Form 5500 · Employee benefit plan · OLIVET, MI
OLIVET COLLEGE
The filing calls this plan OLIVET COLLEGE HEALTH PLAN.
OLIVET COLLEGE of OLIVET, MI is a 174-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is JUSTIN W SPEWOCK. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-1459365 · plan 511 · plan year 2024, filed Jul 16, 2025
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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.
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.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MICHIGAN, covers 202 people.
Reported premium across the insured contracts is $1,671,273, with $123,393 in disclosed broker commissions — about 7.4% 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.
JUSTIN W SPEWOCK is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MICHIGAN, BLUE CARE NETWORK OF MICHIGAN and EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA. BLUE CROSS BLUE SHIELD OF MICHIGAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health, Vision | 202 | Jan 1, 2025 | $806,908 | $43,953 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Dental | 225 | Jan 1, 2025 | $88,944 | $43,953 |
| BLUE CARE NETWORK OF MICHIGAN | Health | 109 | Jan 1, 2025 | $721,003 | $32,680 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 171 | Jan 1, 2025 | $54,418 | $2,807 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 191724. For the contract year on this filing, the carrier reported $806,908 in premium earned and $958,303 in claims incurred. Dividing one by the other gives 119%.
BLUE CARE NETWORK OF MICHIGAN, contract 191724. For the contract year on this filing, the carrier reported $721,003 in premium earned and $718,938 in claims incurred. Dividing one by the other gives 100%.
- BLUE CROSS BLUE SHIELD OF MICHIGAN, contract 191724 reported $213,334 in retention.
- BLUE CARE NETWORK OF MICHIGAN, contract 191724 reported $187,653 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
Named on Schedule C of this filing. We publish company names only.
Other plans filed by this employer
How this plan compares
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