| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SPELLICY GROUP3 Filed as: THE SPELLICY GROUP INC. | 29834 N. CAVE CREEK DR., SUITE 118 PMB 341 CAVE CREEK, AZ 85331 | BLUE CROSS BLUE SHIELD OF ARIZONA | $18K | — | $18K | 4.37% |
| MW BAGNALL COMPANY3 Filed as: THE BAGNALL COMPANY | 1345 E. CHANDLER BLVD., BLDG 1-103 PHOENIX, AZ 85048 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 3.90% |
| THE SPELLICY GROUP3 Filed as: THE SPELLICY GROUP INC. | 4539 E. PALO BREA LANE CAVE CREEK, AZ 85331 | PRINCIPAL LIFE INSURANCE COMPANY | $938 | — | $938 | 2.47% |
| MW BAGNALL COMPANY Filed as: THE BAGNALL COMPANY | 1345 E. CHANDLER BLVD., BLDG 1-103 PHOENIX, AZ 85048 | SUN LIFE ASSURANCE COMPANY OF CANADA | $879 | — | $879 | 6.31% |
| DAVID SPELLICY3 | 4539 E. PALO BREA LANE CAVE CREEK, AZ 85331 | SUN LIFE ASSURANCE COMPANY OF CANADA | $572 | — | $572 | 4.11% |
| MW BAGNALL COMPANY3 Filed as: THE BAGNALL COMPANY | 1345 E. CHANDLER BLVD., BLDG 1-103 PHOENIX, AZ 85048 | VISION SERVICE PLAN | $389 | — | $389 | 4.40% |
| MW BAGNALL COMPANY3 Filed as: THE BAGNALL COMPANY | 1345 E. CHANDLER BLVD., BLDG 1-103 PHOENIX, AZ 85048 | EMPLOYERS DENTAL SERVICES | $469 | — | $469 | 5.56% |
| THE SPELLICY GROUP3 | 29834 N. CAVE CREEK RD., SUITE 118 PMB 341 PHOENIX, AZ 85331 | EMPLOYERS DENTAL SERVICES | $196 | — | $196 | 2.33% |
| MW BAGNALL COMPANY3 Filed as: THE BAGNALL COMPANY | 1345 E. CHANDLER BLVD., BLDG 1-103 PHOENIX, AZ 85048 | UNION SECURITY INSURANCE COMPANY | $1K | — | $1K | 19.70% |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 94 | $412K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 62 | $46K |
| Vision | VISION SERVICE PLAN | 75 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 149 | $14K |
| Short-term disability | UNION SECURITY INSURANCE COMPANY | 24 | $8K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 94 | $412K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 149 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.