Form 5500 · Employee benefit plan · NORTHVILLE, MI
OX PAPERBOARD MICHIGAN LLC
OX PAPERBOARD MICHIGAN LLC of NORTHVILLE, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PATRICIA FORLETTA. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-4440302 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health | 301 | December | $67,016 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 188 | December | $16,650 |
| DELTA DENTAL OF MICHIGAN | Dental | 342 | December | $11,721 |
| VISION SERVICE PLAN | Vision | 148 | December | $2,559 |
| BRONSON BATTLE CREEK DBA HELPNET EAP | — | 181 | December | $0 |
Questions
Who is OX PAPERBOARD MICHIGAN LLC's benefits broker?
Per its most recent Form 5500 Schedule A, OX PAPERBOARD MICHIGAN LLC's broker of record is PATRICIA FORLETTA.
What insurance carrier does OX PAPERBOARD MICHIGAN LLC use?
OX PAPERBOARD MICHIGAN LLC's benefit plan is written through BLUE CROSS BLUE SHIELD OF MICHIGAN, among 5 disclosed carriers.
When does OX PAPERBOARD MICHIGAN LLC's group plan renew?
The most recent Schedule A policy period for OX PAPERBOARD MICHIGAN LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from OX PAPERBOARD MICHIGAN LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.