Form 5500 · Employee benefit plan · PROVO, UT
UTAH VALLEY PEDIATRICS
The filing calls this plan UV PEDS BENEFIT PLAN.
Public Form 5500 records show how UTAH VALLEY PEDIATRICS of PROVO, UT, a health care and social assistance employer, structures its employee benefits. Its broker of record is PCF INSURANCE SERVICES OF THE WEST. Coverage is written through REGENCE BCBS OF UTAH and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0549057 · plan 501 · plan year 2025, filed Jun 10, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
699 other employer plans in Utah have policy years ending in December. 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: death benefits.
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.
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 5 insured contracts covering health, vision and life; the largest, with REGENCE BCBS OF UTAH, covers 378 people.
The filing declares health, vision, life 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 $1,941,136, with $104,698 in disclosed broker commissions — about 5.4% 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.
PCF INSURANCE SERVICES OF THE WEST is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BCBS OF UTAH | Health | 378 | Jan 1, 2026 | $1,892,521 | $94,577 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 35 | Jan 1, 2026 | $14,489 | $5,881 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 54 | Jan 1, 2026 | $23,285 | $3,493 |
| RELIANCE MATRIX | Vision | 154 | Jan 1, 2026 | $8,789 | $439 |
| MUTUAL OF OMAHA | Life | 183 | Jan 1, 2026 | $2,052 | $308 |
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
699 other employer plans in Utah are January 1 renewals (policy year ends December).
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