# BELVEDERE HOTEL PARTNERSHIP DBA THE PENINSULA BEVERLY HILLS HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **BELVEDERE HOTEL PARTNERSHIP THE PENINSULA BEVERLY HILLS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BELVEDERE HOTEL PARTNERSHIP THE PENINSULA BEVERLY HILLS |
| EIN | 954205099 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BEVERLY HILLS, CA |
| Industry | hospitality |
| Funding | fully insured |
| Total premiums | $4.6M |
| Participants | 385 |
| Persons covered | 632 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| CENTENE CORP. GRP. DBA HEALTH NET LIFE INSURANCE COMPANY | Health, Rx, HMO, PPO |
| METLIFE LEGAL PLANS | Dental |
| PAN-AMERICAN LIFE INSURANCE COMPANY | Health, Rx |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, STD, LTD, Other |
| AETNA LIFE INSURANCE COMPANY | Vision |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Dental, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | HEALTH NET |
| LOCKTON COMPANIES, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | PAN AMERICAN LIFE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| LOCKTON COMPANIES, LLC | AETNA LIFE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION |
| LOCKTON COMPANIES, LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/954205099-501
- Cite as: PlanOptica, https://planoptica.com/welfare/954205099-501
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