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 |
|---|---|---|---|
| ALLIED MAILING & PRINTING EIN 38-3316602 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 240 N. FENWAY DR FENTON, MI 48430 | $311K |
| DOLORES M GALEA EIN 81-4920943 NONE | Plan Administrator; Employee (plan) Service code 14 | — | $211K |
| SAGETACK, LLC EIN 81-3727053 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1612 OAKFIELD DR. ANN ARBOR, MI 48108 | $196K |
| NINA M SCIMEMI EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $168K |
| STEVEN WILLIAMS EIN 81-4920943 NONE | Employee (plan); Plan Administrator Service code 14 | — | $156K |
| 1400 WOODBRIDGE VENTURES LLC EIN 61-1719736 NONE | Other services Service code 49 | 600 N OLD WOODWARD STE100 BIRMINGHAM, MI 48009 | $148K |
| ABBIE BAZZI EIN 81-4920943 NONE | Plan Administrator; Employee (plan) Service code 14 | — | $148K |
| SOVOS COMPLIANCE EIN 46-1379693 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 200 BALLARDVALE ST, 4TH WILMINGTON, MA 01887 | $143K |
| WOLVERINE MAIL PACKAGING WHSE INC. EIN 38-2233061 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1601 CLAY ST DETROIT, MI 48211 | $128K |
| VIPERSPACE INC. NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 10732 PLAZA DR WHITMORE LAKE, MI 48189 | $107K |
| CAROLYN BERNSTEIN EIN 81-4920943 NONE | Plan Administrator; Employee (plan) Service code 14 | — | $105K |
| WILLIS TOWERS WATSON MIDWEST, INC. EIN 34-1174529 NONE | Insurance agents and brokers Service code 22 | PO BOX 416719 BOSTON, MA 022416719 | $101K |
| TAMMY SNELL EIN 81-4920943 NONE | Employee (plan); Plan Administrator Service code 14 | — | $83K |
| AUDREY HUGHES EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $78K |
| DAVID SHOEMAKER EIN 81-4920943 NONE | Employee (plan); Plan Administrator Service code 14 | — | $75K |
| DONALD F DACE EIN 81-4920943 NONE | Employee (plan); Plan Administrator Service code 14 | — | $65K |
| DIANNA FORTON EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $65K |
| KATHRYN A DAIGNEAU EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $55K |
| ALTA VISTA EIN 46-4847760 NONE | Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 26622 WOODWARD AVE STE105 ROYAL OAK, MI 48067 | $52K |
| KIRI KORYCINSKI EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $50K |
| CONTINENTAL CASUALTY COMPANY (CNA) EIN 36-2114545 NONE | Insurance services Service code 23 | PO BOX 74007619 CHICAGO, IL 606747619 | $48K |
| FEDERAL INSURANCE CO (CHUBB) EIN 13-1963496 NONE | Insurance services Service code 23 | PO BOX 382001 PITTSBURGH, PA 152508001 | $46K |
| GEORGI-ANN BARAMIAN EIN 81-4920943 NONE | Plan Administrator; Employee (plan) Service code 14 | — | $34K |
| HARRELL L BAILEY EIN 81-4920943 NONE | Accounting (including auditing); Employee (plan) Service code 10 | — | $32K |
| COMERICA BANK EIN 42-1741646 CUSTODIAN | Account maintenance fees; Float revenue; Trustee (bank, trust company, or similar financial institution); Other services Service code 21 | 36455 CORPORATE DRIVE FARMINGTON HILLS, MI 48331 | $30K |
| CHEONG NG EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $24K |
| VICTORIA RINGVELSKI EIN 81-4920943 NONE | Employee (plan); Accounting (including auditing) Service code 10 | — | $22K |
| COLE NEWTON & DURAN CPAS EIN 38-3146599 NONE | Accounting (including auditing) Service code 10 | 33762 SCHOOLCRAFT ST LIVONIA, MI 48150 | $19K |
| THE VANGUARD GROUP INC EIN 23-1945930 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1655 43RD STREET SOUTH FARGO, ND 581033582 | $16K |
| MCKNIGHT CANZANO SMITH RADTKE & BRA EIN 38-2237190 NONE | Legal Service code 29 | 3950 W. 11 MILE RD. BERKLEY, MI 48072 | $15K |
| INDEED EIN 26-0129478 NONE | Consulting (general) Service code 16 | PO BOX 660367 DALLAS, TX 75266 | $11K |
| TERRI KUZNIA EIN 81-4920943 NONE | Employee (plan) Service code 30 | — | $10K |
| NEQTER LABS LLC EIN 37-1876758 NONE | Consulting (general) Service code 16 | 163 GAR HWY SWANSEA, MA 02777 | $8K |
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 | 141,449 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 372,138 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 513,587 | 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."
No prospect flags tripped on this filing.