| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | MATTHEW THORNTON HEALTH PLAN, INC. | $58K | — | $58K | 2.01% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $29K | — | $29K | 2.15% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE | $7K | — | $7K | 2.06% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP | 133 FEDERAL ST BOSTON, NH 03104 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | — | $9K | 3.60% |
| SURGE BENEFITS CORPORATION3 Filed as: SURGE BENEFITS CORP | 920 CANDIA RD MANCHESTER, NH 03104 | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | $12K | — | $12K | 6.22% |
| SHIELDS BROKERAGE3 Filed as: SHIELDS BROKERAGE, INC. | 21 HAMPTON RD. STE 106 EXETER, NH 03833 | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | $1K | — | $1K | 0.73% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA ROAD MANCHESTER, NH 03104 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 19.98% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES, LLC | PO BOX 1320 CONCORD, NH 03302 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 9.99% |
| SURGE BENEFITS CORPORATION3 Filed as: SURGE RESOURCES, INC. | 300 HANOVER STREET MANCHESTER, NH 03104 | BCBS OF MA | $795 | — | $795 | 1.47% |
| SANDRA DEMARS3 | 29 DAMSITE RD. CTR BARNSTEAD, NH 03104 | AFLAC | $3K | $24 | $3K | 9.88% |
| NOELLA TURGEON3 | 28 DONATI DR HOOKSETT, NH 03106 | AFLAC | $2K | $76 | $2K | 5.91% |
| JONATHAN BURGESS3 | 31 NATHAN CUTLER DR BEDFORD, NH 03110 | AFLAC | $1K | $22 | $1K | 3.87% |
| DOUGLAS CASS3 | 310 STARK HWY N DUNBARTON, NH 03046 | AFLAC | $794 | — | $794 | 2.33% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA RD MANCHESTER, NH 03109 | AFLAC | $660 | — | $660 | 1.94% |
| JULIANNE ELLIS3 | 120 MYSTIC ST MANCHESTER, NH 03103 | AFLAC | $475 | $54 | $529 | 1.55% |
| GORDON DOUGLAS3 | 5 BEAVER ROAD DERRY, NH 03038 | AFLAC | $484 | — | $484 | 1.42% |
| TONYA MANFRATE3 | 61 MAURICE STREET MANCHESTER, NH 03103 | AFLAC | $359 | — | $359 | 1.05% |
| WILLIAM MURTAGH3 | 140 JOURDAN ST. HINESBURG, VT 05461 | AFLAC | $251 | — | $251 | 0.74% |
| LINDA DELONG3 | 150A ANDOVER ST STE 12C DANVERS, MA 01923 | AFLAC | $133 | — | $133 | 0.39% |
| TIMOTHY WAKEMAN3 | PO BOX 536 SOUTH SUTTON, NH 03273 | AFLAC | $124 | — | $124 | 0.36% |
| TAY KRAUSE3 | 93 BAYBERRY LN LONDONDERRY, NH 03053 | AFLAC | $81 | — | $81 | 0.24% |
| TEENA FOSTER3 | 69 PAINT WORKS RD BRANDON, VT 05733 | AFLAC | $75 | — | $75 | 0.22% |
| BONNIE VADALA3 | 30 FOLSOM DR NEWMARKET, NH 03857 | AFLAC | $61 | — | $61 | 0.18% |
| WILLIAM HENRY3 | ONE SUNDIAL AVE SUITE 212N MANCHESTER, NH 03103 | AFLAC | $39 | — | $39 | 0.11% |
| DANIEL P CLARK3 Filed as: DANIEL CLARK | 33 LANDAU ROAD PLAINVILLE, MA 02762 | AFLAC | $37 | — | $37 | 0.11% |
| CHRISTOPHER C FEAZEL3 Filed as: CHRISTOPHER FEAZEL | 150A ANDOVER ST STE 12C DANVERS, MA 01923 | AFLAC | $35 | — | $35 | 0.10% |
| ARI JOSEPH WEXLER3 Filed as: ARI WEXLER | 11 STOCKDALE RD NEEDHAM, MA 02492 | AFLAC | $34 | — | $34 | 0.10% |
| AMIDON & ASSOCIATES INC3 Filed as: AMIDON & ASSOCIATES INC. | 160 BENMONT AVE STE 203 BENNINGTON, VT 05201 | AFLAC | $33 | — | $33 | 0.10% |
