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| Provider | Services | Address | Compensation |
|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC. EIN 33-0330036 NONE | Claims processing; Other insurance fees and expenses; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | 1528 SOUTH EL CAMINO REAL, SUITE307 SAN MATEO, CA 94402 | $164K |
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 | 115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 79 | $575K |
| Dental | COMPANION LIFE INSURANCE COMPANY | 31 | $112K |
| Vision | COMPANION LIFE INSURANCE COMPANY | 31 | $112K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 109 | $18K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 31 | $112K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 109 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 109 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.