Form 5500 · Employee benefit plan · SAN JOSE, CA
CONTROLLED F.O.R.C.E., INC.
The filing calls this plan CONTROLLED F.O.R.C.E., INC. HEALTH AND WELFARE PLAN.
Public Form 5500 records show how CONTROLLED F.O.R.C.E., INC. of SAN JOSE, CA, a construction employer, structures its employee benefits. Its broker of record is FCE BENEFIT ADMINISTRATORS, INC.. Coverage is written through FIDELITY SECURITY LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-4175514 · plan 501 · plan year 2025, filed Sep 15, 2026
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How this plan is funded
Fully insured as reported
The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Disability: the largest of the 2 insured disability contracts, with RELIANCE STANDARD LIFE INSURANCE COMPANY, covers 16 of 164 participants (9.8%) on Schedule A.
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life, disability and stop-loss.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $242,664, with $20,202 in disclosed broker commissions — about 8.3% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.
FCE BENEFIT ADMINISTRATORS, INC. is the broker of record on 6 of the 8 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Stop-loss | 27 | Jan 1, 2026 | $184,077 | $17,115 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 16 | Jan 1, 2026 | $9,225 | $1,384 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 17 | Jan 1, 2026 | $5,964 | $895 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 70 | Jan 1, 2026 | $5,223 | $426 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 105 | Jan 1, 2026 | $2,961 | $326 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 105 | Jan 1, 2026 | $505 | $56 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 39 | Oct 1, 2025 | $32,917 | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Health | 0 | Jan 1, 2026 | $1,792 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 167 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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