Davidson Hotel Company D/b/a/ Davidson Hospitality Group
Overview
Davidson Hotel Company D/b/a/ Davidson Hospitality Group sponsors a self-funded health plan that covered 7,574 participants in plan year 2025, up 2% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 7,574 · prior year 7,425
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Davidson Hotel Company D/b/a Davidson Hospitality Group Employee Benefits Plan, plan 502 (7,574 participants)
- Stop-loss carrier
- Companion Life Insurance Company
- Broker compensation
- $312K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Companion Life Insurance Company | Stop-loss | 3,621 | $4.7M | — |
| Unum Life Insurance Company of America | Life, Long-term disability | 7,215 | $2.1M | — |
| Hawaii Medical Service Association | Medical | 151 | $1.7M | — |
| Blue Cross Blue Shield of Michigan | Medical, Prescription drug, PPO | 163 | $1.1M | $27K |
| Metropolitan Life Insurance Company | Critical Illness, Accident, Hospital Indemnity | 1,923 | $916K | $263K |
| Simnsa | Medical | 239 | $727K | — |
| Kaiser Foundation Health Plan, Inc. | Medical | 43 | $316K | $19K |
| Vision Service Plan | Vision | 3,274 | $307K | — |
| Fidelity Security Life Insurance Company | Vision | 259 | $25K | $2K |
| Hartford Fire Insurance Company | Business Travel Accident | 5,428 | $4K | $529 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 7,574 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Davidson Hotel Company D/b/a/ Davidson Hospitality Group
- Sponsor EIN
- 62-6176418
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 62-6176418 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Davidson Hotel Company D/b/a/ Davidson Hospitality Group's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Davidson Hotel Company D/b/a/ Davidson Hospitality Group.