Form 5500 · Employee benefit plan · SANDY, UT
CEMENTATION USA, INC.
The filing calls this plan CEMENTATION USA, INC. HEALTH & WELFARE BENEFIT PLAN.
Public Form 5500 records show how CEMENTATION USA, INC. of SANDY, UT, a wholesale trade employer, structures its employee benefits. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF UTAH and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3542645 · plan 505 · plan year 2025, filed Jan 30, 2026
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41 other employer plans in Utah have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUECROSS BLUESHIELD OF UTAH, covers 680 people.
Reported premium across the insured contracts is $7,311,098, with $181,011 in disclosed broker commissions — about 2.5% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including REGENCE BLUECROSS BLUESHIELD OF UTAH, UNUM LIFE INSURANCE COMPANY OF AMERICA, METROPOLITAN LIFE INSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY. REGENCE BLUECROSS BLUESHIELD OF UTAH writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF UTAH | Health, Vision | 680 | Jul 1, 2025 | $6,353,364 | $95,499 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 241 | Jul 1, 2025 | $449,197 | $47,232 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health, Dental | 587 | Jul 1, 2025 | $428,468 | $29,742 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 12 | Jul 1, 2025 | $80,069 | $8,538 |
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
41 other employer plans in Utah are July 1 renewals (policy year ends June).
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