Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 7 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 312 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 312 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 50 | $93K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 271 | $21K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 309 | $48K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 32 | $10K |
| Prescription drug | FIDELITY SECURITY LIFE INSURANCE COMPANY | 50 | $81K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE COMPANY | 233 | $780K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 309 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Fidelity Security Life Insurance Company | |
Carrier: Reliance Standard Life Insurance Company | |
Carrier: Reliance Standard Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FCE BENEFIT ADMINISTRATORS, INC. EIN 33-0330036 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other insurance fees and expenses; Direct payment from the plan; Contract Administrator; Participant communication; Claims processing Service code 12 | — | $478K |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 NONE | Other services; Direct payment from the plan Service code 49 | — | $57K |
| FIDUCIARY PLAN MANAGEMENT SERVICES EIN 46-3922133 NONE | Direct payment from the plan; Trustee (directed); Accounting (including auditing) Service code 10 | — | $42K |
| INEICH & COMPANY, LLP EIN 56-2552172 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $31K |
| UNITED WORKERS WELLNESS EIN 87-2575833 NONE | Other services; Direct payment from the plan Service code 49 | — | $23K |
| GLOBALCARE, INC. EIN 31-1407689 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
2 contacts
11 filings · 2015 to 2025