Form 5500 · Employee benefit plan
IRVING CONSUMER PRODUCTS, INC.
The filing calls this plan IRVING TISSUE, INC. HEALTH & ACCIDENT PLAN.
IRVING CONSUMER PRODUCTS, INC. spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ACADIA BENEFITS INC. Coverage is written through CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3212875 · plan 502 · plan year 2025, filed Jul 28, 2026
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54,887 other employer plans in the U.S. 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
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC., covers 840 people.
Reported premium across the insured contracts is $11,427,488, with $314,050 in disclosed broker commissions — about 2.7% 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.
ACADIA BENEFITS INC is the broker of record on 7 of the 8 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC., DELTA DENTAL OF NEW YORK, LINCOLN LIFE ASSURANCE COMPANY OF BOSTON and VISION SERVICE PLAN. CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN INC. | Health | 840 | Jan 1, 2026 | $9,412,803 | $260,219 |
| DELTA DENTAL OF NEW YORK | Health, Dental | 1,312 | Jan 1, 2026 | $1,226,347 | $49,021 |
| VISION SERVICE PLAN | Health, Vision | 1,206 | Jan 1, 2026 | $237,981 | $4,810 |
| LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | Life | 363 | Jan 1, 2026 | $283,726 | $0 |
| LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | Disability | 270 | Jan 1, 2026 | $123,414 | $0 |
| LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | Disability | 346 | Jan 1, 2026 | $105,853 | $0 |
| LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | Disability | 1,682 | Jan 1, 2026 | $35,287 | $0 |
| FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 0 | Jan 1, 2026 | $2,077 | $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.
Other plans filed by this employer
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Renewal calendar
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