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Form 5500 · Employee benefit plan · FERNDALE, MI

CREDIT UNION ONE

The filing calls this plan CREDIT UNION ONE HEALTH & WELFARE PLAN.

CREDIT UNION ONE of FERNDALE, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is KIMBERLY PERKINS. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 7 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-0536242 · plan 501 · plan year 2025, filed Jun 8, 2026

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1,931 other employer plans in Michigan have policy years ending in December. 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.

All participants at the start of the year
358
Active at start of year
358
Active at end of year
321
Disclosed commissions
$145,718
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF MICHIGAN247 of 358 participants (69%) on the largest contract
Dentalinsured — DELTA DENTAL OF MICHIGAN513 of 358 participants
Visioninsured — NATIONAL VISION ADMINISTRATORS, LLC449 of 358 participants
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA634 of 358 participants
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA634 of 358 participants

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.

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 11 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MICHIGAN, covers 247 people.

Reported premium across the insured contracts is $3,816,780, with $145,718 in disclosed broker commissions — about 3.8% 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.

KIMBERLY PERKINS is the broker of record on 2 of the 11 contracts; the rest name a different broker or none.

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

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD OF MICHIGANHealth247Jan 1, 2026$1,793,461$50,581
BLUE CARE NETWORK OF MICHIGANHealth216Jan 1, 2026$1,350,717$41,609
UNUM LIFE INSURANCE COMPANY OF AMERICA—363Jan 1, 2026$74,273$17,157
ULLIANCE, INC.—330Jan 1, 2026$13,617$13,617
DELTA DENTAL OF MICHIGANDental513Jan 1, 2026$213,028$7,819
NATIONAL VISION ADMINISTRATORS, LLCVision449Jan 1, 2026$44,596$6,689
UNUM INSURANCE COMPANY—124Jan 1, 2026$27,309$3,776
UNUM INSURANCE COMPANY—60Jan 1, 2026$16,582$2,299
UNUM INSURANCE COMPANY—97Jan 1, 2026$15,733$2,171
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability634Jan 1, 2026$244,301$0
FIRST STOP HEALTH, LLC—321Jan 1, 2026$23,163$0

Premium and claims on these contracts

BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 131143. For the contract year on this filing, the carrier reported $1,793,461 in premium earned and $2,255,326 in claims incurred. Dividing one by the other gives 126%.

BLUE CARE NETWORK OF MICHIGAN, contract 131143. For the contract year on this filing, the carrier reported $1,350,717 in premium earned and $781,495 in claims incurred. Dividing one by the other gives 58%.

DELTA DENTAL OF MICHIGAN, contract 3694. For the contract year on this filing, the carrier reported $195,380 in premium earned and $160,249 in claims incurred. Dividing one by the other gives 82%.

  • BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 131143 reported $480,581 in retention.
  • BLUE CARE NETWORK OF MICHIGAN, contract 131143 reported $352,572 in retention.
  • DELTA DENTAL OF MICHIGAN, contract 3694 reported $27,551 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
CREDIT UNION ONE
EIN 38-0536242

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

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