No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE KNOWN | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Claims processing; Float revenue; Other fees; Contract Administrator; Insurance services Service code 12 | — | $991K |
| BENESYS, INC. EIN 38-2383171 NONE KNOWN | Copying and duplicating; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Other fees; Plan Administrator; Direct payment from the plan Service code 13 | — | $387K |
| PRUDENTIAL TRUST CO. EIN 81-6705696 NONE KNOWN | Investment management; Soft dollars commissions; Direct payment from the plan; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 28 | — | $180K |
| MILLIMAN, INC. EIN 91-0675641 NONE KNOWN | Consulting (general); Consulting fees; Actuarial; Direct payment from the plan Service code 11 | — | $175K |
| STATE ST GLOBAL ADVISORS TRST CO EIN 81-4017137 NONE KNOWN | Investment management fees paid directly by plan; Custodial (securities); Custodial (other than securities); Direct payment from the plan; Investment management; Investment management fees paid indirectly by plan Service code 18 | — | $153K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE KNOWN | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $105K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $70K |
| WATKINS PAWLICK CALATI & PRIFTI PC EIN 83-2893229 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $68K |
| DELTA DENTAL OF MICHIGAN EIN 38-1791480 NONE KNOWN | Contract Administrator; Direct payment from the plan; Claims processing; Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $64K |
| PARKER BUSINESS SOLUTIONS LLC TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MI 48071 | $23K |
| MACOMB BUSINESS FORMS DBA NONE KNOWN | Direct payment from the plan; Copying and duplicating Service code 36 | AMERICAN GRAPHICS PRINTING CO. 34895 GROESBECK HWY CLINTOWN TWP, MI 48035 | $20K |
| GARY MANN TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MI 48071 | $18K |
| GARY PETRONI TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MA 48071 | $18K |
| JAMES LEE KING TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MI 48071 | $18K |
| JESSICA GUBING TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MI 48071 | $18K |
| KAREN DUNNING TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1423 EAST TWELVE MILE ROAD MADISON HEIGHTS, MI 48071 | $18K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE KNOWN | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $12K |
| FIFTH THIRD NONE KNOWN | Direct payment from the plan; Custodial (securities) Service code 19 | PO BOX 630900 CINCINNATI, OH 45263 | $7K |
| GROOM LAW GROUP, CHARTERED EIN 52-1219029 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $7K |
| COMERICA BANK EIN 42-1741646 INSTITUTIONAL TRUSTEE | Shareholder servicing fees; Custodial (securities); Other services; Direct payment from the plan; Other investment fees and expenses; Float revenue Service code 19 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,354 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,354 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH ALLIANCE PLAN | 21 | $236K |
| Vision(2 contracts, 2 carriers) | HM LIFE INSURANCE COMPANY | 1,340 | $185K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH ALLIANCE PLAN | 21 | $236K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF MICHIGAN | 2,705 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,705 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.