Form 5500 · Employee benefit plan · RIVERSIDE, CA
HISTORIC MISSION INN
HISTORIC MISSION INN of RIVERSIDE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE OF CALIFORNIA LLC. Coverage is written through AETNA HEALTH, INC. and 4 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0540470 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AETNA HEALTH, INC. | Health | 96 | November | $36,934 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 153 | November | $6,471 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 267 | November | $1,329 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 12 | November | $894 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 12 | November | $89 |
Questions
Who is HISTORIC MISSION INN's benefits broker?
Per its most recent Form 5500 Schedule A, HISTORIC MISSION INN's broker of record is ACRISURE OF CALIFORNIA LLC.
What insurance carrier does HISTORIC MISSION INN use?
HISTORIC MISSION INN's benefit plan is written through AETNA HEALTH, INC., among 5 disclosed carriers.
When does HISTORIC MISSION INN's group plan renew?
The most recent Schedule A policy period for HISTORIC MISSION INN ended in November. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from HISTORIC MISSION INN's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.