Form 5500 · Employee benefit plan · PARK CITY, UT
UTAH OLYMPIC LEGACY FOUNDATION
UTAH OLYMPIC LEGACY FOUNDATION of PARK CITY, UT insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is IMA, INC.. Coverage is written through SELECTHEALTH and 2 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1367913 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with SELECTHEALTH, covers 173 people.
Reported premium across the insured contracts is $1,425,584, with $62,464 in disclosed broker commissions — about 4.4% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
IMA, 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 — SELECTHEALTH, PRINCIPAL LIFE INSURANCE COMPANY and METROPOLITAN LIFE INSURANCE COMPANY — with SELECTHEALTH writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SELECTHEALTH | Health | 173 | April | $1,303,805 | $52,044 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Life, Disability | 223 | April | $113,366 | $9,660 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 206 | April | $8,413 | $760 |
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