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Form 5500 · Employee benefit plan · SANDY, UT

CEMENTATION USA, INC.

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.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3542645 · plan 505 · as of Aug 2026

Participants
262
Carriers on file
4
Disclosed commissions
$181,011
Renewal month
June

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 — REGENCE BLUECROSS BLUESHIELD OF UTAH, UNUM LIFE INSURANCE COMPANY OF AMERICA, METROPOLITAN LIFE INSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY — with REGENCE BLUECROSS BLUESHIELD OF UTAH writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
REGENCE BLUECROSS BLUESHIELD OF UTAHHealth, Vision680June$6,353,364$95,499
UNUM LIFE INSURANCE COMPANY OF AMERICALife, Disability241June$449,197$47,232
METROPOLITAN LIFE INSURANCE COMPANYDental587June$428,468$29,742
UNITEDHEALTHCARE INSURANCE COMPANYHealth, Dental, Vision12June$80,069$8,538

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