Form 5500 · Employee benefit plan · SALT LAKE CITY, UT
IVORY EMPLOYEE LEASING CORPORATION
The filing calls this plan IVORY EMPLOYEE LEASING HEALTH AND WELFARE PLANS.
IVORY EMPLOYEE LEASING CORPORATION of SALT LAKE CITY, UT insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BENEFITS ALL INSURANCE, LLC. Coverage is written through EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and 3 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 51-0490316 · plan 501 · plan year 2025, filed May 28, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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 EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA, covers 167 people.
Reported premium across the insured contracts is $318,942, with $46,374 in disclosed broker commissions — about 15% of premium.
The health contract's policy period ended in October, while at least one ancillary line's policy period ended in April. The plan is on a split renewal cycle.
BENEFITS ALL INSURANCE, LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA, CIGNA HEALTH AND LIFE INSURANCE COMPANY, COMBINED INSURANCE COMPANY and IMPACT SUITE. EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COMBINED INSURANCE COMPANY | — | 112 | Nov 1, 2025 | $36,738 | $18,543 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Health, Dental, Vision, Life, Disability | 167 | Nov 1, 2025 | $211,243 | $17,927 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 230 | Jan 1, 2025 | $70,961 | $9,904 |
| IMPACT SUITE | — | 167 | May 1, 2025 | — | $0 |
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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