Form 5500 · Employee benefit plan · CINCINNATI, OH
FC CINCINNATI HOLDINGS, LLC
Public Form 5500 records show how FC CINCINNATI HOLDINGS, LLC of CINCINNATI, OH, a arts, entertainment and recreation employer, structures its employee benefits. Its broker of record is USI INSURANCE SERVICES, LLC. Coverage is written through MEDICAL MUTUAL OF OHIO and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0764871 · plan 502 · plan year 2025, filed Sep 21, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with MEDICAL MUTUAL OF OHIO, covers 164 people.
Reported premium across the insured contracts is $2,043,644, with $92,369 in disclosed broker commissions — about 4.5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES, LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including MEDICAL MUTUAL OF OHIO, METROPOLITAN LIFE INSURANCE COMPANY, SUPERIOR DENTAL CARE and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.. MEDICAL MUTUAL OF OHIO writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| MEDICAL MUTUAL OF OHIO | Health | 164 | Jan 1, 2026 | $1,842,614 | $69,687 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 254 | Jan 1, 2026 | $103,839 | $14,385 |
| SUPERIOR DENTAL CARE | Dental | 165 | Jan 1, 2026 | $83,567 | $4,745 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 277 | Jan 1, 2026 | $13,624 | $3,552 |
Premium and claims on these contracts
MEDICAL MUTUAL OF OHIO, contract 513232. For the contract year on this filing, the carrier reported $1,842,614 in premium earned and $1,229,658 in claims incurred. Dividing one by the other gives 67%.
SUPERIOR DENTAL CARE, contract 513232. For the contract year on this filing, the carrier reported $83,567 in premium earned and $83,246 in claims incurred. Dividing one by the other gives 100%.
- MEDICAL MUTUAL OF OHIO, contract 513232 reported $266,075 in retention.
- SUPERIOR DENTAL CARE, contract 513232 reported $17,563 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. We publish company names only.
How this plan compares
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