Form 5500 · Employee benefit plan · SOUTH JORDAN, UT
COTIVITI, INC.
COTIVITI, INC. of SOUTH JORDAN, UT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 56-2059380 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 10 insured contracts covering dental, vision, life and disability; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 8,530 people.
Reported premium across the insured contracts is $9,581,046, with $234,958 in disclosed broker commissions — about 2.5% 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.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 3 of the 10 contracts; the rest name a different broker or none.
5 carriers appear on the filing — METROPOLITAN LIFE INSURANCE COMPANY, LINCOLN NATIONAL LIFE INSURANCE COMPANY, EYEMED VISION CARE and METLIFE LEGAL PLANS among them — with METROPOLITAN LIFE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | — | 2,594 | December | $485,522 | $94,427 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 1,515 | December | $339,874 | $66,766 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 3,408 | December | $315,974 | $61,109 |
| METLIFE LEGAL PLANS | — | 762 | December | $167,040 | $12,656 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 8,530 | December | $3,320,185 | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 4,681 | December | $1,801,904 | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 4,681 | December | $1,116,112 | $0 |
| EYEMED VISION CARE | Vision | 7,967 | December | $578,849 | $0 |
| BLUE CROSS BLUE SHIELD OF GEORGIA | — | 4,712 | December | $85,947 | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 4,811 | December | $1,369,639 | $0 |
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