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Form 5500 · Employee benefit plan · DETROIT, MI

BLUE CROSS BLUE SHIELD OF MICHIGAN

The filing calls this plan BLUE CROSS BLUE SHIELD OF MICHIGAN HEALTH CARE PLAN.

BLUE CROSS BLUE SHIELD OF MICHIGAN of DETROIT, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through BLUE CARE NETWORK OF MICHIGAN. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-2069753 · plan 505 · plan year 2024, filed Oct 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.

All participants at the start of the year
7,571
Active at start of year
7,571
Active at end of year
7,379
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CARE NETWORK OF MICHIGAN7,447 of 7,571 participants (98%)
Dentaldeclared under plan 508
Visiondeclared under plan 510
Lifedeclared under plan 502
Disabilitynot declared on this filing

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.

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

The filing discloses a single insured line, health, through BLUE CARE NETWORK OF MICHIGAN, covering 7,447 people.

Reported premium is $55,434,171; the filing discloses no broker commission on these contracts.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CARE NETWORK OF MICHIGANHealth7,447Jan 1, 2025$55,434,171$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BLUE CROSS BLUE SHIELD OF MICHIGAN
EIN 38-2069753

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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