Form 5500 · Employee benefit plan · URBANDALE, IA
IOWA LIMESTONE COMPANY
The filing calls this plan IOWA LIMESTONE COMPANY VOLUNTARY EMPLOYEE BENEFIT TRUST.
IOWA LIMESTONE COMPANY of URBANDALE, IA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. 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 42-1244951 · plan 501 · plan year 2024, filed Jun 27, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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, vision, life and disability; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 141 people.
Reported premium across the insured contracts is $2,005,815, with $15,568 in disclosed broker commissions — about 0.8% 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 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, SUN LIFE ASSURANCE COMPANY OF CANADA, DELTA DENTAL OF IOWA and FIDELITY SECURITY LIFE INSURANCE COMPANY. WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 162 | Jan 1, 2025 | $217,526 | $11,726 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 163 | Jan 1, 2025 | $27,987 | $2,914 |
| DELTA DENTAL OF IOWA | Dental | 157 | Jan 1, 2025 | $94,901 | $928 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Health | 141 | Jan 1, 2025 | $1,665,401 | $0 |
Premium and claims on this contract
DELTA DENTAL OF IOWA, contract 33446. For the contract year on this filing, the carrier reported $94,901 in premium earned and $81,032 in claims incurred. Dividing one by the other gives 85%.
- DELTA DENTAL OF IOWA, contract 33446 reported $13,870 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. We publish company names only.
How this plan compares
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