Form 5500 · Employee benefit plan · ANKENY, IA
KARL CHEVROLET
The filing calls this plan KARL CHEVROLET EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how KARL CHEVROLET of ANKENY, IA, a retail employer, structures its employee benefits. Its broker of record is LUFKIN BENEFIT SOLUTIONS, 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 42-1092272 · plan 501 · plan year 2025, filed May 7, 2026
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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
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: 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 4 insured contracts covering dental, vision, life and disability; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 432 people.
The filing declares dental, vision, life, disability and health. Health appears 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 $5,790,688, with $206,820 in disclosed broker commissions — about 3.6% 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.
LUFKIN BENEFIT SOLUTIONS, INC. is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 662 | Jan 1, 2026 | $417,993 | $91,143 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | — | 432 | Jan 1, 2026 | $5,304,879 | $88,080 |
| DELTA DENTAL OF IOWA | Dental | 425 | Jan 1, 2026 | — | $21,980 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 681 | Jan 1, 2026 | $67,816 | $5,617 |
Premium and claims on this contract
WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, contract 482. For the contract year on this filing, the carrier reported $5,304,879 in premium earned and $4,658,569 in claims incurred. Dividing one by the other gives 88%.
- WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, contract 482 reported $646,311 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.
Reported to OSHA
Reported to OSHA for 2025: 579 employees, 11 recordable cases, 34 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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