Form 5500 · Employee benefit plan · CLARKSTON, MI
CHASE PLASTIC SERVICES, INC.
The filing calls this plan CHASE PLASTIC SERVICES, INC. WELFARE BENEFIT PLAN.
Public Form 5500 records show how CHASE PLASTIC SERVICES, INC. of CLARKSTON, MI, a manufacturing employer, structures its employee benefits. Its broker of record is HYLANT GROUP INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3046871 · plan 501 · plan year 2025, filed May 27, 2026
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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, other welfare.
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
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MICHIGAN, covers 282 people.
Reported premium across the insured contracts is $1,749,897, with $34,130 in disclosed broker commissions — about 2% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HYLANT GROUP INC. is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MICHIGAN, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, DELTA DENTAL OF MICHIGAN and FSL. BLUE CROSS BLUE SHIELD OF MICHIGAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 163 | Jan 1, 2026 | $142,677 | $22,664 |
| DELTA DENTAL OF MICHIGAN | Dental | 282 | Jan 1, 2026 | $100,973 | $10,024 |
| FSL | Vision | 239 | Jan 1, 2026 | $14,423 | $1,442 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 282 | Jan 1, 2026 | $1,491,824 | $0 |
Premium and claims on these contracts
DELTA DENTAL OF MICHIGAN, contract 3809. For the contract year on this filing, the carrier reported $100,973 in premium earned and $90,504 in claims incurred. Dividing one by the other gives 90%.
BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 280752. For the contract year on this filing, the carrier reported $1,491,824 in premium earned and $1,096,072 in claims incurred. Dividing one by the other gives 73%.
- DELTA DENTAL OF MICHIGAN, contract 3809 reported $20,377 in retention.
- BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 280752 reported $473,709 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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