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Form 5500 · Employee benefit plan · GREEN BAY, WI

GREEN BAY PACKAGING, INC.

The filing calls this plan GROUP INSURANCE PLAN OF GREEN BAY PACKAGING INC.

Public Form 5500 records show how GREEN BAY PACKAGING, INC. of GREEN BAY, WI, a manufacturing employer, structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-0783183 · plan 501 · 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.

1,633 other employer plans in Wisconsin 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

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

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.

All participants at the start of the year
4,126
Active at start of year
3,454
Active at end of year
4,340
Disclosed commissions
$113,939
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.386 of 4,126 participants (9.4%)
Dentalnot declared on this filing
Visioninsured — UNITEDHEALTHCARE INSURANCE COMPANY6,010 of 4,126 participants
Lifeinsured — HARTFORD LIFE AND ACCIDENT4,851 of 4,126 participants
Disabilityinsured — HARTFORD LIFE AND ACCIDENT4,851 of 4,126 participants

Health: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. covers 386 of 4,126 participants (9.4%) on Schedule A.

Also declared: death benefits.

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.

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 4 insured contracts covering health, vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 4,851 people.

Reported premium across the insured contracts is $3,441,471, with $113,939 in disclosed broker commissions — about 3.3% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in April. The plan is on a split renewal cycle.

USI INSURANCE SERVICES LLC is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including HARTFORD LIFE AND ACCIDENT, SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. and UNITEDHEALTHCARE INSURANCE COMPANY. HARTFORD LIFE AND ACCIDENT writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARTFORD LIFE AND ACCIDENTLife, Disability4,851May 1, 2024$2,089,597$87,285
UNITEDHEALTHCARE INSURANCE COMPANYVision6,010Jan 1, 2025$336,971$16,893
HARTFORD LIFE AND ACCIDENT—4,235May 1, 2024$162,677$9,761
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.Health386Jan 1, 2025$852,226$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
GREEN BAY PACKAGING, INC.
EIN 39-0783183
UNITED HEALTHCARE
Claims processing · EIN 36-2739571
$2,312,311
paid directly by the plan

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: 2,695 employees, 37 recordable cases, 196 days away from work.

EmployeesThe company's own average for the year
2,695
Hours worked
5,664,272
Recordable cases
37
Days away from work
196
Establishments filed under this EIN
16

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

1,633 other employer plans in Wisconsin are January 1 renewals (policy year ends December).

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