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 |
|---|---|---|---|
| BENESYS, INC. EIN 38-3507129 NONE | Direct payment from the plan; Contract Administrator; Claims processing; Consulting (general); Plan Administrator; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating Service code 10 | 700 TOWER DRIVE SUITE 300 TROY, MI 480982808 | $44K |
| BULTYNCK & CO., PLLC EIN 20-3920878 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 15985 CANAL ROAD CLINTON TOWNSHIP, MI 48038 | $21K |
| PIPEFITTERS LOCAL NO. 636 EIN 38-1068240 SPONSOR LOCAL UNION | Direct payment from the plan; Other services Service code 49 | 30100 NORTHWESTERN HWY FARMINGTON HILLS, MI 48334 | $18K |
| ASHER KELLY LAW EIN 84-3379113 NONE | Direct payment from the plan; Legal Service code 29 | 25800 NORTHWESTERN HIGHWA SOUTHFIELD, MI 480751000 | $15K |
| AMERICAN GRAPHICS PRINTING CO EIN 38-2090031 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 34985 GROESBECK HWY CLINTON TOWNSHIP, MI 48035 | $7K |
| NICKEL & SAPH, INC. EIN 38-1799688 NONE | Direct payment from the plan; Insurance services Service code 23 | 44 MACOMB PLACE MOUNT CLEMENS, MI 48043 | $7K |
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 | 1,742 | 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) | 1,742 | 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.