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Form 5500 · Employee benefit plan · DETROIT, MI

DETROIT SYMPHONY ORCHESTRA, INC.

The filing calls this plan DETROIT SYMPHONY ORCHESTRA, INC. GROUP LIFE AND DISABILITY INSURANCE PLAN.

DETROIT SYMPHONY ORCHESTRA, INC. of DETROIT, MI insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through BLUE CARE NETWORK OF MICHIGAN and 2 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 38-1385132 · plan 506 · plan year 2025, filed Jul 8, 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.

All participants at the start of the year
161
Active at start of year
161
Active at end of year
150
Disclosed commissions
$15,046
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CARE NETWORK OF MICHIGAN260 of 161 participants on the largest contract
Dentalinsured — BLUE CROSS BLUE SHIELD OF MICHIGAN293 of 161 participants on the largest contract
Visioninsured — BLUE CROSS BLUE SHIELD OF MICHIGAN293 of 161 participants
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY170 of 161 participants
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY170 of 161 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CARE NETWORK OF MICHIGAN, covers 260 people.

Reported premium across the insured contracts is $2,473,381, with $15,046 in disclosed broker commissions — about 0.6% 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.

HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including BLUE CARE NETWORK OF MICHIGAN, BLUE CROSS BLUE SHIELD OF MICHIGAN and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. BLUE CARE NETWORK OF MICHIGAN writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDental, Life, Disability170Jan 1, 2026$254,458$15,046
BLUE CARE NETWORK OF MICHIGANHealth260Jan 1, 2026$1,636,515$0
BLUE CROSS BLUE SHIELD OF MICHIGANHealth, Dental, Vision293Jan 1, 2026$582,408$0

Premium and claims on these contracts

BLUE CARE NETWORK OF MICHIGAN, contract 00115960. For the contract year on this filing, the carrier reported $1,636,515 in premium earned and $1,108,307 in claims incurred. Dividing one by the other gives 68%.

BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 115960. For the contract year on this filing, the carrier reported $582,408 in premium earned and $307,297 in claims incurred. Dividing one by the other gives 53%.

  • BLUE CARE NETWORK OF MICHIGAN, contract 00115960 reported $393,510 in retention.
  • BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 115960 reported $149,547 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
DETROIT SYMPHONY ORCHESTRA, INC.
EIN 38-1385132

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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