Form 5500 · Employee benefit plan · LIVINGSTON, NJ
FORMOSA PLASTICS CORPORATION, U.S.A
The filing calls this plan FORMOSA PLASTICS CORPORATION, U.S.A. EMPLOYEE BENEFIT PLAN (ACTIVE AND RETIREE).
FORMOSA PLASTICS CORPORATION, U.S.A of LIVINGSTON, NJ files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-2968367 · plan 501 · plan year 2024, filed Oct 6, 2025
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1,512 other employer plans in New Jersey 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
Self-funded as reported
The filing names a third-party administrator on Schedule A and reports no medical premium.
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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: prepaid legal.
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, life and disability; the largest, with PRUDENTIAL INSURANCE COMPANY OF AMERICA, covers 6,924 people.
The filing declares health, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $4,367,392, with $400,943 in disclosed broker commissions — about 9.2% 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.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 2,568 | Jan 1, 2025 | $381,300 | $164,503 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 3,422 | Jan 1, 2025 | $1,831,579 | $136,036 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 6,924 | Jan 1, 2025 | $2,047,293 | $92,064 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 418 | Jan 1, 2025 | $107,220 | $8,340 |
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
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Renewal calendar
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