Form 5500 · Employee benefit plan · CEDAR RAPIDS, IA
BOARD OF TRUSTEES OF THE CEDAR RAPIDS SHEET METAL WORKERS LOCAL 263 HE
The filing calls this plan CEDAR RAPIDS SHEET METAL WORKERS LOCAL 263 HEALTH & WELFARE FUND.
BOARD OF TRUSTEES OF THE CEDAR RAPIDS SHEET METAL WORKERS LOCAL 263 HE of CEDAR RAPIDS, IA is a 444-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is COMMERCIAL GROUP INTERMEDIARIES. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-6498548 · plan 501 · plan year 2024, filed Oct 14, 2025
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810 other employer plans in Iowa have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 4 insured contracts covering health, dental, life and stop-loss; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 461 people.
The filing declares health, dental, life, vision and disability. Vision and disability appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $6,324,266, with $45,754 in disclosed broker commissions — about 0.7% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in February. The plan is on a split renewal cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE UNION LABOR LIFE INSURANCE COMPANY | Stop-loss | 455 | Jan 1, 2025 | $901,939 | $45,097 |
| THE UNION LABOR LIFE INSURANCE COMPANY | Life | 469 | Mar 1, 2025 | $13,147 | $657 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 461 | Jan 1, 2025 | $5,165,460 | $0 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Dental | 1,024 | Jul 1, 2025 | $243,720 | $0 |
Premium and claims on these contracts
BLUECROSS BLUESHIELD OF ILLINOIS, contract 29761. For the contract year on this filing, the carrier reported $5,165,460 in premium earned and $4,931,993 in claims incurred. Dividing one by the other gives 95%.
BLUECROSS BLUESHIELD OF ILLINOIS, contract 325786. For the contract year on this filing, the carrier reported $243,720 in premium earned and $221,367 in claims incurred. Dividing one by the other gives 91%.
- BLUECROSS BLUESHIELD OF ILLINOIS, contract 29761 reported $233,467 in retention.
- BLUECROSS BLUESHIELD OF ILLINOIS, contract 325786 reported $22,353 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
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