Form 5500 · Employee benefit plan · SIOUX CITY, IA
CHESTERMAN COMPANY
The filing calls this plan CHESTERMAN CO. EMPLOYEE BENEFITS PLAN.
CHESTERMAN COMPANY of SIOUX CITY, IA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL GREAT PLAINS LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-0179100 · plan 503 · plan year 2025, filed Oct 15, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
55 other employer plans in Iowa have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: death benefits, other welfare.
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 3 insured contracts covering vision and life; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 798 people.
The filing declares vision, life, health, dental and disability. Health, dental and disability appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $487,641, with $60,634 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL GREAT PLAINS LLC is the broker of record on all 3 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ASSURITY LIFE INSURANCE COMPANY | — | 179 | Jul 1, 2025 | $150,791 | $35,123 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 798 | Jul 1, 2025 | $247,178 | $16,544 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 1,128 | Jul 1, 2025 | $89,672 | $8,967 |
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. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 831 employees, 55 recordable cases, 493 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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