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Form 5500 · Employee benefit plan · ROYAL OAK, MI

CO-STAFF SERVICES, LLC

The filing calls this plan CO-STAFF SERVICES HEALTH AND WELFARE PLAN.

CO-STAFF SERVICES, LLC of ROYAL OAK, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MICHAEL R BULGARELLI. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3546978 · plan 550 · plan year 2025, filed Mar 11, 2026

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112 other employer plans in Michigan have policy years ending in June. 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 filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
854
Active at start of year
854
Active at end of year
845
Disclosed commissions
$629,429
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF MICHIGAN942 of 854 participants on the largest contract
Dentalinsured — STARMOUNT LIFE INSURANCE COMPANY1,632 of 854 participants
Visioninsured — STARMOUNT LIFE INSURANCE COMPANY1,534 of 854 participants
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA1,545 of 854 participants on the largest contract
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA1,545 of 854 participants on the largest contract

Also declared: prepaid legal, 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 10 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MICHIGAN, covers 942 people.

Reported premium across the insured contracts is $12,928,617, with $629,429 in disclosed broker commissions — about 4.9% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

MICHAEL R BULGARELLI is the broker of record on 2 of the 10 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MICHIGAN, BLUE CARE NETWORK OF MICHIGAN, STARMOUNT LIFE INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA. BLUE CROSS BLUE SHIELD OF MICHIGAN writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD OF MICHIGANHealth942Jul 1, 2025$6,422,902$246,771
BLUE CARE NETWORK OF MICHIGANHealth609Jul 1, 2025$3,856,470$137,833
STARMOUNT LIFE INSURANCE COMPANYDental1,632Jul 1, 2025$902,356$90,236
UNUM INSURANCE COMPANY—710Jul 1, 2025$192,609$38,522
UNUM LIFE INSURANCE COMPANY OF AMERICALife879Jul 1, 2025$255,421$38,313
STARMOUNT LIFE INSURANCE COMPANYVision1,534Jul 1, 2025$192,488$23,099
UNUM INSURANCE COMPANY—466Jul 1, 2025$123,397$20,232
UNUM INSURANCE COMPANY—837Jul 1, 2025$130,291$19,543
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability1,545Jul 1, 2025$547,699$14,880
UNUM LIFE INSURANCE COMPANY OF AMERICADisability471Jul 1, 2025$304,984$0

Premium and claims on these contracts

BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 283688. For the contract year on this filing, the carrier reported $6,422,902 in premium earned and $7,138,714 in claims incurred. Dividing one by the other gives 111%.

BLUE CARE NETWORK OF MICHIGAN, contract 283688. For the contract year on this filing, the carrier reported $3,856,470 in premium earned and $2,885,149 in claims incurred. Dividing one by the other gives 75%.

  • BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 283688 reported $1,620,042 in retention.
  • BLUE CARE NETWORK OF MICHIGAN, contract 283688 reported $947,384 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
CO-STAFF SERVICES, LLC
EIN 38-3546978

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

112 other employer plans in Michigan are July 1 renewals (policy year ends June).

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