Form 5500 · Employee benefit plan · PHOENIX, AZ
A4 CORPORATE SERVICES, LLC
A4 CORPORATE SERVICES, 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 MORETON & COMPANY. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-3908805 · plan 501 · plan year 2024, filed Sep 6, 2024
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35 other employer plans in Arizona have policy years ending in January. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering health and dental; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 254 people.
Reported premium across the insured contracts is $2,902,685, with $163,443 in disclosed broker commissions — about 5.6% of premium.
The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health, Dental | 254 | Feb 1, 2024 | $2,902,685 | $163,443 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF ARIZONA, contract 41685. For the contract year on this filing, the carrier reported $2,902,685 in premium earned and $1,925,632 in claims incurred. Dividing one by the other gives 66%.
- BLUE CROSS BLUE SHIELD OF ARIZONA, contract 41685 reported $377,973 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
35 other employer plans in Arizona are February 1 renewals (policy year ends January).
Their policy years end in January, like this plan’s, so most renew February 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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