Form 5500 · Employee benefit plan · YPSILANTI, MI
HURON GASTROENTEROLOGY ASSOC. PA
The filing calls this plan THE WELFARE BENEFITS PLAN FOR EMPLOYEES OF HURON GASTROENTEROLOGY ASSOCIATES PC.
HURON GASTROENTEROLOGY ASSOC. PA of YPSILANTI, MI is a 166-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PATRIOT GROWTH INSURANCE SERVICES. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-2073464 · plan 506 · plan year 2025, filed Apr 9, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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.
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 dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 171 people.
Reported premium across the insured contracts is $272,598, with $28,393 in disclosed broker commissions — about 10% 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.
PATRIOT GROWTH INSURANCE SERVICES is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including UNITED OF OMAHA LIFE INSURANCE COMPANY, DELTA DENTAL OF MICHIGAN and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.. UNITED OF OMAHA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 171 | Jan 1, 2026 | $170,602 | $18,185 |
| DELTA DENTAL OF MICHIGAN | Dental | 254 | Jan 1, 2026 | $100,923 | $9,981 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 97 | Jan 1, 2026 | $1,073 | $227 |
Premium and claims on this contract
DELTA DENTAL OF MICHIGAN, contract 4946. For the contract year on this filing, the carrier reported $100,923 in premium earned and $73,271 in claims incurred. Dividing one by the other gives 73%.
- DELTA DENTAL OF MICHIGAN, contract 4946 reported $25,272 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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