Form 5500 · Employee benefit plan · ANN ARBOR, MI
BOARD TRUSTEES IBEW LOCAL 252 HEALTH & WELFARE TRUST FUND
The filing calls this plan ELECTRICAL WORKERS LOCAL 252 HEALTH & WELFARE PLAN.
Public Form 5500 records show how BOARD TRUSTEES IBEW LOCAL 252 HEALTH & WELFARE TRUST FUND of ANN ARBOR, MI, a construction employer, structures its employee benefits. Its broker of record is SCOTT SETTLE. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 1 other carrier. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-6141764 · plan 501 · plan year 2025, filed Jan 13, 2026
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110 other employer plans in Michigan have policy years ending in May. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The filing reports both insurance premium and benefits paid from the plan's own money, and the two amounts do not line up.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits 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.
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 4 insured contracts covering health, life and stop-loss; the largest, with BLUE CROSS BLUE SHIELD OF MICHIGAN, covers 2,163 people.
The filing declares health, life, dental, vision and disability. Dental, vision and disability appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $3,721,563, with $56,163 in disclosed broker commissions — about 1.5% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health, Stop-loss | 2,163 | Jun 1, 2025 | $1,886,937 | $35,767 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 320 | Jun 1, 2025 | $1,644,092 | $20,396 |
| DEARBORN LIFE INSURANCE COMPANY | Life | 795 | Jun 1, 2025 | $131,151 | $0 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 8 | Jun 1, 2025 | $59,383 | $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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
How this plan compares
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Renewal calendar
110 other employer plans in Michigan are June 1 renewals (policy year ends May).
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