Hewlett Packard Enterprise IV LLC

Aguadilla, PR ManufacturingNAICS 335900

Self-funded health planPlan year 2025Renews January
815Participants+9% vs. prior year
$1.9MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#4 of 4Manufacturing in PRBy participants

Overview

Hewlett Packard Enterprise IV LLC sponsors a self-funded health plan that covered 815 participants in plan year 2025, up 9% 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
815 · prior year 751
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Hewlett Packard Enterprise PR - Death, Weekly Income & Major Medical/dental Plan, plan 501 (815 participants)
Broker compensation
$31K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Life Insurance Company of North AmericaShort-term disability, Life, Long-term disability, Basic & Voluntary Accidental Death and D815$639K$31K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$1.9M/ year

Estimated prescription spend: 815 participants × $2,371 national average per member. Usually higher once dependents are counted.

$50K–$124K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$15K–$37K
Lower-cost therapeutic alternatives$21K–$45K
Generic pricing vs. actual cost$9K–$28K
PBM contract terms$5K–$14K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Hewlett Packard Enterprise IV LLC
Sponsor EIN
66-1046467
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 66-1046467 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Hewlett Packard Enterprise Puerto Rico Tax Saving Capital Accumulation Plan
Type
Defined contribution plan
Participants
1,268

About this data

Source: Hewlett Packard Enterprise IV LLC'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 Hewlett Packard Enterprise IV LLC.

Request a correction · Methodology