No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE KNOWN | Contract Administrator; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Float revenue; Insurance services; Consulting (general) Service code 12 | — | $556K |
| CVS PHARMACY EIN 05-0340626 NONE KNOWN | Claims processing; Direct payment from the plan Service code 12 | — | $152K |
| BENEFIT OUTSOURCING SOLUTIONS, INC. EIN 38-3370067 NONE KNOWN | Direct payment from the plan; Plan Administrator Service code 14 | — | $144K |
| SACHS WALDMAN, P.C. EIN 38-1905521 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $116K |
| MILLIMAN, INC. EIN 91-0675641 NONE KNOWN | Consulting (general); Consulting fees; Direct payment from the plan; Actuarial Service code 11 | — | $95K |
| UNICARE LIFE & HEALTH INSURANCE CO. EIN 52-0913817 NONE KNOWN | Contract Administrator; Direct payment from the plan; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $59K |
| SEGAL ROGERSCASEY EIN 13-2646110 NONE KNOWN | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $35K |
| GARY PETRONI EIN 35-2348326 TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $18K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| SNG CONSULTING LLC EIN 20-8573149 TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $14K |
| STACKPOOLE BUSINESS SOLUTIONS LLC EIN 81-3545936 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $14K |
| COMERICA BANK EIN 42-1741646 INSTITUTIONAL TRUSTEE | Custodial (securities); Shareholder servicing fees; Direct payment from the plan; Other services; Float revenue; Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $13K |
| PARKER BUSINESS SOLUTIONS EIN 26-3304155 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $13K |
| AMERICAN GRAPHICS PRINTING CO. EIN 38-2090931 NONE KNOWN | Copying and duplicating; Direct payment from the plan 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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,613 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,613 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNICARE LIFE & HEALTH INSURANCE COMPANY | 3,683 | $24K |
| Life insurance | UNICARE LIFE & HEALTH INSURANCE COMPANY | 2,317 | $68K |
| Other | UNICARE LIFE & HEALTH INSURANCE COMPANY | 2,317 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,683 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.