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; Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator Service code 14 | 700 TOWER DRIVE SUITE 300 TROY, MI 480982808 | $28K |
| ASHER KELLY EIN 84-3379113 NONE | Direct payment from the plan; Legal Service code 29 | 25800 NORTHWESTERN HIGHWA SOUTHFIELD, MI 480751000 | $27K |
| BUTZEL LONG EIN 38-2384883 NONE | Direct payment from the plan; Legal Service code 29 | 150 W JEFFERSON AVE DETROIT, MI 48226 | $24K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 NONE | Direct payment from the plan; Investment management Service code 28 | 777 E WISCONSIN AVE MILWAUKEE, WI 53202 | $15K |
| WALTER, BOESKY & ASSOCIATES, PC EIN 38-3629743 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 17320 W 12 MILE ROAD SOUTHFIELD, MI 48076 | $13K |
| 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 | 1,708 | 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) | 1,708 | 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.