Form 5500 · Employee benefit plan · PHOENIX, AZ
PEM PAYROLL LLC
PEM PAYROLL LLC of PHOENIX, AZ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MJ INSURANCE. Coverage is written through HARTFORD LIFE AND ACCIDENT and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3399991 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 152 | December | $4,170 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 83 | December | $567 |
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health, Dental | 144 | December | $118 |
Questions
Who is PEM PAYROLL LLC's benefits broker?
Per its most recent Form 5500 Schedule A, PEM PAYROLL LLC's broker of record is MJ INSURANCE.
What insurance carrier does PEM PAYROLL LLC use?
PEM PAYROLL LLC's benefit plan is written through HARTFORD LIFE AND ACCIDENT, among 3 disclosed carriers.
When does PEM PAYROLL LLC's group plan renew?
The most recent Schedule A policy period for PEM PAYROLL LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PEM PAYROLL LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.