Pacific Life Insurance Company
Overview
Pacific Life Insurance Company sponsors a self-funded health plan that covered 3,629 participants in plan year 2025, up 5% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, prepaid legal, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 3,629 · prior year 3,454
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Pacific Life Employees Group Benefits Plan, plan 502 (3,629 participants); Pacific Life Retiree Group Benefits Plan, plan 505 (335 participants)
- Stop-loss carrier
- Aetna Life Insurance Co.
- Broker compensation
- $66K 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 |
|---|---|---|---|---|
| Hartford Life and Accident | Life, Long-term disability | 5,624 | $4.0M | $66K |
| Aetna Life Insurance Co. | Vision, Stop-loss | 6,503 | $1.5M | — |
| Legalplans USA | Legal | 653 | $142K | — |
| Delta Dental of California | Dental, HMO | 443 | $74K | — |
| Federal Insurance Company | Business Travel Accident | 3,629 | $37K | — |
| Health and Human Resource Center | Employee Assistance Program | 1,880 | $36K | — |
| Aetna Behavioral Health, LLC | Employee Assistance Program | 1,749 | $33K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,629 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
- Pacific Life Insurance Company
- Sponsor EIN
- 95-1079000
- Plan numbers
- 502, 505
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 95-1079000 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Pacific Life Insurance Company Retirement Incentive Savings Plan
- Type
- 401(k) plan
- Participants
- 5,313
About this data
Source: Pacific Life Insurance Company'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 Pacific Life Insurance Company.