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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE | Float revenue; Insurance services; Claims processing; Consulting (general) Service code 12 | — | $14.5M |
| DELTA DENTAL EIN 38-1791480 BENEFIT ADMINISTRATOR | Claims processing Service code 12 | — | $769K |
| ACCESSHOPE NONE | Other services Service code 49 | 1500 E DURATE RD DURARTE, CA 91010 | $636K |
| MAGELLAN EAP PROVIDER | Other services Service code 49 | 4800 N SCOTTSDALE RD STE 4400 SCOTTSDALE, AZ 852517680 | $509K |
| BELL LITHO INC. EIN 36-2550923 NONE | Other services Service code 49 | — | $292K |
| EYEMED VISION CARE EIN 86-0773195 NONE | Contract Administrator Service code 13 | — | $98K |
| EECOMM NONE | Consulting (general) Service code 16 | 700 TERRACE POINT ROAD, SUITE 300 MUSKEGON, MI 49440 | $75K |
| CATILIZE HEALTH NONE | Other services Service code 49 | 2605 NICHOLSON RD. SUITE 1140 SEWICKLEY, PA 15143 | $22K |
| GILSON GRAPHICS EIN 38-1299908 NONE | Participant communication Service code 38 | — | $19K |
| TIM HERSHNER DESIGN NONE | Other services Service code 49 | 1635 SUNDRIDGE DR COLUMBUS, OH 43221 | $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 | 30,085 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 211 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 30,296 | 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.