Form 5500 · Employee benefit plan · PEORIA, AZ
C J S ENTERPRISES LLC
The filing calls this plan C J S ENTERPRISES LLC WELFARE BENEFIT PLAN.
C J S ENTERPRISES LLC of PEORIA, AZ insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN INSURANCE OF AZ INC. Coverage is written through BLUE CROSS BLUE SHIELD OF ARIZONA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0004538 · plan 501 · plan year 2025, filed Apr 23, 2026
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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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 2 insured contracts covering health, dental, vision and life; the largest, with BLUE CROSS BLUE SHIELD OF ARIZONA, covers 35 people.
Reported premium across the insured contracts is $282,897, with $12,577 in disclosed broker commissions — about 4.4% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BROWN & BROWN INSURANCE OF AZ INC is the broker of record on all 2 contracts.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF ARIZONA and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health | 35 | Jan 1, 2026 | $241,513 | $8,996 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life | 88 | Jan 1, 2026 | $41,384 | $3,581 |
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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