| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $19K | $0 | $19K | 1.77% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | MATTHEW THORNTON HEALTH PLAN, INC. | — | $0 | $0 | 0.00% |
| INSURASOURCE INC3 | UNKNOWN TROY, MI 48098 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 4.67% |
| SHIELDS BROKERAGE3 Filed as: SHIELDS BROKERAGE, INC. | UNKNOWN EXETER, NH 03833 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $0 | -$5 | -$5 | -0.01% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | -$30 | $0 | -$30 | -0.04% |
| INSURASOURCE INC3 | — | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | $1K | $0 | $1K | 1.63% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER A BELTZ | — | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | $540 | $0 | $540 | 0.80% |
| AMANDA MANOOGIAN3 | 436 LILAC LN DOVER, NH 03820 | AFLAC | $3K | $93 | $3K | 4.86% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER ST MANCHESTER, NH 03104 | AFLAC | $2K | $0 | $2K | 3.10% |
| TONYA MANFRATE3 Filed as: TONYA CELESTE | 61 MAURICE ST MANCHESTER, NH 03103 | AFLAC | $581 | $60 | $641 | 1.11% |
| JONATHAN BURGESS3 | PO BOX 409 MOULTONBOROUGH, NH 03254 | AFLAC | $339 | $0 | $339 | 0.58% |
| ALLISON O GRADY3 Filed as: ALLISON DEMIRJIAN | 127 HOOKSETT RD AUBURN, NH 03032 | AFLAC | $295 | $0 | $295 | 0.51% |
| NOELLA TURGEON3 | 28 DONATI DR HOOKSETT, NH 03106 | AFLAC | $138 | $0 | $138 | 0.24% |
| TAY KRAUSE3 | 33 WHITMAN DR ROCHESTER, NH 03839 | AFLAC | $8 | $0 | $8 | 0.01% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER ST MANCHESTER, NH 03104 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $130 | $0 | $130 | 12.28% |
| COMBINED SERVICES LLC3 | 2 DELTA DR STE 301 CONCORD, NH 03301 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $43 | $0 | $43 | 4.06% |
| SURGE BENEFITS CORPORATION3 | 920 CANDIA ROAD MANCHESTER, NH 03109 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
| ENROLLEASE3 Filed as: BALDWIN AND CLARKE | 116 B SO RIVE ROAD BEDFORD, NH 03110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
| NATIONAL FINANCIAL NETWORK, LLC3 Filed as: NATIONAL FINANCIAL NETWORK INC. | 990 STEWART GARDEN CITY, NY 11530 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | METROPOLITAN LIFE INSURANCE COMPANY | — | — | $0 | — |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | HPHC INSURANCE COMPANY | — | — | $0 | — |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | TUFTS HEALTH FREEDOM INSURANCE COMPANY | — | — | $0 | — |
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 | 256 | 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) | 256 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 7 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 571 | $2.1M |
| Dental(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 571 | $1.1M |
| Vision | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 571 | $1.1M |
| Life insurance(4 contracts, 4 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 43 | $74K |
| Short-term disability(2 contracts, 2 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 43 | $73K |
| Long-term disability(2 contracts, 2 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 43 | $73K |
| Prescription drug(3 contracts, 3 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 128 | $960K |
| Other(4 contracts, 4 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 43 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 571 | — |
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."
No prospect flags tripped on this filing.