| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SURGE BENEFITS CORPORATION3 | 930 CANDIA RD. MANCHESTER, NH 03109 | MATTHEW THORNTON HEALTH PLAN, INC. | $47K | — | $47K | 1.84% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA ROAD MANCHESTER, NH 03109 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $21K | — | $21K | 1.65% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA RD. MANCHESTER, NH 03109 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE | $7K | — | $7K | 2.18% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP | 133 FEDERAL ST BOSTON, MA 02110 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 3.45% |
| SURGE BENEFITS CORPORATION3 Filed as: SURGE BENEFITS CORP | 920 CANDIA RD MANCHESTER, NH 03109 | AMERICAN GENERAL LIFE SERVICES CO, LLC | $14K | — | $14K | 8.12% |
| SURGE BENEFITS CORPORATION3 Filed as: SURGE RESOURCES, INC. | 920 CANDIA RD. MANCHESTER, NH 03109 | BCBS OF MA | $932 | — | $932 | 1.36% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA ROAD MANCHESTER, NH 03109 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $10K | — | $10K | 20.01% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 10.01% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA RD MANCHESTER, NH 03109 | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | $2K | — | $2K | 5.61% |
| TONYA MANFRATE3 Filed as: TONYA L MANFRATE | 61 MAURICE STREET MANCHESTER, NH 03103 | AFLAC | $1K | $195 | $2K | 8.04% |
| BRUCE ROYER3 Filed as: BRUCE K ROYER | 315 CHESTER TPKE AUBURN, NH 03032 | AFLAC | $428 | $42 | $470 | 2.34% |
| JONATHAN BURGESS3 Filed as: JONATHAN E BURGESS | 31 NATHAN CUTLER DR BEDFORD, NH 03110 | AFLAC | $368 | $39 | $407 | 2.02% |
| NOELLE P TURGEON3 | 28 DONATI DR HOOKSETT, NH 03106 | AFLAC | $330 | — | $330 | 1.64% |
| JULIANNE ELLIS3 | 120 MYSTIC ST MANCHESTER, NH 03103 | AFLAC | $298 | — | $298 | 1.48% |
| LINDA DELONG3 Filed as: LINDA J DELONG | 150 A ANDOVER STREET SUITE 12C DANVERS, MA 01923 | AFLAC | $221 | — | $221 | 1.10% |
| WILLIAM T HENRY3 Filed as: WILLIAM T HEN RY | ONE SUNDIAL AVE SUITE 212N MANCHESTER, NH 03103 | AFLAC | $167 | $33 | $200 | 0.99% |
| CHRISTOPHER C FEAZEL3 | 150A ANDOVER STREET SUITE 12C DANVERS, MA 01923 | AFLAC | $77 | — | $77 | 0.38% |
| JOSHUA J BULLARD3 | 68 MASSABESIC DR AUBURN, NH 03032 | AFLAC | $76 | — | $76 | 0.38% |
| DANIEL P CLARK3 | 33 LANDAU ROAD PALINVILLE, MA 02762 | AFLAC | $54 | — | $54 | 0.27% |
| ARI JOSEPH WEXLER3 | 11 STOCKDALE ROAD NEEDHAM, MA 02492 | AFLAC | $40 | — | $40 | 0.20% |
| SHEILA M VAN STEAMBURG GEBO3 | 29 BROADVIEW EST BRISTOL, VT 05443 | AFLAC | $39 | — | $39 | 0.19% |
| DAVID S HALLETT3 | 8 BROOKS STREET WINCHESTER, MA 01890 | AFLAC | $39 | — | $39 | 0.19% |
| MICHAEL G. JARVIS3 Filed as: MICHAEL G JARVIS | 8 WOODS END DRIVE ESSEX JUNCTION, VT 05452 | AFLAC | $35 | — | $35 | 0.17% |
| JOHN EMOND3 Filed as: JOHN S EMOND | 33 DAVIS ST CLAREMONT, NH 03743 | AFLAC | $21 | — | $21 | 0.10% |
| SUSAN CHILLE3 | 6 AURORA AVE SARATOGA SPRINGS, NY 12866 | AFLAC | $20 | — | $20 | 0.10% |
| JOEL HANNON3 Filed as: JOEL P HANNON | 5 STARKEY AVE TROY, NH 03465 | AFLAC | $19 | — | $19 | 0.09% |
| JOHN LEE CHARRETTE3 | 50 PITT RD FRAMINGHAM, MA 01701 | AFLAC | $15 | — | $15 | 0.07% |
| THOMAS JOHN KELLY3 | 417 OCEAN BLVD HAMPTON, NH 03842 | AFLAC | $14 | — | $14 | 0.07% |
| JAMES (JAY) GRIMES3 | 4272 PERSIMMON WOODS DR NORTH CHARLESTON, SC 29420 | AFLAC | $11 | — | $11 | 0.05% |
| WEX INC3 | 11 STOCKDALE ROAD NEEDHAM, MA 02492 | AFLAC | $9 | — | $9 | 0.04% |
| MICHAEL BOTTE3 Filed as: MICHAEL B BOTTE | 41 BEECHWOOD DRIVE HAVERHILL, MA 01832 | AFLAC | $7 | — | $7 | 0.03% |
| BRADLEY S JONES3 | 19 BRITISH AMERICAN BLVD WEST LATHAM, NY 12110 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN K FAVRE3 | 61 GREAT BROOK RD MILFORD, NH 03055 | AFLAC | $3 | — | $3 | 0.01% |
No Schedule C service providers reported on this filing.
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 | 579 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 579 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 487 | $4.1M |
| Dental(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE | 376 | $527K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 368 | $1.5M |
| Life insurance(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE SERVICES CO, LLC | 166 | $216K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE SERVICES CO, LLC | 166 | $216K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE SERVICES CO, LLC | 166 | $216K |
| Prescription drug | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 368 | $1.3M |
| Other(3 contracts, 3 carriers) | AMERICAN GENERAL LIFE SERVICES CO, LLC | 166 | $236K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 487 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.