| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | MATTHEW THORNTON HEALTH PLAN, INC. | $32K | $0 | $32K | 3.50% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $32K | $0 | $32K | 4.78% |
| AMANDA MANOOGIAN3 | 436 LILAC LN DOVER, NH 03820 | AFLAC | $303 | $0 | $303 | 3.35% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER ST MANCHESTER, NH 03104 | AFLAC | $171 | $0 | $171 | 1.89% |
| JONATHAN BURGESS3 | PO BOX 409 MOULTONBOROUGH, NH 03254 | AFLAC | $67 | $0 | $67 | 0.74% |
| TONYA MANFRATE3 Filed as: TONYA CELESTE | 61 MAURICE ST MANCHESTER, NH 03103 | AFLAC | $34 | $0 | $34 | 0.38% |
| NOELLA TURGEON3 | 28 DONATI DR HOOKSETT, NH 03106 | AFLAC | $28 | $0 | $28 | 0.31% |
| TAY KRAUSE3 | 33 WHITMAN DR ROCHESTER, NH 03839 | AFLAC | $22 | $0 | $22 | 0.24% |
| JOHN LEE CHARRETTE3 | 50 PITT RD FRAMINGHAM, MA 01701 | AFLAC | $15 | $0 | $15 | 0.17% |
| ARI JOSEPH WEXLER3 | 11 STOCKDALE RD NEEDHAM, MA 02492 | AFLAC | $10 | $0 | $10 | 0.11% |
| DANIEL P CLARK3 | 33 LANDAU RD PLAINVILLE, MA 02762 | AFLAC | $9 | $0 | $9 | 0.10% |
| DIANE M CURRIER3 | 348 CALEF HILL RD #B TILTON, NH 03276 | AFLAC | $8 | $0 | $8 | 0.09% |
| KAREN TUCCI3 | 73 STETSON DR MARLBOROUGH, MA 01752 | AFLAC | $5 | $0 | $5 | 0.06% |
| JOHN EMOND3 Filed as: JOHN S EMOND | 184 FRENCH MEADOW RD SPRINGFIELD, VT 05156 | AFLAC | $3 | $0 | $3 | 0.03% |
| TIANA YASMIN JUSTINIANO3 | 66 WATSON RD DOVER, NH 03820 | AFLAC | $2 | $0 | $2 | 0.02% |
| MAUREEN E SNOW3 | 68 WINGATE RD HOLLISTON, MA 01746 | AFLAC | $2 | $0 | $2 | 0.02% |
| JEFFREY D HARNED3 Filed as: JEFFREY STEPHEN BLOCKER | 3 BARNESDALE RD NATICK, MA 01760 | AFLAC | $2 | $0 | $2 | 0.02% |
| WILLIAM T HENRY3 | 1 SUNDIAL AVE STE 212N MANCHESTER, NH 03103 | AFLAC | $2 | $0 | $2 | 0.02% |
| WEX INC3 | 11 STOCKDALE RD NEEDHAM, MA 02492 | AFLAC | $2 | $0 | $2 | 0.02% |
| DONALD P SHARRY3 | 8 CHALMERS RD WORCESTER, MA 01602 | AFLAC | $2 | $0 | $2 | 0.02% |
| JOHN K FAVRE3 | 61 GREAT BROOK RD MILFORD, NH 03055 | AFLAC | $1 | $0 | $1 | 0.01% |
| THOMAS M MCGREEVY3 Filed as: THOMAS MCGREEVY | 763 GRIFFIN AVE LAKE ALFRED, FL 33850 | AFLAC | $1 | $0 | $1 | 0.01% |
| JENNIFER L HENRY3 | 68 MASSABESIC DR AUBURN, NH 03032 | AFLAC | $1 | $0 | $1 | 0.01% |
| MELISSA NELSON3 | 49BIRCHWOOD DR ALLENSTOWN, NH 03275 | AFLAC | $0 | $0 | $0 | 0.00% |
| NATHAN A HUMMER3 | 5 WEBBER RD WESTFORD, MA 01886 | AFLAC | $0 | $0 | $0 | 0.00% |
| JAMES (JAY) GRIMES3 Filed as: JAMES (JAY)GRIMES | 554 ROBERT WILLIAMS RD PINE MOUNTAIN, GA 31822 | AFLAC | $0 | $0 | $0 | 0.00% |
| ALLISON O GRADY3 | 58 MARGATE DR AUBURN, NH 03032 | AFLAC | $0 | $0 | $0 | 0.00% |
| INSURASOURCE INC3 | UNKNOWN TROY, MI 48098 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $581 | $0 | $581 | 7.08% |
| SHIELDS BROKERAGE3 Filed as: SHIELDS BROKERAGE, INC. | UNKNOWN EXETER, NH 03833 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $0 | $0 | $0 | 0.00% |
| SURGE BENEFITS CORPORATION3 | 300 HANOVER STREET MANCHESTER, NH 03104 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $0 | $0 | $0 | 0.00% |
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 | 647 | 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) | 647 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 501 | $1.6M |
| Dental | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 501 | $676K |
| Vision | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 501 | $676K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 127 | $8K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 127 | $8K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 127 | $8K |
| Prescription drug | MATTHEW THORNTON HEALTH PLAN, INC. | 99 | $924K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 501 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.