| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VISTA NATIONAL INSURANCE GROUP INC Filed as: VISTA NATIONAL INS GROUP | 1301 W 22ND ST STE 600 OAK BROOK, IL 60523 | METLIFE DENTAL | — | — | $0 | — |
| VISTA NATIONAL INSURANCE GROUP INC Filed as: VISTA NATIONAL INS GROUP | 1301 W 22ND ST STE 600 OAK BROOK, IL 60523 | BLUE CROSS BLUE SHIELD | $56K | $3K | $59K | — |
| VISTA NATIONAL INSURANCE GROUP INC Filed as: VISTA NATIONAL INS GROUP | 1301 W 22ND ST STE 600 OAK BROOK, IL 60523 | VSP | $740 | — | $740 | — |
| VISTA NATIONAL INSURANCE GROUP INC Filed as: VISTA NATIONAL INS GROUP | 1301 W 22ND ST STE 600 OAK BROOK, IL 60523 | RELIANCE STANDARD | $7K | — | $7K | — |
| PROSENTIAL BENEFITS LLC | 40 TIOGA WAY STE 30A MARBLEHEAD, MA 19045 | RELIANCE STANDARD | — | $532 | $532 | — |
| VISTA NATIONAL INSURANCE GROUP INC Filed as: VISTA NATIONAL INS GROUP | 1301 W 22ND ST STE 600 OAK BROOK, IL 60523 | SUN LIFE | $1K | — | $1K | — |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 188 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 134 | $0 |
| Dental | METLIFE DENTAL | 134 | $0 |
| Vision | VSP | 97 | $0 |
| Life insurance | SUN LIFE | 0 | $0 |
| Long-term disability | RELIANCE STANDARD | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.