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Form 5500 · Employee benefit plan · ROOSEVELT, UT

UINTAH BASIN MEDICAL CENTER, INC.

Public Form 5500 records show how UINTAH BASIN MEDICAL CENTER, INC. (ROOSEVELT, UT) structures its employee benefits. Its broker of record is GALLAGHER BENEFIT SERVICES. Coverage is written through SELECTHEALTH and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0276435 · plan 501 · as of Jul 2026

Participants
804
Carriers on file
5
Disclosed commissions
$290,394
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
SELECTHEALTHHealth, Vision1,450December$187,131
COMBINED INSURANCE COMPANY OF AMERICA578December$45,202
USABLE LIFELife, Disability712December$36,704
COMBINED INSURANCE COMPANY96December$18,121
PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD88December$3,236

Questions

Who is UINTAH BASIN MEDICAL CENTER, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, UINTAH BASIN MEDICAL CENTER, INC.'s broker of record is GALLAGHER BENEFIT SERVICES.

What insurance carrier does UINTAH BASIN MEDICAL CENTER, INC. use?

UINTAH BASIN MEDICAL CENTER, INC.'s benefit plan is written through SELECTHEALTH, among 5 disclosed carriers.

When does UINTAH BASIN MEDICAL CENTER, INC.'s group plan renew?

The most recent Schedule A policy period for UINTAH BASIN MEDICAL CENTER, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from UINTAH BASIN MEDICAL CENTER, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.