Form 5500 · Employee benefit plan · DETROIT, MI
BLUE CROSS BLUE SHIELD OF MICHIGAN
The filing calls this plan BLUE CROSS BLUE SHIELD OF MICHIGAN GROUP TRAVEL ACCIDENT INSURANCE PLAN.
BLUE CROSS BLUE SHIELD OF MICHIGAN of DETROIT, MI is a 10,917-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Coverage is written through BCS INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-2069753 · plan 506 · plan year 2024, filed Oct 10, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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.
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
Reported premium is $540,333; 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.
With 10,917 participants this is one of the larger insured groups on file in MI.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BCS INSURANCE COMPANY | — | 10,917 | Jan 1, 2025 | $313,171 | $0 |
| BCS INSURANCE COMPANY | — | 3,197 | Jan 1, 2025 | $227,162 | $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.
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
Subscribers see how this compares with similar plans in Michigan. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Michigan — largest plans, brokers, carriers and renewal months.