| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE BEHRENS AGENCY LLC3 | 1800 E MAIN ST STE C MANDAN, ND 58554 | AFLAC | $4K | $422 | $5K | 4.93% |
| JULIE SMITH AGENCY LLC3 | 30750 HIGHWAY 10 STERLING, ND 58572 | AFLAC | $789 | $84 | $873 | 0.94% |
| JULIE BEHRENS AGENCY LLC3 Filed as: JULIE A BEHRENS | 3252 22ND AVE MANDAN, ND 58554 | AFLAC | $745 | $50 | $795 | 0.85% |
| LISA A PERRI3 Filed as: LISA B NIELSEN | 5722 S JORDAN CANAL RD SALT LAKE CITY, UT 84129 | AFLAC | $413 | $116 | $529 | 0.57% |
| CSP INSURANCE AGENT INC3 | 4207 BOULDER RIDGE ROAD STE 140 BISMARCK, ND 58503 | AFLAC | $408 | $84 | $492 | 0.53% |
| TODD ALLEN BELDEN3 | 127 E 12TH ST SHERIDAN, WY 82801 | AFLAC | $423 | — | $423 | 0.45% |
| JOHN J FREDERICK3 | PO BOX 554 DAYTON, WY 82836 | AFLAC | $385 | — | $385 | 0.41% |
| JASON OCHSENDORF3 | 3761 16TH ST S MOORHEAD, MN 56560 | AFLAC | $377 | — | $377 | 0.40% |
| MEREDITH L SKAGGS3 | 4903 RATLIFF RD BIG SPRING, TX 79720 | AFLAC | $358 | — | $358 | 0.38% |
| EVANGELINE NIETO3 | PO BOX 1975 BIG SPRING, TX 79721 | AFLAC | $330 | — | $330 | 0.35% |
| CSP INSURANCE AGENT INC3 | 2963 HIGHWAY 25 MANDAN, ND 58554 | AFLAC | $317 | — | $317 | 0.34% |
| CYNTHIA D WELKEN-PLACE3 | 601 CODY DR BISMARCK, ND 58503 | AFLAC | $308 | — | $308 | 0.33% |
| JODY L WALK3 | 30207 CHEVAL ST MOUNT DORA, FL 32757 | AFLAC | $286 | — | $286 | 0.31% |
| MICHAEL D EVANS JR3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $264 | — | $264 | 0.28% |
| LISA JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $250 | — | $250 | 0.27% |
| TIMOTHY L SCHUMACHER3 | 818 BROME AVE BISMARCK, ND 58503 | AFLAC | $227 | — | $227 | 0.24% |
| ANDREW C MJONESS3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $200 | — | $200 | 0.21% |
| BRETT HILTON3 | 7263 W 13100 S HERRIMAN, UT 84096 | AFLAC | $147 | $23 | $170 | 0.18% |
| CATHY J OLIVER3 | 14795 BOISE CIR ROSEMOUNT, MN 55068 | AFLAC | $152 | — | $152 | 0.16% |
| SHAWN D BENSER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $140 | — | $140 | 0.15% |
| CAROL A BENDER3 | 2091 LAKEVIEW SOUTH DRIVE INGLESIDE, TX 78362 | AFLAC | $119 | — | $119 | 0.13% |
| MICHAEL D EVANS JR3 Filed as: MICHAEL J TOMLINSON | 40 PARADISE DR WATERTOWN, SD 57201 | AFLAC | $119 | — | $119 | 0.13% |
| BEN JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $116 | — | $116 | 0.12% |
| BLESSED MOSLEY INC3 | 4803 PLAZA BLVD STE 702 ODESSA, TX 79762 | AFLAC | $96 | — | $96 | 0.10% |
| MITCHELL B MCBETH3 | 4479 S FORTUNA WAY SALT LAKE CITY, UT 84124 | AFLAC | $73 | — | $73 | 0.08% |
| TYLER KOHLER3 Filed as: TYLER R KOHLER | 1323 E BENT PINE COVE DRAPER, UT 84020 | AFLAC | $62 | — | $62 | 0.07% |
| EUGENE BUTCH LINSTER3 | 3611 ANGEL WAY RAPID CITY, SD 57703 | AFLAC | $58 | — | $58 | 0.06% |
| BARRY BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $39 | $19 | $58 | 0.06% |
| VINCENT T ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $52 | — | $52 | 0.06% |
| CARRIE PALCZEWSKI3 Filed as: CARRIE SUE PALCZEWSKI | 2963 HIGHWAY 25 MANDAN, ND 58554 | AFLAC | $51 | — | $51 | 0.05% |
| MARSHA L ECHOLS3 | PO BOX 594 THATCHER, AZ 85552 | AFLAC | $50 | — | $50 | 0.05% |
| BRADY L WEISENBERGER3 | 4840 AMBER VALLEY PKWY S STE C FARGO, ND 58104 | AFLAC | $49 | — | $49 | 0.05% |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $48 | — | $48 | 0.05% |
| CANDICE S CLARK3 | 355 WEST LOVEJOY ST POCATELLO, ID 83204 | AFLAC | $48 | — | $48 | 0.05% |
| SHELTA RAMBUR3 | 22 SWAIM RD SHERIDAN, WY 82801 | AFLAC | $47 | — | $47 | 0.05% |
