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 | — | $935K |
| CENTRAL DATA SERVICES EIN 24-1352803 NONE KNOWN | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $437K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE KNOWN | Investment management; Investment management fees paid directly by plan; Custodial (securities); Custodial (other than securities); Direct payment from the plan Service code 18 | — | $291K |
| UNICARE LIFE & HEALTH INSURANCE CO. EIN 52-0913817 NONE KNOWN | Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | — | $163K |
| SILVERSCRIPT NONE KNOWN | Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | PO BOX 30001 PITTSBURGH, PA 152220330 | $124K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE KNOWN | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $104K |
| MILLIMAN, INC. EIN 91-0675641 NONE KNOWN | Consulting (general); Direct payment from the plan; Consulting fees; Actuarial Service code 11 | — | $102K |
| PLANTE & MORAN, PLLC EIN 38-1357951 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $79K |
| BENESYS, INC. EIN 38-2383171 NONE KNOWN | Copying and duplicating; Direct payment from the plan; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Recordkeeping fees; Other fees Service code 13 | — | $33K |
| GROOM LAW GROUP, CHARTERED EIN 52-1219029 NONE KNOWN | Legal; Direct payment from the plan Service code 29 | — | $29K |
| GARY PETRONI TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $26K |
| PARKER BUSINESS SOLUTIONS TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $22K |
| RICK ISAACSON TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $22K |
| SNG CONSULTING LLC TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $22K |
| MACOMB BUSINESS FORMS INC. DBA NONE KNOWN | Copying and duplicating; Direct payment from the plan Service code 36 | AMERICAN GRAPHICS PRINTING CO. 34895 GROESBECK HWY CLINTON TOWNSHIP, MI 48035 | $12K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE KNOWN | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $9K |
| COMERICA BANK EIN 42-1741646 INSTITUTIONAL TRUSTEE | Direct payment from the plan; Shareholder servicing fees; Custodial (securities); Other investment fees and expenses; Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Float revenue; Other services Service code 18 | — | $9K |
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 | 2,039 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,039 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNICARE LIFE & HEALTH INSURANCE COMPANY | 1,386 | $386K |
| Other | UNICARE LIFE & HEALTH INSURANCE COMPANY | 1,386 | $386K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,386 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.