Form 5500 · Employee benefit plan · CHESTERFIELD, MI
SCHALLER CORPORATION
The filing calls this plan SCHALLER CORPORATION GROUP INSURANCE PLAN.
Public Form 5500 records show how SCHALLER CORPORATION of CHESTERFIELD, MI, a manufacturing employer, structures its employee benefits. Its broker of record is NICHOLAS K. KAMAI. Coverage is written through BLUE CARE NETWORK 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 38-2411194 · plan 501 · plan year 2025, filed Jul 27, 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.
Benefits declared on this filing
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 4 insured contracts covering health, dental, life and disability; the largest, with BLUE CARE NETWORK OF MICHIGAN, covers 314 people.
Reported premium across the insured contracts is $1,941,813, with $67,881 in disclosed broker commissions — about 3.5% 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.
NICHOLAS K. KAMAI is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUE CARE NETWORK OF MICHIGAN, DELTA DENTAL OF MICHIGAN and UNITED OF OMAHA LIFE INSURANCE COMPANY. BLUE CARE NETWORK OF MICHIGAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CARE NETWORK OF MICHIGAN | Health | 314 | Jan 1, 2026 | $1,706,182 | $51,691 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 100 | Jan 1, 2026 | $66,268 | $7,277 |
| DELTA DENTAL OF MICHIGAN | Dental | 349 | Jan 1, 2026 | $105,554 | $4,592 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 84 | Jan 1, 2026 | $63,809 | $4,321 |
Premium and claims on these contracts
BLUE CARE NETWORK OF MICHIGAN, contract 154664. For the contract year on this filing, the carrier reported $1,706,182 in premium earned and $1,566,512 in claims incurred. Dividing one by the other gives 92%.
DELTA DENTAL OF MICHIGAN, contract 1001. For the contract year on this filing, the carrier reported $105,554 in premium earned and $75,937 in claims incurred. Dividing one by the other gives 72%.
- BLUE CARE NETWORK OF MICHIGAN, contract 154664 reported $534,011 in retention.
- DELTA DENTAL OF MICHIGAN, contract 1001 reported $16,160 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.
Reported to OSHA
Reported to OSHA for 2025: 272 employees, 23 recordable cases, 211 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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