| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARRY L JOHNSON & ASSOCIATES INC3 Filed as: GARRY L. JOHNSON & ASSOCIATES | 3850 E. BASELINE RD. STE.121 MESA, AZ 85206 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $0 | $0 | 0.00% |
| GARRY L JOHNSON & ASSOCIATES INC3 Filed as: GARRY L. JOHNSON & ASSOCIATES INC. | 3850 E. BASELINE RD. STE 121 MESA, AZ 85206 | PRINCIPAL | $16K | $5K | $21K | 7.60% |
| GARRY L JOHNSON & ASSOCIATES INC3 Filed as: GARRY L. JOHNSON & ASSOICATES INC. | 3850 E. BASELINE RD. STE.121 MESA, AZ 85206 | VSP | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 1 EAST WASHINGTON STREET STE.1700 PHOENIX, AZ 85044 | $91K |
| OPTUMRX INC. EIN 33-0441200 PHARMACY BENEFIT MANAGER | Claims processing; Direct payment from the plan; Float revenue; Other fees Service code 12 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $83K |
| GARRY L. JOHNSON & ASSOICATES INC. EIN 86-0616252 BROKER | Other commissions Service code 55 | 3850 E. BASELINE RD. STE. 121 MESA, AZ 85206 | $43K |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL | 446 | $278K |
| Vision | VSP | 153 | $30K |
| Life insurance | PRINCIPAL | 446 | $278K |
| Short-term disability | PRINCIPAL | 446 | $278K |
| Long-term disability | PRINCIPAL | 446 | $278K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 130 | $287K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 446 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.