Form 5500 · Employee benefit plan · SALT LAKE CITY, UT
WASATCH HOMELESS HEALTH CARE, INC. DBA 4TH STREET CLINIC
WASATCH HOMELESS HEALTH CARE, INC. DBA 4TH STREET CLINIC of SALT LAKE 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 ALLIANT INSURANCE SERVICES, INC.. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0569356 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 265 people.
Reported premium across the insured contracts is $1,279,451, with $17,420 in disclosed broker commissions — about 1.4% 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.
ALLIANT INSURANCE SERVICES, INC. is the broker of record on all 2 contracts.
Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 111 | December | $96,540 | $13,039 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 265 | December | $1,182,911 | $4,381 |
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