Form 5500 · Employee benefit plan · SAN DIEGO, CA
EVANS HOTELS, LLC
The filing calls this plan EVANS HOTELS, LLC WELFARE BENEFIT PLAN.
EVANS HOTELS, LLC of SAN DIEGO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL INS. SVCS., INC.. Coverage is written through SHARP HEALTH PLAN and 7 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-0750751 · plan 501 · plan year 2025, filed Sep 29, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
229 other employer plans in California have policy years ending in February. 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
Also declared: prepaid legal, death benefits, other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 9 insured contracts covering health, dental, vision, life and disability; the largest, with SHARP HEALTH PLAN, covers 634 people.
Reported premium across the insured contracts is $4,204,294, with $153,713 in disclosed broker commissions — about 3.7% of premium.
The health contract's policy period ended in February, while at least one ancillary line's policy period ended in August. The plan is on a split renewal cycle.
HUB INTERNATIONAL INS. SVCS., INC. is the broker of record on 1 of the 9 contracts; the rest name a different broker or none.
8 carriers appear on the filing, including SHARP HEALTH PLAN, SIMNSA, UNITEDHEALTHCARE INSURANCE COMPANY and ANTHEM LIFE INSURANCE COMPANY. SHARP HEALTH PLAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SHARP HEALTH PLAN | Health | 634 | Mar 1, 2025 | $3,020,718 | $90,622 |
| SIMNSA | Health, Dental | 299 | Mar 1, 2025 | $794,351 | $23,818 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 520 | Mar 1, 2025 | $190,117 | $17,111 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | 331 | Mar 1, 2025 | $44,957 | $9,160 |
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 948 | Mar 1, 2025 | $118,060 | $8,680 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 515 | Mar 1, 2025 | $28,684 | $3,116 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 28 | Mar 1, 2025 | $2,730 | $491 |
| METLIFE LEGAL PLANS | — | 28 | Sep 1, 2024 | $3,237 | $486 |
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 799 | Apr 1, 2024 | $1,440 | $229 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in California. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
229 other employer plans in California are March 1 renewals (policy year ends February).
Their policy years end in February, like this plan’s, so most renew March 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in California — largest plans, brokers, carriers and renewal months.