Form 5500 · Employee benefit plan · FORT DODGE, IA
JENSEN BUILDERS LTD
The filing calls this plan JENSEN BUILDERS WELFARE BENEFIT PLAN.
JENSEN BUILDERS LTD of FORT DODGE, IA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HOLMES, MURPHY AND ASSOCIATES, LLC. Coverage is written through WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-1204299 · plan 503 · plan year 2025, filed Jan 12, 2026
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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 5 insured contracts covering health, dental, vision, life and disability; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 121 people.
Reported premium across the insured contracts is $2,227,297, with $41,759 in disclosed broker commissions — about 1.9% 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.
HOLMES, MURPHY AND ASSOCIATES, LLC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, STANDARD INSURANCE COMPANY and AVESIS. WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Health | 121 | Jul 1, 2025 | $2,049,086 | $29,620 |
| STANDARD INSURANCE COMPANY | Life | 39 | Jul 1, 2025 | $40,272 | $3,638 |
| STANDARD INSURANCE COMPANY | Dental | 110 | Jul 1, 2025 | $85,532 | $3,363 |
| STANDARD INSURANCE COMPANY | Disability | 76 | Jul 1, 2025 | $25,635 | $2,668 |
| AVESIS | Vision | 87 | Jul 1, 2025 | $26,772 | $2,470 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 163339. For the contract year on this filing, the carrier reported $40,272 in premium earned and $-461 in claims incurred. Dividing one by the other gives -1%.
STANDARD INSURANCE COMPANY, contract 163339. For the contract year on this filing, the carrier reported $85,532 in premium earned and $55,245 in claims incurred. Dividing one by the other gives 65%.
STANDARD INSURANCE COMPANY, contract 163339. For the contract year on this filing, the carrier reported $25,635 in premium earned and $7,131 in claims incurred. Dividing one by the other gives 28%.
AVESIS, contract 60790-1854. For the contract year on this filing, the carrier reported $26,772 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- STANDARD INSURANCE COMPANY, contract 163339 reported $40,732 in retention.
- STANDARD INSURANCE COMPANY, contract 163339 reported $30,286 in retention.
- STANDARD INSURANCE COMPANY, contract 163339 reported $18,503 in retention.
- AVESIS, contract 60790-1854 reported $2,470 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.
Other plans filed by this employer
How this plan compares
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