| BRUCE ROYER3 | 315 CHESTER TPKE AUBURN, NH 03032 | AFLAC | $24 | — | $24 | 0.07% |
| ALLISON O GRADY3 | 10 TWIN BRIDGE RD MERRIMACK, NH 03054 | AFLAC | $21 | — | $21 | 0.06% |
| MICHAEL G. JARVIS3 Filed as: MICHAEL JARVIS | 8 WOODS END DRIVE ESSEX JUNCTION, VT 05452 | AFLAC | $19 | — | $19 | 0.06% |
| DAVID J MCCLELLAN3 Filed as: DAVID HALLETT | 8 BROOKS ST WINCHESTER, MA 01890 | AFLAC | $18 | — | $18 | 0.05% |
| JOHN EMOND3 | 33 DAVIS ST CLAREMONT, NH 03743 | AFLAC | $16 | — | $16 | 0.05% |
| JOHN LEE CHARRETTE3 Filed as: JOHN CHARRETTE | 50 PITT RD FRAMINGHAM, MA 01701 | AFLAC | $13 | — | $13 | 0.04% |
| SUSAN CHILLE3 | 6 AURORA AVE SARATOGA SPRINGS, NY 12866 | AFLAC | $11 | — | $11 | 0.03% |
| MICHAEL BOTTE3 | 41 BEECHWOOD DRIVE HAVERHILL, MA 01832 | AFLAC | $9 | — | $9 | 0.03% |
| KEVIN DELANEY3 | 2 FAIRVIEW TER GREENLAND, NH 03840 | AFLAC | $9 | — | $9 | 0.03% |
| WEX INC3 | 11 STOCKDALE RD NEEDHAM, MA 02492 | AFLAC | $7 | — | $7 | 0.02% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 4272 PERSIMMON WOODS DR NORTH CHARLESTON, SC 29420 | AFLAC | $4 | — | $4 | 0.01% |
| SHEILA M VAN STEAMBURG GEBO3 Filed as: SHEILA VAN STEAMBURG GEBO | 29 BROADVIEW EST BRISTOL, VT 05443 | AFLAC | $4 | — | $4 | 0.01% |
| JENNIFER L HENRY3 Filed as: JENNIFER HENRY | 68 MASSABESIC DRIVE AUBURN, NH 03032 | AFLAC | $2 | — | $2 | 0.01% |
| MELISSA NELSON3 | 28 ARIEL ST LINCOLN, ME 04457 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN K FAVRE3 Filed as: JOHN FAVRE | 61 GREAT BROOKE RD MILFORD, NH 03055 | AFLAC | $2 | — | $2 | 0.01% |
| JOEL HANNON3 | 5 STARKEY AVE TROY, NH 03465 | AFLAC | $2 | — | $2 | 0.01% |
| MAUREEN E SNOW3 Filed as: MAUREEN SNOW | 68 WINGATE RD HOLLISTON, MA 01746 | AFLAC | $2 | — | $2 | 0.01% |
| BRADLEY S JONES3 Filed as: BRADLEY JONES | 19 BRITISH AMERICAN BLVD WEST LATHAM, NY 12110 | AFLAC | $2 | — | $2 | 0.01% |
| THOMAS JOHN KELLY3 Filed as: THOMAS KELLY | 417 OCEAN BLVD HAMPTON, NH 03842 | AFLAC | $2 | — | $2 | 0.01% |
| COMPREHENSIVE EMPLOYEE BENEFITS INC3 | 8 CHALMERS ROAD WORCHESTER, MA 02762 | AFLAC | $1 | — | $1 | 0.00% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER ST MANCHESTER, NH 03104 | HARVARD PILGRIM HEALTH CARE OF NE - INC - MA | $1K | — | $1K | 5.64% |
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 | 589 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 498 | $4.6M |
| Dental(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE | 372 | $583K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 364 | $1.6M |
| Life insurance(2 contracts, 2 carriers) | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | 219 | $247K |
| Short-term disability(2 contracts, 2 carriers) | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | 219 | $247K |
| Long-term disability(2 contracts, 2 carriers) | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | 219 | $247K |
| Prescription drug | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 364 | $1.4M |
| Other(3 contracts, 3 carriers) | THE UNITED STATES LIFE INS. CO. IN THE CITY OF NY | 219 | $281K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 498 | — |
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.