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Form 5500 · Employee benefit plan · NEW YORK, NY

HOTELSAB LLC

Public Form 5500 records show how HOTELSAB LLC (NEW YORK, NY) structures its employee benefits. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in May.

Benefits broker of record
Plan renews
May

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-3083210 · plan 501 · as of Aug 2026

Participants
100
Carriers on file
5
Disclosed commissions
$96,897
Renewal month
May

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLAN, INC.Health155May$1,304,306$72,491
UNITEDHEALTHCARE INSURANCE COMPANYHealth244May$332,529$14,337
LINCOLN LIFE AND ANNUITY COMPANY OF NEW YORKLife, Disability100May$43,131$8,626
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision264May$6,804$1,443
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESDental93May$63,223$0

Questions

Who is HOTELSAB LLC's benefits broker?

Per its most recent Form 5500 Schedule A, HOTELSAB LLC's broker of record is GALLAGHER BENEFIT SERVICES, INC..

What insurance carrier does HOTELSAB LLC use?

HOTELSAB LLC's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 5 disclosed carriers.

When does HOTELSAB LLC's group plan renew?

The most recent Schedule A policy period for HOTELSAB LLC ended in May. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from HOTELSAB LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.