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Form 5500 · Employee benefit plan · FOOTHILL RANCH, CA

BELSHIRE ENVIRONMENTAL SERVICES, INC.

The filing calls this plan BELSHIRE ENVIRONMENTAL SERVICES WELFARE BENEFIT PLAN.

BELSHIRE ENVIRONMENTAL SERVICES, INC. of FOOTHILL RANCH, CA is a 152-participant administrative and support services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ALKEME INSURANCE SERVICES. Coverage is written through AETNA HEALTH, INC. and 3 other carriers. The plan's most recent policy period ended in November.

Benefits broker of record
Insurance carrier
Policy year ends
Novemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0466005 · plan 501 · plan year 2025, filed Jun 17, 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.

All participants at the start of the year
152
Active at start of year
150
Active at end of year
158
Disclosed commissions
$76,103
Typical renewal
December 1

Benefits declared on this filing

Healthinsured — AETNA HEALTH, INC.159 of 152 participants on the largest contract
Dentalinsured — PRINCIPAL LIFE INSURANCE COMPANY216 of 152 participants
Visioninsured — AETNA LIFE INSURANCE COMPANY214 of 152 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY52 of 152 participants (34%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY158 of 152 participants

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 6 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA HEALTH, INC., covers 159 people.

Reported premium across the insured contracts is $1,444,665, with $76,103 in disclosed broker commissions — about 5.3% of premium.

The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.

ALKEME INSURANCE SERVICES is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including AETNA HEALTH, INC., AETNA LIFE INSURANCE COMPANY, PRINCIPAL LIFE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY. AETNA HEALTH, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA HEALTH, INC.Health159Dec 1, 2025$925,498$45,817
AETNA LIFE INSURANCE COMPANYHealth, Vision214Dec 1, 2025$381,334$19,143
UNITED OF OMAHA LIFE INSURANCE COMPANYLife52Dec 1, 2025$29,103$4,366
PRINCIPAL LIFE INSURANCE COMPANYHealth, Dental216Dec 1, 2025$92,286$4,311
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability158Dec 1, 2025$14,135$2,120
UNITED OF OMAHA LIFE INSURANCE COMPANYLife158Dec 1, 2025$2,309$346

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BELSHIRE ENVIRONMENTAL SERVICES, INC.
EIN 33-0466005

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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