| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC.5 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | MADISON NATIONAL LIFE INSURANCE COMPANY, INC. | $126K | $241K | $367K | 29.10% |
| FCE BENEFIT ADMINISTRATORS, INC.5 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | FIDELITY SECURITY LIFE INSURANCE COMPANY | — | $61K | $61K | 22.26% |
| FCE BENEFIT ADMINISTRATORS, INC.5 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | RELIANCE STANDARD INSURANCE COMPANY | — | $14K | $14K | 11.00% |
| FCE BENEFIT ADMINISTRATORS, INC.3 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | RELIANCE STANDARD INSURANCE COMPANY | $13K | — | $13K | 10.00% |
| FCE BENEFIT ADMINISTRATORS, INC.5 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | RELIANCE STANDARD INSURANCE COMPANY | — | $1K | $1K | 10.99% |
| FCE BENEFIT ADMINISTRATORS, INC.3 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | RELIANCE STANDARD INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FCE BENEFIT ADMINSTRATORS, INC. EIN 33-0330036 NONE | Participant communication; Other services; Claims processing; Insurance brokerage commissions and fees; Contract Administrator; Other insurance fees and expenses; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Direct payment from the plan; Insurance agents and brokers Service code 12 | — | $1.6M |
| JEFFREY RAMSEY EIN 75-2660473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Participant communication Service code 15 | — | $647K |
| TRUST MANAGEMENT SERVICES EIN 46-3922133 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Trustee (directed) Service code 21 | — | $189K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Direct payment from the plan; Other services Service code 49 | — | $136K |
| ENVISIONRX EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $58K |
| WELLS FARGO EIN 94-1347393 NONE | Direct payment from the plan; Investment management Service code 28 | — | $42K |
| INEICH & COMPANY EIN 56-2552172 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
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 | 1,283 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MADISON NATIONAL LIFE INSURANCE COMPANY, INC. | 533 | $1.3M |
| Dental | MADISON NATIONAL LIFE INSURANCE COMPANY, INC. | 533 | $1.3M |
| Vision | MADISON NATIONAL LIFE INSURANCE COMPANY, INC. | 533 | $1.3M |
| Life insurance | RELIANCE STANDARD INSURANCE COMPANY | 1,251 | $127K |
| Prescription drug | FIDELITY SECURITY LIFE INSURANCE COMPANY | 850 | $272K |
| Stop-loss / reinsurancereinsurance | STANDARD SECURITY LIFE INSURANCE OF NEW YORK | 703 | $1.1M |
| Other(2 contracts, 2 carriers) | MAGELLAN BEHAVIORAL HEALTH, INC. | 1,283 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,283 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.