Form 5500 · Employee benefit plan · PRESCOTT, AZ
PAUL JOHNSON DRYWALL
The filing calls this plan PAUL JOHNSON DRYWALL EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how PAUL JOHNSON DRYWALL of PRESCOTT, AZ, a construction employer, structures its employee benefits. Its broker of record is INSURICA SOUTHWEST INS SVCS LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0327655 · plan 501 · plan year 2025, filed Sep 18, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 217 people.
Reported premium across the insured contracts is $1,702,152, with $112,004 in disclosed broker commissions — about 6.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
INSURICA SOUTHWEST INS SVCS LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF ARIZONA, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and NATIONAL GUARDIAN LIFE INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF ARIZONA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health | 217 | Jan 1, 2026 | $1,457,669 | $70,414 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 90 | Jan 1, 2026 | $107,277 | $24,713 |
| NATIONAL GUARDIAN LIFE INSURANCE COMPANY | Dental, Vision | 224 | Jan 1, 2026 | $83,712 | $7,775 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 18 | Jan 1, 2026 | $21,775 | $3,461 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 15 | Jan 1, 2026 | $15,883 | $3,344 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 4 | Jan 1, 2026 | $11,904 | $1,487 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 3 | Jan 1, 2026 | $3,317 | $559 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 1 | Jan 1, 2026 | $615 | $251 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
How this plan compares
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