# FOUR SEASONS HOTELS EMPLOYEE ANCILLARY BENEFITS PLAN

Health and welfare plan sponsored by **THE EMPLOYEE BENEFITS COMMITTEE FOUR SEASONS HOTELS LIMITED**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | THE EMPLOYEE BENEFITS COMMITTEE FOUR SEASONS HOTELS LIMITED |
| EIN | 980046457 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | n/a |
| Industry | Accommodation and Food Services |
| Funding | mewa |
| Total premiums | $45.5M |
| Participants | 13,038 |
| Persons covered | 47,051 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx, Dental |
| KAISER PERMANENTE | Health, Rx, HMO |
| HARVARD PILGRIM HEALTH CARE | Health, Rx, HMO, PPO |
| HARTFORD LIFE AND ACCIDENT | Life, LTD, Other |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx |
| BLUE CROSS BLUE SHIELD OF WYOMING | Health, Rx, Dental |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other |
| EYEMED VISION CARE | Vision |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| TRIPLE S SALUD, INC. | Health, Rx, Dental, Other |
| CURALINC HEALTHCARE | Other |
| CHUBB | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ACRISURE LLC | HARTFORD LIFE AND ACCIDENT |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC | HARTFORD LIFE AND ACCIDENT |
| ASSUREDPARTNERS | BLUECROSS BLUESHIELD OF ILLINOIS |
| PAUL FLOTKEN | HARVARD PILGRIM HEALTH CARE |
| LOCKTON COMPANIES, LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| TEMPO HOLDINGS COMPANY LLC | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| NATIONAL ACCOUNT SERVICES | HARTFORD LIFE AND ACCIDENT |
| PAUL FLOTKEN | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| IKON BENEFITS GROUP, INC. | TRIPLE S SALUD, INC. |
| MARSH & MCLENNAN AGENCY LLC | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |
| THREEFLOW | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |
| HOUCHENS INSURANCE | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |

## 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/980046457-503
- Cite as: PlanOptica, https://planoptica.com/welfare/980046457-503
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