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History & trajectory Charts need 2 or more years. This plan has 10 years on file; Pro shows them all.
See pricingNo prospect flags tripped on this filing.
Schedule A insurance contracts: who carries the risk, for which benefits, and how many people they cover.
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Dental | Dental | Available on Pro |
Broker: Brown & Brown Insurance Svcs., Inc. LifeLTDOther | LifeLTDOther | Available on Pro |
Broker: Brown & Brown Insurance Svcs., Inc. Vision | Vision | Available on Pro |
Broker: Brown & Brown Insurance Svcs., Inc. OtherHealth | OtherHealth | Available on Pro |
Other | Other | Available on Pro |
Broker: Mercer Health & Benefits, LLC Other | Other | Available on Pro |
See premium, retention and renewal dates for 7 contracts with Pro. Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, then $49 a month.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 3,733 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,774 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 301 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,808 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1 | $22K |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 5,993 | $3.4M |
| Vision | VISION SERVICE PLAN | 2,097 | $372K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 4,323 | $2.9M |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 4,323 | $2.9M |
| Other(4 contracts, 4 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 5,613 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,993 | - |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions, fees |
|---|---|
Carrier: Lincoln National Life Insurance Company | Available on Pro |
Carrier: Vision Service Plan | Available on Pro |
Carrier: Cigna Health and Life Insurance Company | Available on Pro |
Carrier: Cigna Health and Life Insurance Company | Available on Pro |
Carrier: Federal Insurance Company | Available on Pro |
No Schedule C service providers reported on this filing.
How the health and benefits plan is funded and what that means for risk.
5 contacts
11 filings · 2015 to 2025