Goodwill of Central and Northern Arizona
Overview
Goodwill of Central and Northern Arizona sponsors a self-funded health plan that covered 3,357 participants in plan year 2025, up 13% 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
- 3,357 · prior year 2,974
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Goodwill of Central and Northern Arizona Health & Welfare Plan, plan 501 (3,357 participants)
- Stop-loss carrier
- Fringe Benefit Group, Inc.
- Broker compensation
- $442K 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 |
|---|---|---|---|---|
| Cigna Health and Life Insurance Company | Medical, Prescription drug, Accident, Critical Illness, Hospital Indemnity | 1,193 | $6.9M | $332K |
| Armadacare | Medical | 52 | $1.0M | $16K |
| Ameritas Life Insurance Corp. | Dental, Vision | 3,399 | $638K | $32K |
| Unum Life Insurance Company of America | Life, Long-term disability, Short-term disability | 3,280 | $556K | $50K |
| Fringe Benefit Group, Inc. | Medical, Prescription drug, Stop-loss | 351 | $305K | — |
| Vision Service Plan | Vision | 1,308 | $115K | $12K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,357 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
- Goodwill of Central and Northern Arizona
- Sponsor EIN
- 86-0104415
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 86-0104415 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Goodwill of Central and Northern Arizona Retirement Plan
- Type
- 401(k) plan
- Participants
- 5,309
About this data
Source: Goodwill of Central and Northern Arizona'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 Goodwill of Central and Northern Arizona.