Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingPremium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Michael G Buck HealthRxHMOStop-loss | HealthRxHMOStop-loss |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,429 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 646 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,087 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 933 | $2.8M |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN MEDICARE ADVANTAGE | 933 | $2.8M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,144 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,144 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Blue Cross Blue Shield of Michigan Medicare Advantage | |
Carrier: Blue Care Network of Michigan | |
Carrier: Blue Cross Blue Shield of Michigan |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Plan Administrator; Claims processing; Direct payment from the plan; Other services; Contract Administrator Service code 12 | — | $573K |
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Consulting (general); Direct payment from the plan; Contract Administrator; Insurance services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Claims processing Service code 12 | — | $565K |
| MORGAN STANLEY SMITH BARNEY, LLC EIN 26-4310632 NONE | Securities brokerage; Consulting fees; Direct payment from the plan; Other commissions; Investment advisory (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (securities); Other investment fees and expenses; Investment management fees paid directly by plan; Securities brokerage commissions and fees Service code 15 | — | $113K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 NONE | Direct payment from the plan; Claims processing; Contract Administrator Service code 12 | — | $81K |
| WATKINS PAWLICK CALATI PRIFTI PC EIN 83-2893229 NONE | Direct payment from the plan; Legal Service code 29 | — | $76K |
| STEFANSKY HOLLOWAY NICHOLS EIN 38-2388845 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $68K |
| PNC FINANCIAL SERVICES GROUP NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | 755 W BIG BEAVER, STE 24 TROY, MI 48084 | $42K |
| AMERICAN GRAPHICS PRINTING COMPANY EIN 38-2090931 NONE | Participant communication; Copying and duplicating; Direct payment from the plan Service code 36 | — | $39K |
| ULLIANCE, INC NONE | Direct payment from the plan; Other services Service code 49 | 900 TOWER DRIVE 600 TROY, MI 480980000 | $39K |
| BENDA, GRACE, STULZ & COMPANY, P.C. EIN 38-2284921 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| SALUS GROUP EIN 38-6233978 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $17K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 13 | — | $16K |
| THE SEGAL COMPANY, INC. EIN 13-1975125 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $10K |
| LEGG MASON & COMPANY, LLC NONE | Investment management; Direct payment from the plan Service code 28 | 13985 COLLECTIONS CTR DR CHICAGO, IL 606930139 | $7K |
| ALLSPRING FUND NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | PO BOX 219967 KANSAS CITY, MO 641219967 | $0 |
| ARISTOTLE FUNDS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 235 W GALENA STREET MILWAUKEE, WI 53212 | $0 |
| BOYD WATERSON NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 1801 E 9TH ST, STE 1400 CLEVELAND, OH 44114 | $0 |
| CLEARBRIDGE INVESTMENTS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 620 EIGHT AVENUE NEW YORK, NY 10018 | $0 |
| COHEN & STEERS NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | 280 PARK AVE, 10 TH FLOOR NEW YORK, NY 10017 | $0 |
| EARNEST PARTNERS NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | 1180 PEACHTREE, STE 2300 ATLANTA, GA 30309 | $0 |
| MASSACHUSETTS FINANCIAL SERVICES CO EIN 04-2747644 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $0 |
| PIONEER ASSET MANAGEMENT NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | PO BOX 219427 KANSAS CITY, MO 64121 | $0 |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025