| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MW BAGNALL COMPANY3 Filed as: THE M.W. BAGNALL COMPANY | 1345 EAST CHANDLER BOULEVARD BUILDING 1, SUITE 103 PHOENIX, AZ 85048 | BLUE CROSS BLUE SHIELD OF ARIZONA | $38K | — | $38K | 1.76% |
| EMPLOYEE BENEFITS INTL AZ INC3 Filed as: EMPLOYEE BENEFITS INT. ARIZONA INC. | 2525 EAST ARIZONA BILTMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | BLUE CROSS BLUE SHIELD OF ARIZONA | $5K | — | $5K | 0.24% |
| MW BAGNALL COMPANY3 Filed as: THE M.W. BAGNALL COMPANY | 1345 EAST CHANDLER BOULEVARD BUILDING 1, SUITE 103 PHOENIX, AZ 85048 | HARTFORD LIFE AND ACCIDENT | $28K | — | $28K | 8.65% |
| EMPLOYEE BENEFITS INTL AZ INC3 Filed as: EMPLOYEE BENEFITS INT. ARIZONA INC. | 2525 EAST ARIZONA BILTMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 1.38% |
| MW BAGNALL COMPANY3 Filed as: THE M.W. BAGNALL COMPANY | 1345 EAST CHANDLER BOULEVARD BUILDING 1, SUITE 103 PHOENIX, AZ 85048 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $2K | $19K | 8.31% |
| EMPLOYEE BENEFITS INTL AZ INC3 Filed as: EMPLOYEE BENEFITS INT. ARIZONA INC. | 2525 EAST ARIZONA BILTMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 0.66% |
| MW BAGNALL COMPANY3 Filed as: THE M.W. BAGNALL COMPANY | 1345 EAST CHANDLER BOULEVARD BUILDING 1, SUITE 103 PHOENIX, AZ 85048 | AVESIS INSURANCE INCORPORATED | $4K | — | $4K | 8.45% |
| EMPLOYEE BENEFITS INTL AZ INC3 Filed as: EMPLOYEE BENEFITS INT. ARIZONA INC. | 2525 EAST ARIZONA BILTMORE CIRCLE SUITE D144 PHOENIX, AZ 85016 | AVESIS INSURANCE INCORPORATED | $636 | — | $636 | 1.49% |
| THE M.W. BAGNELL COMPANY3 | 1345 EAST CHANDLER BOULEVARD BUILDING 1, SUITE 103 PHOENIX, AZ 85048 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $634 | — | $634 | 2.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 2375 EAST CAMELBACK ROAD PHOENIX, AZ 85016 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $409 | — | $409 | 1.55% |
| SUSAN HENDRICKS3 | 6718 NORTH PALM CANYON DRIVE PHOENIX, AZ 85018 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $380 | $2 | $382 | 1.45% |
| GENTRY INSURANCE INC3 Filed as: GENTRY INSURANCE INC. | 9140 WEST COOLBROOK AVENUE PEORIA, AZ 85382 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $262 | $1 | $263 | 1.00% |
| TERRI SEXTON3 | 4725 WEST VILLA THERESA DRIVE GLENDALE, AZ 85308 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $187 | — | $187 | 0.71% |
| JEFFREY THOMAS3 | PO BOX 11312 TEMPLE, AZ 85284 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $61 | — | $61 | 0.23% |
| JAROLD L WELKER3 Filed as: JAROLD L. WALKER | 1922 NORTH 45TH STREET PHOENIX, AZ 85008 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.02% |
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 | 792 | 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) | 792 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 330 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 777 | $232K |
| Vision | AVESIS INSURANCE INCORPORATED | 570 | $43K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 792 | $351K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 792 | $351K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 792 | $324K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 330 | $2.2M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 792 | $351K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 792 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.