Form 5500 · Employee benefit plan · SHEBOYGAN, WI
POLYFAB, LLC
POLYFAB, LLC of SHEBOYGAN, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is M3 INSURANCE SOLUTIONS INC.. Coverage is written through COMPCARE HEALTH SERVICES INSURANCE CORPORATION and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1151695 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| COMPCARE HEALTH SERVICES INSURANCE CORPORATION | Health | 131 | September | $22,025 |
| STANDARD INSURANCE COMPANY | Life, Disability | 108 | September | $4,731 |
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 109 | March | $4,505 |
| BLUE CROSS BLUE SHIELD OF WISCONSIN | Dental, Vision | 131 | September | $3,792 |
Questions
Who is POLYFAB, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, POLYFAB, LLC's broker of record is M3 INSURANCE SOLUTIONS INC..
What insurance carrier does POLYFAB, LLC use?
POLYFAB, LLC's benefit plan is written through COMPCARE HEALTH SERVICES INSURANCE CORPORATION, among 4 disclosed carriers.
When does POLYFAB, LLC's group plan renew?
The most recent Schedule A policy period for POLYFAB, LLC ended in September. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from POLYFAB, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.