Form 5500 · Employee benefit plan · TETON VILLAGE, WY
JACKSON HOLE MOUNTAIN RESORT CORPORATION
The filing calls this plan JACKSON HOLE MOUNTAIN RESORT HEALTH AND WELFARE PLAN.
JACKSON HOLE MOUNTAIN RESORT CORPORATION of TETON VILLAGE, WY insures vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through RELIASTAR LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0202584 · plan 501 · plan year 2025, filed Oct 14, 2025
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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 3 insured contracts covering vision, life and disability; the largest, with RELIASTAR LIFE INSURANCE COMPANY, covers 195 people.
The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $204,456, with $36,131 in disclosed broker commissions — about 18% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | Disability | 195 | Jun 1, 2025 | $131,277 | $27,285 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 382 | Jun 1, 2025 | $30,568 | $4,585 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 333 | Jun 1, 2025 | $42,611 | $4,261 |
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.
Reported to OSHA
Reported to OSHA for 2025: 1,158 employees, 112 recordable cases, 2,704 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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