Form 5500 · Employee benefit plan · OSKALOOSA, IA
WILLIAM PENN UNIVERSITY
The filing calls this plan WILLIAM PENN UNIVERSITY HEALTH AND WELFARE PLAN.
WILLIAM PENN UNIVERSITY of OSKALOOSA, IA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is USI INSURANCE SERVICE LLC. 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 42-0707120 · plan 501 · plan year 2025, filed Jul 16, 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
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 8 insured contracts covering health, dental, life and disability; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 115 people.
Reported premium across the insured contracts is $1,467,720, with $23,812 in disclosed broker commissions — about 1.6% 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.
USI INSURANCE SERVICE LLC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, WELLMARK HEALTH PLAN OF IOWA, DELTA DENTAL OF IOWA and UNITED OF OMAHA 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 |
|---|---|---|---|---|---|
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Health | 115 | Jan 1, 2026 | $579,312 | $10,290 |
| DELTA DENTAL OF IOWA | Dental | 141 | Jan 1, 2026 | $80,910 | $3,642 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 141 | Jan 1, 2026 | $21,282 | $3,192 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 141 | Jan 1, 2026 | $19,550 | $2,932 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 40 | Jan 1, 2026 | $12,588 | $1,888 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 141 | Jan 1, 2026 | $12,452 | $1,868 |
| WELLMARK HEALTH PLAN OF IOWA | Health | 91 | Jan 1, 2026 | $541,366 | $0 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Health | 24 | Jan 1, 2026 | $200,260 | $0 |
Premium and claims on this contract
WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, contract D04. For the contract year on this filing, the carrier reported $579,312 in premium earned and $253,256 in claims incurred. Dividing one by the other gives 44%.
- WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, contract D04 reported $326,056 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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