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 KNOWN | Other fees; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Insurance services; Claims processing; Direct payment from the plan Service code 12 | — | $3.1M |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 NONE KNOWN | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $332K |
| BENESYS, INC. EIN 38-2383171 NONE KNOWN | Direct payment from the plan; Plan Administrator Service code 14 | — | $295K |
| SALUS GROUP BENEFITS EIN 20-2024076 NONE KNOWN | Insurance agents and brokers; Direct payment from the plan; Consulting (general) Service code 16 | — | $121K |
| FINKEL, WHITEFIELD, SELIK, P.C. EIN 38-2529039 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $115K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $111K |
| STEFANSKY, HOLLOWAY & NICHOLS, INC. EIN 38-2388845 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $101K |
| CONSTRUCTION INDUSTRY RESOURCES INC EIN 38-2838463 NONE KNOWN | Direct payment from the plan; Consulting (general) Service code 16 | — | $85K |
| NATIONAL INVESTMENT SERVICES, INC. EIN 80-0169636 NONE KNOWN | Investment management fees paid directly by plan; Investment management; Direct payment from the plan Service code 28 | — | $77K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE KNOWN | Copying and duplicating; Direct payment from the plan Service code 36 | — | $61K |
| SEIZERT CAPITAL PARTNERS, LLC EIN 38-3553488 NONE KNOWN | Direct payment from the plan; Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $54K |
| JEFFREY M. LESSER, P.C. EIN 38-3033865 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $45K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE KNOWN | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 12 | — | $39K |
| SULLIVAN, WARD, ASHER & PATTON PC EIN 38-1880608 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $38K |
| TIMOTHY LALONDE EIN 38-1940673 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| NOVARA TESIJA & CATENACCI, PLLC EIN 38-3763096 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $31K |
| PAUL AUSTIN NONE KNOWN | Consulting fees; Consulting (general); Actuarial Service code 11 | 2862 FOXFIRE MILFORD, MI 48380 | $29K |
| CHADWICK CAPANDA EIN 38-1940673 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $26K |
| DOUGLAS WEBB EIN 38-1940673 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $26K |
| TIMOTHY ABLER EIN 38-1940673 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
| TIMOTHY GANTON EIN 38-1940673 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $26K |
| VICTORY CAPITAL MANAGEMENT EIN 13-2700161 NONE KNOWN | Direct payment from the plan; Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $25K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE KNOWN | Direct payment from the plan; Investment management; Investment management fees paid directly by plan; Shareholder servicing fees; Investment management fees paid indirectly by plan; Float revenue Service code 28 | — | $19K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 NONE KNOWN | Direct payment from the plan; Actuarial Service code 11 | — | $18K |
| EBIX INC. EIN 77-0021975 NONE KNOWN | Participant communication; Direct payment from the plan Service code 38 | — | $16K |
| NEPC, LLC EIN 26-1429809 NONE KNOWN | Consulting (pension); Direct payment from the plan Service code 17 | — | $14K |
| STANDARD LIFE INVESTMENTS NONE KNOWN | Investment management fees paid directly by plan; Investment management; Direct payment from the plan Service code 28 | 712 FIFTH AVENUE, 49TH FLOOR NEW YORK, NY 10019 | $11K |
| MADDIN, HAUSER, ROTH & HELLER PC EIN 38-3024220 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $9K |
| JP MORGAN CHASE BANK, N.A. EIN 13-4994650 NONE KNOWN | Float revenue; Custodial (securities); Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $7K |
| BAYVIEW INS GRP DBA UNION SERVICES EIN 38-3297465 NONE KNOWN | Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $0 |
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 | 6,849 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,597 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,446 | 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.