Pactiv Evergreen Services Inc.
Overview
Pactiv Evergreen Services Inc. sponsors a self-funded health plan that covered 2,962 participants in plan year 2025, down 6% 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
- 2,962 · prior year 3,163
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Pactiv Retiree Master Health and Welfare Plan, plan 532 (2,962 participants); Pactiv Evergreen Inc. Group Benefits Plan for Bargaining Unit Employees, plan 502 (1,466 participants)
- Broker compensation
- $1.9M 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 |
|---|---|---|---|---|
| Blue Cross Blue Shield of Illinois | Medical | 13,578 | $103.6M | $164K |
| Reliastar Life Insurance Company | Life | 26,788 | $18.6M | $1.6M |
| Kaiser Foundation Health Plan, Inc. | Medical, HMO | 485 | $11.3M | — |
| Life Insurance Company of North America | Long-term disability, Short-term disability, Life | 10,486 | $7.9M | $131K |
| Vision Service Plan | Vision | 6,608 | $4.0M | — |
| Keystone | Medical, Vision, HMO | 142 | $1.4M | $15K |
| ComPsych Corporation | Employee Assistance Program | 8,110 | $259K | — |
| Delta Dental of Illinois | Dental | 7,750 | $230K | — |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 2,962 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
- Pactiv Evergreen Services Inc.
- Sponsor EIN
- 27-0147082
- Plan numbers
- 532, 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 27-0147082 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Pactiv Evergreen Services Inc.'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 Pactiv Evergreen Services Inc..