Blue Cross Blue Shield of Arizona, Inc.
Overview
Blue Cross Blue Shield of Arizona, Inc. sponsors a self-funded health plan that covered 733 participants in plan year 2025, up 16% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 733 · prior year 631
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Flexible Benefit Plan, plan 501 (733 participants)
- Broker compensation
- $468K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Blue Cross & Blue Shield of Arizona, Inc. | Medical, Dental | 2,978 | $50.6M | — |
| Equitable Financial Life Insurance Company of America | Short-term disability | 3,114 | $1.4M | $77K |
| Equitable Life Insurance Company of America | Long-term disability | 3,220 | $1.0M | $107K |
| Metropolitan General Insurance Company | — | 690 | $159K | $19K |
| Federal Insurance Company | Life, Short-term disability | 3,094 | — | — |
| Equitable Financial Life Insurance | Medical, Vision, Life, Short-term disability, Long-term disability | 3,109 | — | $265K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 733 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Blue Cross Blue Shield of Arizona, Inc.
- Sponsor EIN
- 86-0004538
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-0004538 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Blue Cross and Blue Shield of Arizona, Inc. 401(k) Savings Plan
- Type
- 401(k) plan
- Participants
- 3,932
About this data
Source: Blue Cross Blue Shield of Arizona, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Blue Cross Blue Shield of Arizona, Inc..