No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services; Claims processing; Direct payment from the plan; Float revenue; Other fees; Contract Administrator; Consulting (general) Service code 12 | — | $704K |
| BENESYS, INC. EIN 38-2383171 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Direct payment from the plan; Recordkeeping fees; Other fees; Plan Administrator; Contract Administrator Service code 13 | — | $446K |
| MILLIMAN, INC. EIN 91-0675641 NONE KNOWN | Consulting fees; Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $259K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $92K |
| SACHS WALDMAN, P.C. EIN 38-1905521 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $84K |
| PRUDENTIAL TRUST CO. EIN 52-1679020 NONE KNOWN | Investment management; Soft dollars commissions; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Direct payment from the plan Service code 28 | — | $80K |
| SEGAL ROGERSCASEY EIN 13-2646110 NONE KNOWN | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $71K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE KNOWN | Investment management fees paid directly by plan; Direct payment from the plan; Custodial (other than securities); Custodial (securities) Service code 18 | — | $58K |
| COMERICA BANK EIN 42-1741646 INSTITUTIONAL TRUSTEE | Float revenue; Shareholder servicing fees; Other services; Custodial (securities); Direct payment from the plan Service code 19 | — | $29K |
| PARKER BUSINESS SOLUTIONS LLC EIN 26-3304155 TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $23K |
| GARY MANN TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 700 TOWER DRIVE SUITE 300 TROY, MI 48089 | $20K |
| JAMES LEE KING TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 700 TOWER DRIVE SUITE 300 TROY, MI 48089 | $19K |
| THOMAS DUZAK TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 700 TOWER DRIVE SUITE 300 TROY, MI 48089 | $19K |
| GARY PETRONI TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 700 TOWER DRIVE SUITE 300 TROY, MI 48089 | $18K |
| DIRECTPATH LLC EIN 02-0677999 NONE KNOWN | Consulting (general); Direct payment from the plan Service code 16 | — | $18K |
| KAREN DUNNING TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 700 TOWER DRIVE SUITE 300 TROY, MI 48089 | $9K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE KNOWN | Direct payment from the plan; Copying and duplicating Service code 36 | — | $8K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE KNOWN | Insurance brokerage commissions and fees Service code 53 | — | $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 | 326 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,471 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,797 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | HEALTH ALLIANCE PLAN | 23 | $489K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF MICHIGAN | 2,515 | $564K |
| Vision(2 contracts, 2 carriers) | HM LIFE INSURANCE COMPANY | 1,168 | $138K |
| Prescription drug(4 contracts, 4 carriers) | HEALTH ALLIANCE PLAN | 23 | $489K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 2,540 | $22K |
| Other | BLUE CARE NETWORK OF MICHIGAN | 14 | $155K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,540 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.