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 |
|---|---|---|---|
| TOM JARANOWSKI EIN 36-7986079 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $96K |
| BENESYS EIN 38-6058023 NONE | Participant communication; Copying and duplicating; Contract Administrator; Direct payment from the plan Service code 13 | — | $23K |
| LOUIS OLLESHEIMER & SONS NONE | Direct payment from the plan; Other services Service code 49 | 605 EAST 12 MILE ROAD MADISON HEIGHTS, MI 48071 | $14K |
| DE-CAL NONE | Other services; Direct payment from the plan Service code 49 | 24659 SCHOENHERR ROAD WARREN, MI 48089 | $13K |
| DEAN KUCHARSKI EIN 38-6763975 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| GREAT LAKES FENCE CO NONE | Direct payment from the plan; Other services Service code 49 | 16540 GREENFIELD ROAD DETROIT, MI 48235 | $10K |
| CITY OF OAK PARK NONE | Direct payment from the plan; Other services Service code 49 | 14000 OAK PARK BLVD OAK PARK, MI 48237 | $9K |
| GARY JOHNSEN EIN 36-3709048 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| LUCAS BROWN EIN 36-6048096 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| FRAZA NONE | Direct payment from the plan; Other services Service code 49 | 6865 COMMERCE BLVD CANTON, MI 48187 | $7K |
| WRUBEL, WESLEY & CO CPAS EIN 38-2574238 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $6K |
| CONSUMERS ENERGY NONE | Direct payment from the plan; Other services Service code 49 | 4600 COOLIDGE HWY ROYAL OAK, MI 48073 | $5K |
| DTE NONE | Other services; Direct payment from the plan Service code 49 | 7919 LIVERNOIS DETROIT, MI 48210 | $5K |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | 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.