Form 5500 · Employee benefit plan · FARMINGTON HILLS, MI
KSI HOLDINGS, INC.
Public Form 5500 records show how KSI HOLDINGS, INC. (FARMINGTON HILLS, MI) structures its employee benefits. Its broker of record is ELAINE C. COFFMAN. Coverage is written through BLUE CARE NETWORK OF MICHIGAN and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-2955499 · plan 503 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CARE NETWORK OF MICHIGAN | Health | 193 | December | $1,291,386 | $60,898 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 180 | December | $111,314 | $10,721 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 17 | December | $201,524 | $8,958 |
| DELTA DENTAL OF MICHIGAN | Dental | 217 | December | $88,283 | $8,090 |
| UNUM INSURANCE COMPANY | — | 71 | December | $40,778 | $7,524 |
| NATIONAL VISION ADMINISTRATORS, LLC | Vision | 193 | December | $15,445 | $1,545 |
Questions
Who is KSI HOLDINGS, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, KSI HOLDINGS, INC.'s broker of record is ELAINE C. COFFMAN.
What insurance carrier does KSI HOLDINGS, INC. use?
KSI HOLDINGS, INC.'s benefit plan is written through BLUE CARE NETWORK OF MICHIGAN, among 6 disclosed carriers.
When does KSI HOLDINGS, INC.'s group plan renew?
The most recent Schedule A policy period for KSI HOLDINGS, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from KSI HOLDINGS, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.