| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DARYN FREDRICKSON3 | 3440 GRANGER AVENUE S #35 BILLINGS, MT 59102 | AFLAC | $1K | $0 | $1K | — |
| MR. KIM CUMMINGS3 | PO BOX 21897 BILLINGS, MS 59104 | AFLAC | $621 | $0 | $621 | — |
| DEANNE M CUMMINGS3 | PO BOX 21897 BILLINGS, MT 59104 | AFLAC | $167 | $0 | $167 | — |
| ANDREW G THEIS3 | 2045 OVERLAND AVE 202 BILLINGS, MT 59102 | AFLAC | $123 | $0 | $123 | — |
| J THEIS & ASSOCIATES INC3 | 2048 OVERLAND AVE SUITE 202 BILLINGS, MT 59102 | AFLAC | $121 | $0 | $121 | — |
| DARAN L WYCKOFF3 | 505 N ARGONNE BLDG C SPOKANE VALLEY, WA 99212 | AFLAC | $107 | $0 | $107 | — |
| GERALD R THEIS JR3 | 2048 OVERLAND AVE SUITE 202 BILLINGS, MT 59102 | AFLAC | $92 | $0 | $92 | — |
| LISA HALL3 | 8601 TURNPIKE DR SUITE 206 WESTMINSTER, CO 77040 | AFLAC | $63 | $0 | $63 | — |
| RONALD G KRAFT3 | PO BOX 50926 CASPER, WY 82605 | AFLAC | $63 | $0 | $63 | — |
| SUSAN M KAHN3 | 8625 CUT THROAT DRIVE BILLINGS, MT 59106 | AFLAC | $56 | $0 | $56 | — |
| ANDREW PRINCE LOVINGIER3 Filed as: ANDREW LOVINGIER | 1817 BLOYD ST KELSO, WA 98626 | AFLAC | $40 | $0 | $40 | — |
| LANA M KLIMEK3 | 2801 BRAZOS BLVD EULESS, TX 76039 | AFLAC | $37 | $0 | $37 | — |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $36 | $0 | $36 | — |
| JEAN L SAUVAGEAU3 | 45 LEXINGTON DRIVE BILLINGS, MT 59102 | AFLAC | $34 | $0 | $34 | — |
| MARCO JOE KLIMEK3 | 1501 LYNDON B JOHNSON FWY SUITE 660 DALLAS, TX 75234 | AFLAC | $32 | $0 | $32 | — |
| KYLE D SULLIVAN3 Filed as: KYLE SULLIVAN | PO BOX 2290 MILLS, WY 82644 | AFLAC | $31 | $0 | $31 | — |
| KRISTIE L NOSBISH3 | 1909 31ST AVE SW APT 313 MINOT, ND 58701 | AFLAC | $31 | $0 | $31 | — |
| KELLY M FLAHERTY SETTLE3 | PO BOX 495 CANYON CREEK, MT 59633 | AFLAC | $30 | $0 | $30 | — |
| CRAIG MICHELSEN3 | 1228 25TH AVE SW GREAT FALLS, MT 59404 | AFLAC | $26 | $0 | $26 | — |
| LANCE E SULLIVAN3 | 2105 LAVERS CIRCLE APT 211 DELRAY BEACH, FL 33444 | AFLAC | $25 | $0 | $25 | — |
| CHRISTINE L EBY3 | 3210 TIZER DR HELENA, MT 59602 | AFLAC | $22 | $0 | $22 | — |
| J KAUFMANN INSURANCE, INC3 Filed as: J KAUFMANN INSURANCE IN | 2048 OERLAND AVE SUITE 202 BILLINGS, MT 59102 | AFLAC | $19 | $0 | $19 | — |
| JAMES PORTER3 | 223 STILLWATER CREEK DRIVE BOZEMAN, MT 59718 | AFLAC | $17 | $0 | $17 | — |
| JAMES R HILL JR3 | PO BOX 13272 GREENSBORO, NC 27415 | AFLAC | $14 | $0 | $14 | — |
| DAWN D SHEUE3 Filed as: DAWN SHEUE | PO BOX 3986 JACKSON, WY 83001 | AFLAC | $13 | $0 | $13 | — |
| FLIKKEMA INSURANCE INC3 | 7175 CHURCHILL ROAD MANHATTAN, MT 59741 | AFLAC | $11 | $0 | $11 | — |
| CASEY DALE HOBSON3 Filed as: CASEY HOBSON | 13320 W REDWICK DR BOISE, ID 83713 | AFLAC | $6 | $0 | $6 | — |
| VICTOR G LEWIS3 | 1860 FM 356 207 RICHMOND, TX 77406 | AFLAC | $4 | $0 | $4 | — |
| JENNIFER D CLARK-NICHOLS3 | 2405 VICK ROAD NEW WAVERLY, TX 77368 | AFLAC | $3 | $0 | $3 | — |
| JESSICA GAGE TATE3 | 1304 PORTSMOUTH CT COLLEGE STATION, TX 77845 | AFLAC | $2 | $0 | $2 | — |
| FINN INTERESTS INC3 | 1802 LAKE MEADOWS CT HOUSTON, TX 77077 | AFLAC | $1 | $0 | $1 | — |
| MELVIN J ROBERSON3 Filed as: MELVIN ROBERSON | 4014 COLORADO ST TEXARKANA, TX 75503 | AFLAC | $1 | $0 | $1 | — |
| CHRISTINA L GREENAMYRE3 | 2020 E GRAND AVE SUITE 435 LARAMIE, WY 82070 | AFLAC | $0 | $0 | $0 | — |
| BEN JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $0 | $0 | $0 | — |
| MICHAEL GRASS3 | 21707 KINGSLAND BLVD SUITE 105 KATHY, TX 77450 | AFLAC | $0 | $0 | $0 | — |
| VALORIE R. SMITH3 Filed as: VALORIE R SMITH | 314 W MAPLE ST RAWLINS, WY 82301 | AFLAC | $0 | $0 | $0 | — |
| LISA JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $0 | $0 | $0 | — |
| TIMOTHY PROPP3 | PO BOX 243 CUSTER, MT 59024 | AFLAC | $0 | $0 | $0 | — |
| MICHAEL GRASS3 | 21707 KINGSLAND DRIVE SUITE 105 KATY, TX 77450 | AFLAC | $0 | $0 | $0 | — |
| MAEDE C MILLER3 Filed as: MAEDE MILLER | 17133 KNOLL DALE TRAIL CONROE, TX 77385 | AFLAC | $0 | $0 | $0 | — |
| KIM SMITH3 | 7815 DEERWOOD LAKE DRIVE HUMBLE, TX 77346 | AFLAC | $0 | $0 | $0 | — |
| PRENTISS A CASTLE, JR3 Filed as: PRENTISS CASTEL JR | 25503 PENGUIN STREET MAGNOLIA, TX 77355 | AFLAC | $0 | $0 | $0 | — |
| CHERISE M WADE3 Filed as: CHERISE WADE | 4003 NE 2ERD PLACE CAPE CORAL, FL 33909 | AFLAC | $0 | $0 | $0 | — |
| ERIC LEGER3 | 10400 ACADEMY RD NE, STE 345 ALBUQUERQUE, NM 87111 | AFLAC | $0 | $0 | $0 | — |
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 | 34 | 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) | 34 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 34 | $0 |
| Vision | AFLAC | 34 | $0 |
| Life insurance | AFLAC | 34 | $0 |
| Short-term disability | AFLAC | 34 | $0 |
| Long-term disability | AFLAC | 34 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 34 | — |
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."
No prospect flags tripped on this filing.