Form 5500 · Employee benefit plan · KNOXVILLE, TN
AMERICA PLASTICS, LLC DBA OMEGA PLASTICS, LLC
Public Form 5500 records show how AMERICA PLASTICS, LLC DBA OMEGA PLASTICS, LLC of KNOXVILLE, TN, a manufacturing employer, structures its employee benefits. Its broker of record is MATTHEW C BOLES. Coverage is written through BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-1565324 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC., covers 109 people.
Reported premium across the insured contracts is $731,231, with $59,724 in disclosed broker commissions — about 8.2% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
MATTHEW C BOLES is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing — BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and AFLAC — with BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. | Health, Dental, Vision | 109 | September | $595,930 | $23,949 |
| AFLAC | Health, Life | 60 | September | $36,713 | $20,031 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 130 | September | $96,061 | $14,408 |
| AFLAC | Health | 7 | September | $2,527 | $1,336 |
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