Form 5500 · Employee benefit plan · SALT LAKE CITY, UT
BRISTOL HOSPICE
BRISTOL HOSPICE of SALT LAKE CITY, UT spreads its employee benefits across 8 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3688586 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 639 people.
Reported premium across the insured contracts is $11,517,408, with $22,840 in disclosed broker commissions — about 0.2% 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.
LOCKTON COMPANIES, LLC is the broker of record on 4 of the 8 contracts; the rest name a different broker or none.
8 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN, INC., HAWAII MEDICAL SERVICE ASSOCIATION, METROPOLITAN LIFE INSURANCE COMPANY and STANDARD INSURANCE COMPANY among them — with KAISER FOUNDATION HEALTH PLAN, INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 1,212 | December | $456,803 | $22,840 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental, Vision | 549 | December | $1,969,100 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 54 | December | $505,118 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 54 | December | $372,088 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 639 | December | $5,651,031 | $0 |
| STANDARD INSURANCE COMPANY | Life, Disability | 3,824 | December | $1,244,171 | $0 |
| VISION SERVICE PLAN | Vision | 0 | December | $18 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision | 3,030 | December | $1,319,079 | $0 |
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