Form 5500 · Employee benefit plan · LAKE FOREST, IL
PACTIV EVERGREEN SERVICES INC.
The filing calls this plan PACTIV EVERGREEN SERVICES INC. GROUP BENEFITS PLAN.
PACTIV EVERGREEN SERVICES INC. of LAKE FOREST, IL is a 14,185-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-0147082 · plan 501 · plan year 2025, filed Aug 19, 2026
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2,668 other employer plans in Illinois 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
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Vision: the largest of the 2 insured vision contracts, with KEYSTONE, covers 142 of 14,185 participants (1%) on Schedule A.
Also declared: death benefits, other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 13 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 13,578 people.
Reported premium across the insured contracts is $128,138,215, with $388,307 in disclosed broker commissions — about 0.3% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
LOCKTON COMPANIES, LLC is the broker of record on 4 of the 13 contracts; the rest name a different broker or none.
8 carriers appear on the filing, including BLUECROSS BLUESHIELD OF ILLINOIS, KAISER FOUNDATION HEALTH PLAN, INC., RELIASTAR LIFE INSURANCE COMPANY and LIFE INSURANCE COMPANY OF NORTH AMERICA. BLUECROSS BLUESHIELD OF ILLINOIS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | Life | 12,177 | Jan 1, 2026 | $6,208,941 | $273,578 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 13,578 | Jan 1, 2026 | $103,613,968 | $100,000 |
| KEYSTONE | Health, Vision | 142 | Jan 1, 2026 | $1,373,569 | $14,729 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 485 | Jan 1, 2026 | $9,354,700 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 10,077 | Jan 1, 2026 | $2,684,960 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 116 | Jan 1, 2026 | $1,928,736 | $0 |
| VISION SERVICE PLAN | Vision | 6,608 | Jan 1, 2026 | $1,325,302 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 10,486 | Jan 1, 2026 | $507,940 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 10,486 | Jan 1, 2026 | $366,001 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 610 | Jan 1, 2026 | $357,562 | $0 |
| DELTA DENTAL OF ILLINOIS | Dental | 7,750 | Jan 1, 2026 | $230,235 | $0 |
| COMPSYCH CORPORATION | — | 8,110 | Jan 1, 2026 | $129,306 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 1,517 | Jan 1, 2026 | $56,995 | $0 |
Premium and claims on these contracts
BLUECROSS BLUESHIELD OF ILLINOIS, contract 828942. For the contract year on this filing, the carrier reported $103,613,968 in premium earned and $113,007,095 in claims incurred. Dividing one by the other gives 109%.
KEYSTONE, contract 102277. For the contract year on this filing, the carrier reported $1,373,569 in premium earned and $1,683,643 in claims incurred. Dividing one by the other gives 123%.
VISION SERVICE PLAN, contract 12134219. For the contract year on this filing, the carrier reported $1,325,302 in premium earned and $1,219,265 in claims incurred. Dividing one by the other gives 92%.
- BLUECROSS BLUESHIELD OF ILLINOIS, contract 828942 reported $-9,393,127 in retention.
- KEYSTONE, contract 102277 reported $162,913 in retention.
- VISION SERVICE PLAN, contract 12134219 reported $152,984 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
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