Form 5500 · Employee benefit plan · CHICAGO, IL
HYATT CORPORATION
The filing calls this plan HYATT CORPORATION WELFARE PLAN.
HYATT CORPORATION of CHICAGO, IL is a 27,705-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 8 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1649123 · plan 503 · plan year 2024, filed Oct 15, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
2,668 other employer plans in Illinois have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Dental: the largest of the 13 insured dental contracts, with SIMNSA, covers 444 of 27,705 participants (1.6%) on Schedule A.
Also declared: 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 36 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 17,502 people.
Reported premium across the insured contracts is $123,064,497, with $147,920 in disclosed broker commissions — about 0.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 1 of the 36 contracts; the rest name a different broker or none.
9 carriers appear on the filing, including BLUECROSS BLUESHIELD OF ILLINOIS, METROPOLITAN LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC. and VISION SERVICE PLAN. BLUECROSS BLUESHIELD OF ILLINOIS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 5,815 | Jan 1, 2025 | $1,388,529 | $138,853 |
| VISION SERVICE PLAN | Vision | 14,611 | Jan 1, 2025 | $2,492,733 | $9,067 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 17,502 | Jan 1, 2025 | $88,780,918 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 38,789 | Jan 1, 2025 | $11,730,680 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 1,012 | Jan 1, 2025 | $6,962,685 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 578 | Jan 1, 2025 | $4,501,806 | $0 |
| SIMNSA | Health, Dental | 444 | Jan 1, 2025 | $1,168,959 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 169 | Jan 1, 2025 | $964,940 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 174 | Jan 1, 2025 | $958,431 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 155 | Jan 1, 2025 | $819,305 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 128 | Jan 1, 2025 | $687,306 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 2,600 | Jan 1, 2025 | $640,771 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 106 | Jan 1, 2025 | $616,094 | $0 |
| SIMNSA | Health, Dental | 73 | Jan 1, 2025 | $212,249 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 161 | Jan 1, 2025 | $163,487 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 25 | Jan 1, 2025 | $129,108 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 20 | Jan 1, 2025 | $124,732 | $0 |
| SIMNSA | Health, Dental | 43 | Jan 1, 2025 | $113,045 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 0 | Jan 1, 2025 | $78,441 | $0 |
| HAWAII DENTAL SERVICE | Dental | 186 | Jan 1, 2025 | $75,348 | $0 |
| HAWAII DENTAL SERVICE | Dental | 172 | Jan 1, 2025 | $72,092 | $0 |
| HAWAII DENTAL SERVICE | Dental | 158 | Jan 1, 2025 | $64,834 | $0 |
| HAWAII DENTAL SERVICE | Dental | 144 | Jan 1, 2025 | $59,648 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 9 | Jan 1, 2025 | $54,172 | $0 |
| SIMNSA | Health, Dental | 12 | Jan 1, 2025 | $40,645 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 0 | Jan 1, 2025 | $39,721 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 7 | Jan 1, 2025 | $25,074 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 0 | Jan 1, 2025 | $23,356 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 0 | Jan 1, 2025 | $18,289 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 5 | Jan 1, 2025 | $17,494 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 3 | Jan 1, 2025 | $17,126 | $0 |
| HAWAII DENTAL SERVICE | Dental | 25 | Jan 1, 2025 | $9,633 | $0 |
| HAWAII DENTAL SERVICE | Dental | 20 | Jan 1, 2025 | $8,307 | $0 |
| SIMNSA | Health, Dental | 0 | Jan 1, 2025 | $4,269 | $0 |
| HAWAII DENTAL SERVICE | Dental | 0 | Jan 1, 2025 | $226 | $0 |
| SIMNSA | Health, Dental | 0 | Jan 1, 2025 | $44 | $0 |
Premium and claims on these contracts
VISION SERVICE PLAN, contract 12088331. For the contract year on this filing, the carrier reported $2,492,733 in premium earned and $2,332,091 in claims incurred. Dividing one by the other gives 94%.
BLUECROSS BLUESHIELD OF ILLINOIS, contract 128467. For the contract year on this filing, the carrier reported $88,780,918 in premium earned and $83,738,535 in claims incurred. Dividing one by the other gives 94%.
- VISION SERVICE PLAN, contract 12088331 reported $169,709 in retention.
- BLUECROSS BLUESHIELD OF ILLINOIS, contract 128467 reported $5,042,383 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 30,327 employees, 1,434 recordable cases, 21,223 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
2 establishments filed under this EIN are left out of these figures: the hours and employees they reported could not both be right.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Illinois. 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
2,668 other employer plans in Illinois are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 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 Illinois — largest plans, brokers, carriers and renewal months.