| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARRY L JOHNSON & ASSOCIATES INC3 | 3850 E BASELINE RD MESA, AZ 85206 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| GARRY L JOHNSON & ASSOCIATES INC3 | 3850 E BASELINE RD MESA, AZ 85206 | THE STANDARD COMPANY | $3K | — | $3K | 1.98% |
| GARRY L JOHNSON & ASSOCIATES INC3 | 3850 E BASELINE RD MESA, AZ 85206 | THE STANDARD COMPANY | $4K | — | $4K | 3.71% |
| GARRY L JOHNSON & ASSOCIATES INC3 | 3850 E BASELINE RD MESA, AZ 85206 | THE STANDARD COMPANY | $5K | — | $5K | 6.35% |
| GARRY L JOHNSON & ASSOCIATES INC3 | 3850 E BASELINE RD MESA, AZ 85206 | THE STANDARD COMPANY | $3K | — | $3K | 6.26% |
| EMPLOYEE NAVIGATOR, LLC3 Filed as: EMPLOYEE NAVIGATOR LLC | 7979 OLD GEORGETOWN RD STE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | — | $200 | $200 | 0.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX INC EIN 33-0441200 PHARMACY BENEFIT | Float revenue; Claims processing; Direct payment from the plan; Other fees Service code 12 | 11000 OPTU CIRCLE DEEN PRAIRIE, MN 55344 | $289K |
| UMR INC EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 11 SCOTT STREET SUITE 100 WAUSAU, WI 54403 | $148K |
| GARRY L. JOHNSON & ASSOCIATES INC EIN 86-0616252 CONSULTANT | Other commissions Service code 55 | 3850 EAST BASELINE ROAD MESA, AZ 85206 | $53K |
| MATRIX RISK MANAGEMENT SERVICES LLC EIN 83-0360667 RISK MANAGEMENT | Consulting (general) Service code 16 | 125 PRESUMPSCOT ST. FALMOUTH, ME 04105 | $15K |
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 | 163 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE STANDARD COMPANY | 179 | $156K |
| Vision | VISION SERVICE PLAN | 170 | $38K |
| Life insurance | THE STANDARD COMPANY | 299 | $46K |
| Short-term disability | THE STANDARD COMPANY | 222 | $107K |
| Long-term disability | THE STANDARD COMPANY | 199 | $74K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE COMPANY | 163 | $527K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.