Form 5500 · Employee benefit plan · WEST DES MOINES, IA
HY-LINE INTERNATIONAL
Public Form 5500 records show how HY-LINE INTERNATIONAL of WEST DES MOINES, IA, a agriculture employer, structures its employee benefits. Its broker of record is BENEFIT SOURCE INC. Coverage is written through WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-1106927 · plan 504 · as of Aug 2026
Plan brief
Schedule A lists 9 insured contracts covering vision, life, disability and stop-loss; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 685 people.
The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.
Reported premium across the insured contracts is $15,061,192, with $67,676 in disclosed broker commissions — about 0.4% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BENEFIT SOURCE INC is the broker of record on 3 of the 9 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 171 | December | $101,607 | $15,241 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 494 | December | $63,548 | $10,951 |
| TRUSTMARK INSURANCE COMPANY | — | 366 | December | $69,183 | $10,742 |
| TRUSTMARK INSURANCE COMPANY | — | 295 | December | $100,364 | $10,649 |
| TRUSTMARK INSURANCE COMPANY | Life | 221 | December | $92,606 | $10,496 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 743 | December | $303,436 | $9,597 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Stop-loss | 685 | December | $7,165,224 | $0 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Stop-loss | 605 | December | $7,041,117 | $0 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Stop-loss | 80 | December | $124,107 | $0 |
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