| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE BEHRENS AGENCY LLC3 | 1800 E MAIN ST STE C MANDAN, ND 58554 | AFLAC | $8K | $267 | $8K | 8.52% |
| LISA JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $1K | $78 | $2K | 1.68% |
| JULIE SMITH AGENCY LLC3 | 30750 HIGHWAY 10 STERLING, ND 58572 | AFLAC | $1K | $53 | $1K | 1.35% |
| CSP INSURANCE AGENT INC3 | 4207 BLOUDER RIDGE ROAD STE 140 BISMARCK, ND 58503 | AFLAC | $1K | $53 | $1K | 1.26% |
| LISA A PERRI3 Filed as: LISA B NIELSEN | 5722 S JORDAN CANAL RD SALT LAKE CITY, UT 84129 | AFLAC | $1K | — | $1K | 1.19% |
| JULIE BEHRENS AGENCY LLC3 Filed as: JULIE A BEHRENS | 3252 22ND AVE MANDAN, ND 58554 | AFLAC | $1K | $28 | $1K | 1.15% |
| JASON OCHSENDORF3 | 3761 16TH ST S MOORHEAD, MN 56560 | AFLAC | $349 | — | $349 | 0.38% |
| BEN JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $320 | $13 | $333 | 0.36% |
| JOHN J FREDERICK3 | PO BOX 554 DAYTON, WY 82836 | AFLAC | $319 | — | $319 | 0.35% |
| MICHAEL D EVANS JR3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $292 | — | $292 | 0.32% |
| TREY JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $281 | — | $281 | 0.31% |
| CYNTHIA D WELKEN-PLACE3 | 601 CODY DR BISMARCK, ND 58503 | AFLAC | $273 | — | $273 | 0.30% |
| BRETT HILTON3 | 7263 W 13100 S HERRIMAN, UT 84096 | AFLAC | $265 | — | $265 | 0.29% |
| JULIE SMITH AGENCY LLC3 Filed as: JULIE SMITH | 30750 HIGHWAY 10 STERLING, ND 58572 | AFLAC | $103 | $108 | $211 | 0.23% |
| JODY L WALK3 | 2445 LAKE VISTA CT APT 115 CASSELBERRY, FL 32707 | AFLAC | $204 | — | $204 | 0.22% |
| ANDREW C MJONESS3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $185 | — | $185 | 0.20% |
| TIMOTHY L SCHUMACHER3 | 818 BROME AVE BISMARCK, ND 58503 | AFLAC | $170 | — | $170 | 0.19% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $135 | — | $135 | 0.15% |
| CAROL A BENDER3 | 2091 LAKEVIEW SOUTH DRIVE INGLESIDE, TX 78362 | AFLAC | $124 | — | $124 | 0.14% |
| CARRIE PALCZEWSKI3 | 4207 BLOUDER RIDGE ROAD STE 140 BISMARCK, ND 58503 | AFLAC | $113 | $6 | $119 | 0.13% |
| TUCKER B GOSBEE3 | 325 W 18TH ST STE 5 CHEYENNE, WY 82001 | AFLAC | $114 | — | $114 | 0.12% |
| BARRY BEVERLY3 Filed as: BARRY BEVERLY AND ASSOCIATES INC | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $111 | — | $111 | 0.12% |
| CATHY J OLIVER3 | 14795 BOISE CIR ROSEMOUNT, MN 55068 | AFLAC | $108 | — | $108 | 0.12% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $104 | — | $104 | 0.11% |
| VINCENT T ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $79 | — | $79 | 0.09% |
| JODY L WALK3 | 30207 CHEVAL ST MOUNT DORA, FL 32757 | AFLAC | $77 | — | $77 | 0.08% |
| MARSHA L ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $76 | — | $76 | 0.08% |
| MITCHELL B MCBETH3 | 4479 S FORTUNA WAY SALT LAKE CITY, UT 84124 | AFLAC | $67 | — | $67 | 0.07% |
| EUGENE BUTCH LINSTER3 | 3611 ANGEL WAY RAPID CITY, SD 57703 | AFLAC | $58 | — | $58 | 0.06% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $55 | — | $55 | 0.06% |
| TYLER KOHLER3 Filed as: TYLER R KOHLER | 1323 E BENT PINE COVE DRAPER, UT 84020 | AFLAC | $53 | — | $53 | 0.06% |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $50 | — | $50 | 0.05% |
| JOLYNNE M MACK3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $50 | — | $50 | 0.05% |
| BARRY BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $48 | — | $48 | 0.05% |
