC | $2K | $0 | $2K | 1.86% |
| GENEIL M VEDAA3 | PO BOX 550 VELVA, ND 58701 | AFLAC | $2K | $0 | $2K | 1.33% |
| CYNTHIA D WELKEN-PLACE3 | 601 CODY DR. MINOT, ND 58503 | AFLAC | $993 | $0 | $993 | 0.79% |
| KIMBERLY J WELSTAD3 | 1513 COOK DR. MINOT, ND 58701 | AFLAC | $968 | $0 | $968 | 0.77% |
| SHELBY J BARSTAD3 Filed as: SHELBY BARSTAD | PO BOX 345 VELVA, ND 58790 | AFLAC | $883 | $0 | $883 | 0.70% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL D EVANS | 113 5TH ST. SE WATERTOWN, SD 57201 | AFLAC | $587 | $0 | $587 | 0.46% |
| DALTON SOEHREN3 | 525 22ND AVE NW APT C40 MINOT, ND 58703 | AFLAC | $289 | $0 | $289 | 0.23% |
| SONYA LYNN FAKEN3 | 5601 38TH ST SW MINOT, ND 58701 | AFLAC | $267 | $18 | $285 | 0.23% |
| NICHOLE L EGEBERG BERNSDORF3 Filed as: NICHOLE L LEGEBERG BERNSDORF | PO BOX 297 900 JOHNSON ST. BURLINGTON, ND 58722 | AFLAC | $154 | $0 | $154 | 0.12% |
| ERIN RENAE SUND3 | 1370 20TH AVE. SW MINOT, ND 58701 | AFLAC | $131 | $0 | $131 | 0.10% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR. WATERTOWN, SD 57201 | AFLAC | $114 | $0 | $114 | 0.09% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $100 | $0 | $100 | 0.08% |
| JOLYNNE M MACK3 | 113 5TH STREET SE WATERTOWN, SD 57201 | AFLAC | $94 | $0 | $94 | 0.07% |
| COLLEEN S SCHUMAKER GRAHAM3 | 1046 SIMS ST. DICKINSON, ND 58601 | AFLAC | $87 | $0 | $87 | 0.07% |
| NATHAN BUTLER CORBIN3 | 404 2ND AVE NW MANDAN, ND 58554 | AFLAC | $84 | $0 | $84 | 0.07% |
| CHRISTINE WALTER3 | 511 36TH AVE NE MINOT, ND 58703 | AFLAC | $61 | $0 | $61 | 0.05% |
| BROOKE HANSEN3 | 1918 1ST AVE W C18 WILLISTON, ND 58801 | AFLAC | $52 | $0 | $52 | 0.04% |
| ASHLEY MURPHY3 | 7036 66TH AVE. NW DONNYBROOK, ND 58734 | AFLAC | $49 | $0 | $49 | 0.04% |
| TESSA D JENSEN3 | PO BOX 176 MINNEWAUKAN, ND 58601 | AFLAC | $35 | $0 | $35 | 0.03% |
| ELLIE PAPINEAU LLC3 | 2898 5TH AVE W DICKINSON, ND 58601 | AFLAC | $34 | $0 | $34 | 0.03% |
| KARA M CARMODY3 | 718 HOYT AVE. E. ST. ST. PAUL, MN 55106 | AFLAC | $19 | $0 | $19 | 0.02% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $19 | $0 | $19 | 0.02% |
| SABRINA L HERRMANN3 | 621 LAKE ST. MINOT, ND 58703 | AFLAC | $19 | $0 | $19 | 0.02% |
| STACY GUNLIKSON3 | 1115 2ND AVE. E WILLISTON, ND 58801 | AFLAC | $15 | $0 | $15 | 0.01% |
| DAVID P AESOPH3 | 1301 SOUTH SUMMIT AVE. SIOUX FALLS, SD 57105 | AFLAC | $15 | $0 | $15 | 0.01% |
| SARA KNEIP3 | 1218 6TH STREET BROOKINGS, SD 57006 | AFLAC | $9 | $0 | $9 | 0.01% |
| WILLIAM M BARNETT3 | 703 NORTH SAGEHORN DR. HARTFORD, SD 57033 | AFLAC | $5 | $0 | $5 | 0.00% |
| DEBRA M BAHLEY3 | 902 7TH ST E DICKINSON, ND 58601 | AFLAC | $0 | $0 | $0 | 0.00% |
| CSP INSURANCE AGENT INC3 Filed as: CSP INSURANCE AGENT | 4207 BOULDER RIDGE RD SUITE 140 BISMARCK, ND 58503 | AFLAC | $0 | $0 | $0 | 0.00% |
| TAWNIA HEILMAN3 | 228 DAKOTA ST HARVEY, ND 58341 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 11.10% |
| TAWNIA HEILMAN3 | 228 DAKOTA ST HARVEY, ND 58341 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 15.67% |
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 | 156 | 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) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ND | 156 | $1.0M |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 152 | $51K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 152 | $41K |
| Other(2 contracts, 2 carriers) | AFLAC | 152 | $167K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.