Form 5500 · Employee benefit plan · SHEBOYGAN FALLS, WI
POLY VINYL COMPANY, INC.
POLY VINYL COMPANY, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-2015379 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 78 | December | $3,563 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 166 | December | $1,628 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 53 | December | $1,228 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 59 | December | $1,189 |
| WYSSTA INSURANCE COMPANY INC. | Vision | 121 | December | $1,052 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 8 | December | $482 |
Questions
Who is POLY VINYL COMPANY, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, POLY VINYL COMPANY, INC.'s broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does POLY VINYL COMPANY, INC. use?
POLY VINYL COMPANY, INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 6 disclosed carriers.
When does POLY VINYL COMPANY, INC.'s group plan renew?
The most recent Schedule A policy period for POLY VINYL COMPANY, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from POLY VINYL COMPANY, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.