Form 5500 · Employee benefit plan · SOUTH JORDAN, UT
ULTRADENT PRODUCTS, INC.
The filing calls this plan ULTRADENT PRODUCTS, INC. HEALTH & WELFARE BENEFIT PLAN.
ULTRADENT PRODUCTS, INC. of SOUTH JORDAN, UT is a 1,305-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MERCER HEALTH & BENEFITS LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 6 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0336957 · plan 501 · plan year 2025, filed Jan 28, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
41 other employer plans in Utah have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: prepaid legal, 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 7 insured contracts covering health, vision, life and disability; the largest, with LIFE INSURANCE COMPANY OF NORTH AMERICA, covers 1,357 people.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,344,023, with $124,250 in disclosed broker commissions — about 9.2% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
MERCER HEALTH & BENEFITS LLC is the broker of record on 4 of the 7 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 1,357 | Jul 1, 2025 | $932,313 | $77,450 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 989 | Jul 1, 2025 | $168,496 | $25,896 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Vision | 1,796 | Jul 1, 2025 | $130,077 | $14,213 |
| BLOMQUIST HALE CONSULTING | — | 1,357 | Jul 1, 2025 | $55,528 | $3,013 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 123 | Jul 1, 2025 | $26,532 | $2,871 |
| TRANSAMERICA LIFE INSURANCE COMPANY | Life | 48 | Jul 1, 2025 | $20,146 | $807 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 1 | Jul 1, 2025 | $10,931 | $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
Subscribers see how this compares with similar plans in Utah. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
41 other employer plans in Utah are July 1 renewals (policy year ends June).
Their policy years end in June, like this plan’s, so most renew July 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in Utah — largest plans, brokers, carriers and renewal months.