Form 5500 · Employee benefit plan · SHEBOYGAN, WI
VISTA CARE WISCONSIN, INC.
VISTA CARE WISCONSIN, INC. of SHEBOYGAN, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HAUSMANN GROUP. Coverage is written through DELTA DENTAL OF WISCONSIN and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1833091 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| DELTA DENTAL OF WISCONSIN | Dental | 191 | December | $8,666 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Disability | 40 | December | $6,654 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental, Vision, Life, Disability | 54 | October | $3,981 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 479 | December | $2,889 |
| WYSSTA INSURANCE COMPANY INC | Vision | 184 | December | $1,993 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 469 | March | $862 |
| DELTA DENTAL OF SOUTH DAKOTA | Dental | 36 | December | $604 |
| EMPATHIA | — | 977 | December | $0 |
Questions
Who is VISTA CARE WISCONSIN, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, VISTA CARE WISCONSIN, INC.'s broker of record is HAUSMANN GROUP.
What insurance carrier does VISTA CARE WISCONSIN, INC. use?
VISTA CARE WISCONSIN, INC.'s benefit plan is written through DELTA DENTAL OF WISCONSIN, among 8 disclosed carriers.
When does VISTA CARE WISCONSIN, INC.'s group plan renew?
The most recent Schedule A policy period for VISTA CARE WISCONSIN, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from VISTA CARE WISCONSIN, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.