Form 5500 · Employee benefit plan · WEST VALLEY, UT
COMMUNITY HEALTH CENTERS INC.
The filing calls this plan COMMUNITY HEALTH CENTERS INC. EMPLOYEE BENEFIT PLAN.
Public Form 5500 records show how COMMUNITY HEALTH CENTERS INC. of WEST VALLEY, UT, a health care and social assistance employer, structures its employee benefits. Its broker of record is NIELSEN INSURANCE GROUP, INC.. Coverage is written through SELECTHEALTH and 5 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 74-2412898 · plan 501 · plan year 2025, filed Nov 25, 2025
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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: 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 6 insured contracts covering health, dental, life and disability; the largest, with SELECTHEALTH, covers 419 people.
Reported premium across the insured contracts is $2,401,692, with $82,089 in disclosed broker commissions — about 3.4% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
NIELSEN INSURANCE GROUP, INC. is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including SELECTHEALTH, UNUM LIFE INSURANCE COMPANY OF AMERICA, UNITED OF OMAHA LIFE INSURANCE COMPANY and USABLE LIFE. SELECTHEALTH writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SELECTHEALTH | Health | 419 | May 1, 2025 | $2,237,811 | $67,134 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 165 | May 1, 2025 | $97,364 | $7,070 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 86 | May 1, 2025 | $44,934 | $4,493 |
| USABLE LIFE | Life | 122 | May 1, 2025 | $20,228 | $3,058 |
| TOTAL DENTAL ADMINISTRATORS OF UTAH | Dental | 387 | May 1, 2025 | — | $212 |
| PRINCIPAL LIFE INSURANCE COMPANY | Life | 1 | May 1, 2025 | $1,355 | $122 |
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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