# ENTRAVISION COMMUNICATIONS CORP. GROUP INSURANCE PLAN

Health and welfare plan sponsored by **ENTRAVISION COMMUNICATIONS CORP.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ENTRAVISION COMMUNICATIONS CORP. |
| EIN | 954783236 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | SANTA MONICA, CA |
| Industry | telecommunications |
| Funding | fully insured |
| Total premiums | $6.6M |
| Participants | 541 |
| Persons covered | 990 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Rx, Dental, Vision, HMO, PPO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, Other |
| SIMNSA | Health, Rx, HMO |
| UNUMPROVIDENT | Life, Other, STD |

## Brokers

| Broker | Placed with |
|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | UNITEDHEALTHCARE INSURANCE COMPANY |
| WEST BENEFITS INS. MARKETING, INC. | UNITEDHEALTHCARE INSURANCE COMPANY |
| ASSUREDPARTNERS | SIMNSA |
| CONSUMER DRIVEN BENEFITS LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| PRINCIPAL LIFE INSURANCE COMPANY | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| WEST BENEFITS INS. MARKETING, INC. | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| TINA HERNANDEZ | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ELITESOLUTIONS LTD AND OTHER AGENTS | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARIA VERONICA JARQUE | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| ANDREA MARIE TIERCE | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| WENDY DAWN PACK | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARIA VERONICA JARQUE | THE PAUL REVERE LIFE INSURANCE COMPANY |
| CONSUMER DRIVEN BENEFITS LLC | THE PAUL REVERE LIFE INSURANCE COMPANY |
| ANDREA MARIE TIERCE | THE PAUL REVERE LIFE INSURANCE COMPANY |
| WENDY DAWN PACK | THE PAUL REVERE LIFE INSURANCE COMPANY |
| TINA HERNANDEZ | THE PAUL REVERE LIFE INSURANCE COMPANY |
| DEIRDRE B HOEHN | THE PAUL REVERE LIFE INSURANCE COMPANY |

## 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/954783236-502
- Cite as: PlanOptica, https://planoptica.com/welfare/954783236-502
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