Form 5500 · Employee benefit plan · MOUNTAIN, WI
NICOLET PLASTICS, LLC
NICOLET PLASTICS, LLC of MOUNTAIN, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 30-0954856 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 100 | December | $4,677 |
| DELTA DENTAL OF WISCONSIN | Dental | 75 | December | $4,228 |
| WYSSTA INSURANCE COMPANY, INC. | Vision | 83 | December | $543 |
| EMPATHIA, INC. | — | 115 | December | $0 |
Questions
Who is NICOLET PLASTICS, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, NICOLET PLASTICS, LLC's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does NICOLET PLASTICS, LLC use?
NICOLET PLASTICS, LLC's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 4 disclosed carriers.
When does NICOLET PLASTICS, LLC's group plan renew?
The most recent Schedule A policy period for NICOLET PLASTICS, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NICOLET PLASTICS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.