Form 5500 · Employee benefit plan · PROVO, UT
MOUNTAINLAND HEAD START
MOUNTAINLAND HEAD START of PROVO, UT is a 170-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is GBS BENEFITS INC.. Coverage is written through AETNA LIFE INSURANCE CO. and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0342445 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE CO., covers 164 people.
Reported premium across the insured contracts is $1,346,569, with $8,095 in disclosed broker commissions — about 0.6% of premium.
The health contract's policy period ended in June, while at least one ancillary line renews in December — the plan is on a split renewal cycle.
GBS BENEFITS INC. is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — AETNA LIFE INSURANCE CO., UNITED OF OMAHA LIFE INSURANCE COMPANY and INTERMOUNTAIN HEALTH — with AETNA LIFE INSURANCE CO. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 115 | June | $39,198 | $4,089 |
| AETNA LIFE INSURANCE CO. | Health, Dental, Vision | 164 | June | $1,300,756 | $4,006 |
| INTERMOUNTAIN HEALTH | — | 160 | December | $6,615 | $0 |
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