Form 5500 · Employee benefit plan · FARMINGTON, UT
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES, INC.
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES, INC. of FARMINGTON, UT spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 03-0569171 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 5,835 people.
Reported premium across the insured contracts is $22,131,711, with $169,508 in disclosed broker commissions — about 0.8% 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.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN, INC., ANTHEM LIFE INSURANCE COMPANY, ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY and VISION SERVICE PLAN — with KAISER FOUNDATION HEALTH PLAN, INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 28,836 | December | $2,157,232 | $104,402 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | 13,998 | December | $684,030 | $65,106 |
| VISION SERVICE PLAN | Vision | 10,988 | December | $650,361 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 5,835 | December | $18,640,088 | $0 |
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