| CANDICE S CLARK3 | 355 WEST LOVEJOY ST POCATELLO, ID 83204 | AFLAC | $42 | — | $42 | 0.05% |
| COLLEEN J GILL3 | 115 WILCOX BOX 32 CENTER, ND 58530 | AFLAC | $42 | — | $42 | 0.05% |
| BETTY L RUSSOW3 | PO BOX 836 HOT SPRINGS, SD 57747 | AFLAC | $37 | — | $37 | 0.04% |
| BRENDA K VANBERKOM3 | PO BOX 168 POWERS LAKE, ND 58773 | AFLAC | $30 | — | $30 | 0.03% |
| SCOTT C OLSEN3 | 4132 CARMEL PT RAPID CITY, SD 57702 | AFLAC | $27 | — | $27 | 0.03% |
| JEREMY E GUTHMILLER3 | PO BOX 104 PETTIBONE, ND 58475 | AFLAC | $18 | — | $18 | 0.02% |
| BRADLEY DEFRANK3 | 2921 GRAYLAND AVE RICHMOND, VA 23221 | AFLAC | $18 | — | $18 | 0.02% |
| LYNN E MOLLER3 | 332 EAST 1ST ST N WICHITA, KS 67202 | AFLAC | $17 | — | $17 | 0.02% |
| NEENA W BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $17 | — | $17 | 0.02% |
| KEIFER GROUP INS AGCY LC3 | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $16 | — | $16 | 0.02% |
| MIKE LUNDQUIST3 | 4541 S MOSSY SPRINGS LN SALT LAKE CITY, UT 84117 | AFLAC | $15 | — | $15 | 0.02% |
| PETER LEYER3 | PO BOX 1000 WEST JORDAN, UT 84084 | AFLAC | $11 | — | $11 | 0.01% |
| MARC MICKELSEN3 | 1324 S 1900 E SALT LAKE CITY, UT 84108 | AFLAC | $11 | — | $11 | 0.01% |
| OWEN K FOX3 | 3674 ELK VALLEY LN SOUTH JORDAN, UT 84095 | AFLAC | $11 | — | $11 | 0.01% |
| DANIEL D LINDBERG3 | PO BOX 635 STANLEY, ND 58784 | AFLAC | $11 | — | $11 | 0.01% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $11 | — | $11 | 0.01% |
| CLINT WEIGHT3 | 745 S 180 W SALEM, UT 84653 | AFLAC | $11 | — | $11 | 0.01% |
| LISA HALL3 | 2542 SUNDOWN DR COEUR DALENE, ID 83815 | AFLAC | $10 | — | $10 | 0.01% |
| DAVID P AESOPH3 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $7 | — | $7 | 0.01% |
| CRAIG MICHELSEN3 | 1228 25TH AVE SW GREAT FALLS, MT 59404 | AFLAC | $6 | — | $6 | 0.01% |
| GREGORY D JOURGENSEN3 | 6524 RIVERBEND RD CHEYENNE, WY 82001 | AFLAC | $3 | — | $3 | 0.00% |
| KARA M CARMODY3 | 718 HOYT AVE. E. ST ST. PAUL, MN 55106 | AFLAC | $3 | — | $3 | 0.00% |
| MICHELLE J HALLER3 Filed as: MICHELLE L WRIGHT | 606 E FRUITWOOD LN SANDY, UT 84070 | AFLAC | $3 | — | $3 | 0.00% |
| DAMON R STREETMAN3 | 2961 WEST MAPLE LOOP ROAD SUITE 230 LEHI, UT 84043 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIAM M BARNETT3 | 703 NORTH SAGEHORN DRIVE HARTFORD, SD 57033 | AFLAC | $2 | — | $2 | 0.00% |
| BARRY BEVERLY3 Filed as: BARRY BEVERLY AND ASSOCIATES INC | 11521 S BLACK FOREST DR SANDY, UT 84094 | AFLAC | $2 | — | $2 | 0.00% |
| JAMES A PORTER3 | 223 STILLWATER CREEK DR BOZEMAN, MT 59718 | AFLAC | $1 | — | $1 | 0.00% |
| BRENT W THOMPSON3 | 435 E 1070 S OREM, UT 84097 | AFLAC | $1 | — | $1 | 0.00% |
| DARYL BRAUN3 | 434 STUTTGART DRIVE BISMARCK, ND 58504 | PRUDENTIAL | $7K | — | $7K | 19.33% |
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 | 585 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 585 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 573 | $2.2M |
| Dental | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 585 | $178K |
| Vision | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 542 | $43K |
| Life insurance(2 contracts) | PRUDENTIAL | 226 | $75K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 64 | $94K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 64 | $94K |
| Other(5 contracts) | PRUDENTIAL | 226 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 585 | — |
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.