Form 5500 · Employee benefit plan · SAINT LOUIS, MI
APEX MARINE, INC
The filing calls this plan APEX MARINE, INC.'S GROUP INSURANCE PLAN.
APEX MARINE, INC of SAINT LOUIS, MI insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BRUCE J. WALDECKER. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 4 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-0597244 · plan 510 · plan year 2024, filed Mar 10, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision and life.
Reported premium across the insured contracts is $540,579, with $18,090 in disclosed broker commissions — about 3.3% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
BRUCE J. WALDECKER is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MICHIGAN, BLUE CARE NETWORK OF MICHIGAN, DELTA DENTAL OF MICHIGAN and UNITED OF OMAHA LIFE INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF MICHIGAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 25 | Sep 1, 2024 | $252,190 | $7,507 |
| BLUE CARE NETWORK OF MICHIGAN | Health | 20 | Sep 1, 2024 | $229,728 | $4,573 |
| DELTA DENTAL OF MICHIGAN | Dental | 83 | Sep 1, 2024 | $34,302 | $2,936 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 61 | Sep 1, 2024 | $15,905 | $2,385 |
| VISION SERVICE PLAN | Vision | 38 | Sep 1, 2024 | $8,454 | $689 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 161333. For the contract year on this filing, the carrier reported $252,190 in premium earned and $198,021 in claims incurred. Dividing one by the other gives 79%.
BLUE CARE NETWORK OF MICHIGAN, contract 161333. For the contract year on this filing, the carrier reported $229,728 in premium earned and $63,580 in claims incurred. Dividing one by the other gives 28%.
DELTA DENTAL OF MICHIGAN, contract 5341. For the contract year on this filing, the carrier reported $34,075 in premium earned and $33,650 in claims incurred. Dividing one by the other gives 99%.
- BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 161333 reported $69,719 in retention.
- BLUE CARE NETWORK OF MICHIGAN, contract 161333 reported $63,527 in retention.
- DELTA DENTAL OF MICHIGAN, contract 5341 reported $7,139 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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