| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC.5 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 1528 SOUTH EL CAMINO REAL, STE. 304 SAN MATEO, CA 94402 | COMPANION LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| FCE BENEFIT ADMINISTRATORS, INC.3 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 1528 SOUTH EL CAMINO REAL, STE. 304 SAN MATEO, CA 94402 | PAN AMERICAN LIFE INSURANCE COMPANY | $57K | — | $57K | 9.00% |
| FCE BENEFIT ADMINISTRATORS, INC.3 Filed as: FCE BENEFIT ADMINSTRATORS,INC. | 887 MITTEN ROAD SUITE #200 BURLINGAME, CA 94010 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | $18K | $31K | 23.82% |
| 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 | $2K | 23.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FCE BENEFIT ADMINSTRATORS, INC. EIN 33-0330036 NONE | Consulting (general); Claims processing; Insurance brokerage commissions and fees; Participant communication; Insurance agents and brokers; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 12 | — | $1.3M |
| JEFFREY RAMSEY EIN 75-2660473 NONE | Direct payment from the plan; Accounting (including auditing); Participant communication Service code 10 | — | $402K |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 NONE | Direct payment from the plan; Other services Service code 49 | — | $156K |
| ENVISIONRX EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $67K |
| GLOBAL CARE INC EIN 31-1407649 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $43K |
| GORFINE SCHILLER & GARDYN PA EIN 52-1231901 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $30K |
| BH BENEFITS, INC. EIN 27-0488672 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $27K |
| FIRST HEALTH (AETNA) EIN 20-1736437 | Direct payment from the plan; Insurance services Service code 23 | — | $19K |
| BROADREACH MEDICAL RESOURCES INC EIN 02-0640082 NONE | Claims processing Service code 12 | — | $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 | 1,207 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE INSURANCE COMPANY | 31 | $1.6M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,201 | $129K |
| Stop-loss / reinsurancereinsurance | PAN AMERICAN LIFE INSURANCE COMPANY | 785 | $632K |
| Other(2 contracts, 2 carriers) | MAGELLAN BEHAVIORAL HEALTH, INC. | 1,207 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,207 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.