Form 5500 · Employee benefit plan · PURCHASE, NY
PEPSICO, INC.
The filing calls this plan PEPSICO EMPLOYEE HEALTH CARE PROGRAM.
PEPSICO, INC. of PURCHASE, NY spreads its employee benefits across 15 insurance carriers, according to its Form 5500 Schedule A. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA) and 14 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-1584302 · plan 725 · plan year 2025, filed Sep 22, 2026
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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.
Benefits declared on this filing
Health: the largest of the 13 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC. (CALIFORNIA), covers 6,779 of 127,695 participants (5.3%) on Schedule A.
Dental: the largest of the 3 insured dental contracts, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 12,594 of 127,695 participants (9.9%) on Schedule A.
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 16 insured contracts covering health and dental.
The filing declares health, dental and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium is $99,759,493; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
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.
Other plans filed by this employer
How this plan compares
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