Form 5500 · Employee benefit plan · GRANDVILLE, MI
CHRISTIAN SCHOOLS INTERNATIONAL (CSI)
The filing calls this plan CSI INSURANCE PLAN AND TRUST FUND.
CHRISTIAN SCHOOLS INTERNATIONAL (CSI) of GRANDVILLE, MI is a 2,390-participant education employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is CSI INSURANCE PLAN AND TRUST FUND. Coverage is written through PRIORITY HEALTH and 4 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-1565440 · plan 501 · plan year 2025, filed Jan 19, 2026
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88 other employer plans in Michigan have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
Also declared: 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.
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, life and disability; the largest, with PRIORITY HEALTH, covers 2,306 people.
Reported premium across the insured contracts is $11,877,418, with $301,322 in disclosed broker commissions — about 2.5% 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.
CSI INSURANCE PLAN AND TRUST FUND is the broker of record on all 5 contracts.
5 carriers appear on the filing, including PRIORITY HEALTH, DELTA DENTAL OF MICHIGAN, HARTFORD LIFE AND ACCIDENT and VISION SERVICE PLAN. PRIORITY HEALTH writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRIORITY HEALTH | Health | 2,306 | Sep 1, 2025 | $9,916,405 | $243,917 |
| DELTA DENTAL OF MICHIGAN | Health, Dental | 2,523 | Sep 1, 2025 | $1,051,447 | $31,645 |
| HARTFORD LIFE AND ACCIDENT | Health, Life, Disability | 3,197 | Sep 1, 2025 | $756,300 | $21,137 |
| VISION SERVICE PLAN | Vision | 659 | Sep 1, 2025 | $115,003 | $2,805 |
| PRIORITY HEALTH INSURANCE COMPANY | Health | 7 | Sep 1, 2025 | $38,263 | $1,818 |
Premium and claims on these contracts
DELTA DENTAL OF MICHIGAN, contract 5439. For the contract year on this filing, the carrier reported $1,050,223 in premium earned and $929,674 in claims incurred. Dividing one by the other gives 89%.
VISION SERVICE PLAN, contract 12242578. For the contract year on this filing, the carrier reported $115,003 in premium earned and $92,439 in claims incurred. Dividing one by the other gives 80%.
- DELTA DENTAL OF MICHIGAN, contract 5439 reported $111,008 in retention.
- VISION SERVICE PLAN, contract 12242578 reported $25,231 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. 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.
Other plans filed by this employer
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