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 N/A | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other fees; Float revenue; Direct payment from the plan; Consulting (general); Claims processing; Insurance services Service code 12 | — | $6.6M |
| CENTRAL STATES PENSION FUND EIN 36-6044243 N/A | Other services; Direct payment from the plan Service code 49 | — | $1.3M |
| BASYS, INC EIN 52-1796473 N/A | Direct payment from the plan; Other services Service code 49 | — | $588K |
| DELTA DENTAL PLAN OF MICHIGAN, INC. EIN 38-1791480 N/A | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $526K |
| WILLIS TOWERS WATSON EIN 53-0181291 N/A | Other services; Direct payment from the plan Service code 49 | — | $336K |
| RICHARD BURKER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $315K |
| RED-CARD SYSTEMS, LLC EIN 20-5388701 N/A | Other services; Direct payment from the plan Service code 49 | — | $271K |
| AMAZON WEB SERVICES, INC EIN 20-4938068 N/A | Other services; Direct payment from the plan Service code 49 | — | $216K |
| AON RISK SERVICES CENTRAL, INC EIN 38-0479530 N/A | Direct payment from the plan; Insurance services Service code 23 | — | $203K |
| WILLIAM DEIGHTON EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $185K |
| LAW OFFICES OF MICHAEL J. MILLS EIN 38-3043446 N/A | Legal; Direct payment from the plan Service code 29 | — | $166K |
| KYLE STALLMAN EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $166K |
| PATRICIA LAVIGNE EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $164K |
| YOUNGSOFT, INC EIN 38-3274599 N/A | Other services; Direct payment from the plan Service code 49 | — | $159K |
| CVS HEALTH EIN 95-3382344 N/A | Contract Administrator; Claims processing; Other fees; Direct payment from the plan Service code 12 | — | $156K |
| HEATHER CARMAN EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $140K |
| VISHAL SHARMA EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $134K |
| BARBARA MCGUIRE EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| ASHAKI SORRELL EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $120K |
| KALIM RATHUR EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| SANDRA BOWMAN-CLAUS EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| JASEN STAGNER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $106K |
| CYNTHIA BOETTNER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| MARK GUENTHER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $102K |
| ERICA MILLER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| AHMED IBRAHIM EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| STEVEN HARBRON EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $96K |
| CARLENE KNIGHT EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $90K |
| GDI OMNI EIN 39-2079800 N/A | Direct payment from the plan; Other services Service code 49 | — | $89K |
| SHERRYLN HALL EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| CORRINE BUCHANAN EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $84K |
| WIT INC. EIN 38-3308114 N/A | Direct payment from the plan; Other services Service code 49 | — | $84K |
| TODD GRAHAM EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| MDLIVE, INC EIN 45-4937055 N/A | Direct payment from the plan; Other services Service code 49 | — | $81K |
| DAWN LAWRENCE EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| LORENE (GAIL) LOWRAN EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $75K |
| RESOURCE TECHNOLOGY CORP EIN 38-2959323 N/A | Direct payment from the plan; Other services Service code 49 | — | $73K |
| RSM US LLP EIN 42-0714325 N/A | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $72K |
| LYNN HOGG EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| RAMONA FRANTZ EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| ANDREW BRYER EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| KELLY MIKOLAJEWSKI EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| CAROL SHIREY EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| KRISTI CRONK EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $69K |
| GUARDIAN ENVIRONMENTAL SERVICES, IN EIN 38-2513074 N/A | Other services; Direct payment from the plan Service code 49 | — | $69K |
| DATA PARTNERS INC EIN 38-3747818 N/A | Other services; Direct payment from the plan Service code 49 | — | $68K |
| JAKE WROBEL EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| MELANIE PARYASKI EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| KEVIN KEVENEY EIN 38-1328578 EMPLOYEE OF PLAN ADMIN | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| EYEMED EIN 86-0773195 N/A | Direct payment from the plan; Other services Service code 49 | — | $63K |
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 | 16,858 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,858 | 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.