Welcome to FCE's e-RFP tool.

In an effort to present you with an SCA/DBA compliant benefit program to meet your client’s needs, please provide the information requested below:

  Broker/Consultant Information:

Name:

Company:

Phone:

Email:

Submission Deadline:

Submit Proposal to :

  Client Information:

Client Legal Name:

Corporate Street Address:

Corporate City

  Proposed Effective Date:

• Current Plan Design and Carrier
• Premium History (2+ years)
• Claims Experience (2+ years)
• Wage Determination
• Census (Include Name, DOB, City, State, Zip, Gender, Marital Status, Hire Date, # of Dependents and Spouse DOB, if applicable)
• Employee hours worked for most recent Quarter’s payroll cycle

  We can only accept the following file formats:

• Microsoft Word (.doc)
• Microsoft Excel (.xls)
• Adobe Acrobat (.pdf)

  Maximum total file size for file upload is 2MB. If you have files that are larger, please contact us at FCECorporateOffice@fcebenefit.com.