# BLUESTONE CHILDREN'S CENTER WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **BLUESTONE CHILDREN'S CENTER**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | BLUESTONE CHILDREN'S CENTER |
| EIN | 825478696 |
| Plan number | 501 |
| Plan year | 2024 |
| Location | LIVONIA, MI |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $364K |
| Participants | 163 |
| Persons covered | 163 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF MICHIGAN | Health, Rx, Dental, HMO, PPO |
| DELTA DENTAL OF MICHIGAN | Dental |
| AFLAC | STD, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision, Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| EXTERNAL AGENT | BLUE CARE NETWORK OF MICHIGAN |
| HUB INTERNATIONAL MIDWEST LIMITED | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| HUB INTERNATIONAL MIDWEST LIMITED | DELTA DENTAL OF MICHIGAN |
| HUB INTERNATIONAL MIDWEST LIMITED | AFLAC |
| CONNIE RUPERT | AFLAC |
| LISA ENERSON | AFLAC |
| CHOICE 1 COMMUNICATIONS GRP LLC | AFLAC |
| RONALD A DASHKOVITZ | AFLAC |
| CONNECTED BENEFITS LLC | AFLAC |
| DREW LILLIE | AFLAC |
| DIGITAL INSURANCE LLC | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| CENTRO BENEFITS RESEARCH LLC | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/825478696-501
- Cite as: PlanOptica, https://planoptica.com/welfare/825478696-501
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