Form 5500 · Employee benefit plan · GREENWOOD VILLAGE, CO
CLEAN WATER ENVIRONMENTAL SERVICES, INC.
The filing calls this plan CLEAN WATER ENVIRONMENTAL SERVICES, INC. HEALTH AND WELFARE BENEFIT PLAN.
CLEAN WATER ENVIRONMENTAL SERVICES, INC. of GREENWOOD VILLAGE, CO is a 149-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PATRIOT GROWTH INS SVCS. Coverage is written through ALL SAVERS INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-3271240 · plan 501 · plan year 2025, filed Mar 10, 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 6 insured contracts covering health, dental, vision and disability; the largest, with ALL SAVERS INSURANCE COMPANY, covers 115 people.
Reported premium across the insured contracts is $445,944, with $10,324 in disclosed broker commissions — about 2.3% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
PATRIOT GROWTH INS SVCS is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including ALL SAVERS INSURANCE COMPANY, DELTA DENTAL OF COLORADO, UNITED OF OMAHA LIFE INSURANCE COMPANY and UNITEDHEALTHCARE INSURANCE COMPANY. ALL SAVERS INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF COLORADO | Dental | 186 | Aug 1, 2025 | $55,556 | $5,676 |
| AFLAC | — | 11 | Aug 1, 2025 | $7,308 | $3,206 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 47 | Aug 1, 2025 | $9,616 | $1,442 |
| ALL SAVERS INSURANCE COMPANY | Health | 115 | Aug 1, 2025 | $351,448 | $0 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 0 | Aug 1, 2025 | $11,574 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 115 | Aug 1, 2025 | $10,442 | $0 |
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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