| CLINT WEIGHT3 | 745 S 180 W SALEM, UT 84653 | AFLAC | $42 | $4 | $46 | 0.05% |
| CARRIE PALCZEWSKI3 | 4207 BOULDER RIDGE ROAD STE 140 BISMARCK, ND 58503 | AFLAC | $45 | — | $45 | 0.05% |
| COLLEEN J GILL3 | 115 WILCOX BOX 32 CENTER, ND 58530 | AFLAC | $45 | — | $45 | 0.05% |
| JOLYNNE M MACK3 | 113 5TH ST SE WATERTOWN, SD 57201 | AFLAC | $45 | — | $45 | 0.05% |
| BETTY L RUSSOW3 | PO BOX 836 HOT SPRINGS, SD 57747 | AFLAC | $40 | — | $40 | 0.04% |
| JULIE SMITH AGENCY LLC3 Filed as: JULIE SMITH | 30750 HIGHWAY 10 STERLING, ND 58572 | AFLAC | $36 | — | $36 | 0.04% |
| BRENDA K VANBERKOM3 | PO BOX 168 POWERS LAKE, ND 58773 | AFLAC | $33 | — | $33 | 0.04% |
| SCOTT C OLSEN3 | 4132 CARMEL PT RAPID CITY, SD 57702 | AFLAC | $29 | — | $29 | 0.03% |
| BRADLEY DEFRANK3 | 2921 GRAYLAND AVE RICHMOND, VA 23221 | AFLAC | $20 | — | $20 | 0.02% |
| LYNN E MOLLER3 | 332 EAST 1ST ST N WICHITA, KS 67202 | AFLAC | $18 | — | $18 | 0.02% |
| NEENA W BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $18 | — | $18 | 0.02% |
| MIKE LUNDQUIST3 | 881 E MAPLE VIEW DR APT 20 SALT LAKE CITY, UT 84106 | AFLAC | $17 | — | $17 | 0.02% |
| TUCKER B GOSBEE3 | 325 W 18TH ST STE 5 CHEYENNE, WY 82001 | AFLAC | $15 | — | $15 | 0.02% |
| JEREMY E GUTHMILLER3 | PO BOX 104 PETTIBONE, ND 58475 | AFLAC | $14 | — | $14 | 0.02% |
| PETER LEYER3 | PO BOX 1000 WEST JORDAN, UT 84084 | AFLAC | $13 | — | $13 | 0.01% |
| MARC MICKELSEN3 | 1324 S 1900 E SALT LAKE CITY, UT 84108 | AFLAC | $13 | — | $13 | 0.01% |
| KEIFER GROUP INS AGCY LC3 | 155 INVERNESS DR W STE 300 ENGLEWOOD, CO 80112 | AFLAC | $13 | — | $13 | 0.01% |
| OWEN K FOX3 | 3674 ELK VALLEY LN SOUTH JORDAN, UT 84095 | AFLAC | $12 | — | $12 | 0.01% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $12 | — | $12 | 0.01% |
| DANIEL D LINDBERG3 | PO BOX 635 STANLEY, ND 58784 | AFLAC | $11 | — | $11 | 0.01% |
| LISA HALL3 | 2542 E SUNDOWN DR COEUR DALENE, ID 83815 | AFLAC | $7 | — | $7 | 0.01% |
| CRAIG MICHELSEN3 | 1228 25TH AVE SW GREAT FALLS, MT 59404 | AFLAC | $6 | — | $6 | 0.01% |
| DAVID P AESOPH3 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $6 | — | $6 | 0.01% |
| KARA M CARMODY3 | 718 HOYT AVE. E. ST ST. PAUL, MN 55106 | AFLAC | $3 | — | $3 | 0.00% |
| DAMON R STREETMAN3 | 2961 WEST MAPLE LOOP ROAD SUITE 230 LEHI, UT 84043 | AFLAC | $2 | — | $2 | 0.00% |
| MICHELLE J HALLER3 Filed as: MICHELLE L WRIGHT | 606 E FRUITWOOD LN SANDY, UT 84070 | AFLAC | $2 | — | $2 | 0.00% |
| WILLIAM M BARNETT3 | 703 NORTH SAGEHORN DRIVE HARTFORD, SD 57033 | AFLAC | $2 | — | $2 | 0.00% |
| BARRY BEVERLY3 | 1888 E 6400 S HOLLADAY, UT 84121 | AFLAC | $2 | — | $2 | 0.00% |
| BRENT W THOMPSON3 | 435 E 1070 S OREM, UT 84097 | AFLAC | $2 | — | $2 | 0.00% |
| DARYL BRAUN3 | 434 STUTTGART DRIVE BISMARCK, ND 58504 | PRUDENTIAL | $8K | — | $8K | — |
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 | 587 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 587 | 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 | 597 | $2.4M |
| Dental | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 587 | $183K |
| Vision | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 539 | $60K |
| Life insurance | PRUDENTIAL | 0 | $0 |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 64 | $94K |
| Long-term disability(2 contracts, 2 carriers) | AFLAC | 64 | $94K |
| Other(5 contracts) | PRUDENTIAL | 233 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 597 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.