No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN EIN 38-2069753 NONE KNOWN | Insurance services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Consulting (general); Direct payment from the plan; Contract Administrator; Float revenue; Other fees Service code 12 | — | $874K |
| CENTRAL DATA SERVICES EIN 25-1352803 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 | Custodial (other than securities); Investment management; Custodial (securities); Investment management fees paid directly by plan; Direct payment from the plan Service code 18 | — | $217K |
| CVS PHARMACY EIN 05-0340626 NONE KNOWN | Contract Administrator; Claims processing; Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $173K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE KNOWN | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $126K |
| PRUDENTIAL TRUST CO. EIN 81-6705696 NONE KNOWN | Investment management fees paid indirectly by plan; Securities brokerage commissions and fees; Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $117K |
| UNICARE LIFE & HEALTH INSURANCE CO. EIN 52-0913817 NONE KNOWN | Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $110K |
| PLANTE & MORAN, PLLC EIN 33-1498605 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $99K |
| MILLIMAN, INC. EIN 91-0675641 NONE KNOWN | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $95K |
| 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 | $25K |
| PARKER BUSINESS SOLUTIONS TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $21K |
| RICK ISAACSON TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $21K |
| SNG CONSULTING LLC TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1701 PENNSYLVANIA AVE. NW SUITE 1200 WASHINGTON, DC 20006 | $21K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE KNOWN | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $10K |
| MACOMB BUSINESS FORMS INC. DBA NONE KNOWN | Direct payment from the plan; Copying and duplicating Service code 36 | AMERICAN GRAPHICS PRINTING CO. 34895 GROESBECK HWY CLINTON TOWNSHIP, MI 48035 | $10K |
| FIFTH THIRD NATIONAL BANK EIN 31-0281170 NONE KNOWN | Other services; Direct payment from the plan Service code 49 | — | $9K |
| COMERICA BANK EIN 42-1741646 INSTITUTIONAL TRUSTEE | Custodial (other than securities); Custodial (securities); Trustee (bank, trust company, or similar financial institution); Other investment fees and expenses; Direct payment from the plan 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 | 1,890 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,890 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNICARE LIFE & HEALTH INSURANCE COMPANY | 1,326 | $543K |
| Other | UNICARE LIFE & HEALTH INSURANCE COMPANY | 1,326 | $543K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,326 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.