No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TIC INTERNATIONAL CORPORATION EIN 13-2600875 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Accounting (including auditing); Contract Administrator Service code 10 | 30700 TELEGRAPH RD BINGHAM FARMS, MI 48025 | $29K |
| WALTER BOESKY & ASSOCIATES PC EIN 38-3629743 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 17320 W 12 MILE ROAD SUITE 200 SOUTHFIELD, MI 480762105 | $13K |
| NEMES RUSH FAMILY WEALTH MANAGEMENT EIN 86-2989705 NONE | Investment advisory (plan); Investment management; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | 39500 HIGH POINTE BLVD STE 190 NOVI, MI 48375 | $8K |
| STARK REGAN PC EIN 38-2016115 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 1111 W LONG LAKE RD TROY, MI 48098 | $7K |
| ACRISURE, LLC EIN 26-3554656 NONE | Insurance brokerage commissions and fees; Insurance services; Insurance agents and brokers Service code 22 | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | $7K |
| COMMERICA BANK EIN 38-1998421 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Named fiduciary Service code 21 | 1717 MAIN STREET, MC 6404 DALLAS, TX 75201 | $6K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 326 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 326 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Self-funded plan with no stop-loss carrier attached. Catastrophic-risk exposure; stop-loss specialist sales target.