| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC.3 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | AMERICAN FIDELITY | $99K | — | $99K | 8.99% |
| FCE BENEFIT ADMINISTRATORS, INC.5 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $20K | $20K | 12.89% |
| FCE BENEFIT ADMINISTRATORS, INC.3 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $15K | — | $15K | 10.00% |
| FCE BENEFIT ADMINISTRATORS, INC.5 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $4K | $4K | 12.91% |
| FCE BENEFIT ADMINISTRATORS, INC.3 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| FCE BENEFIT ADMINISTRATORS, INC.5 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $3K | $3K | 13.19% |
| FCE BENEFIT ADMINISTRATORS, INC.3 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| FCE BENEFIT ADMINISTRATORS, INC.3 | 1528 SOUTH EL CAMINO REAL SUITE 307 SAN MATEO, CA 94402 | VISION SERVICE PLAN | $2K | — | $2K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC. EIN 33-0330036 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Participant communication; Other insurance fees and expenses Service code 12 | 1528 SOUTH EL CAMINO REAL, SUITE307 SAN MATEO, CA 94402 | $1.4M |
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 NONE | Other services Service code 49 | PO BOX 645014 CINCINNATI, OH 452645014 | $160K |
| FIDUCIARY PLAN MANAGEMENT SERVICES EIN 46-3922133 NONE | Accounting (including auditing); Trustee (directed) Service code 10 | 1 ALMADEN BLVD., STE 950 SAN JOSE, CA 95113 | $148K |
| GLOBAL CARE INC. EIN 65-0684814 NONE | Other services Service code 49 | P.O. BOX 743856 ATLANTA, GA 303743856 | $34K |
| INEICH & COMPANY, LLP EIN 56-2552172 NONE | Accounting (including auditing) Service code 10 | 950 TOWER LANE, SUITE 780 FOSTER CITY, CA 94404 | $28K |
| FCE FINANCIAL SERVICES, INC. EIN 80-0636312 NONE | Contract Administrator; Participant communication Service code 13 | 1528 SOUTH EL CAMINO REAL, SUITE307 SAN MATEO, CA 94402 | $17K |
| MAGELLAN HEALTHCARE EIN 52-2135463 NONE | Other services Service code 49 | 14100 MAGELLAN PLAZA MARYLAND HEIGHTS, MO 63043 | $14K |
| FIRST HEALTH NETWORK EIN 20-1736437 NONE | Other services Service code 49 | 23291 NETWORK PLACE CHICAGO, IL 606731232 | $12K |
| BROADREACH MEDICAL RESOURCES, INC. EIN 02-0640082 NONE | Claims processing Service code 12 | 1350 BROADWAY NEW YORK, NY 10018 | $0 |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,286 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,286 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 292 | $617K |
| Dental(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 292 | $617K |
| Vision(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 452 | $617K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,173 | $155K |
| Short-term disability(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 292 | $640K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY | 774 | $1.1M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,173 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,173 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.