Form 5500 · Employee benefit plan · LEBANON, NH
DARTMOUTH-HITCHCOCK CLINIC
The filing calls this plan DARTMOUTH-HITCHCOCK GROUP LIFE AND DISABILITY BENEFIT PLAN.
DARTMOUTH-HITCHCOCK CLINIC of LEBANON, NH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AON CONSULTING. Coverage is written through SUN LIFE ASSURANCE COMPANY OF CANADA. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2519596 · plan 501 · plan year 2025, filed Jul 30, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
287 other employer plans in New Hampshire have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering life and disability; the largest, with SUN LIFE ASSURANCE COMPANY OF CANADA, covers 13,189 people.
Reported premium across the insured contracts is $11,109,612, with $70,586 in disclosed broker commissions — about 0.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
With 11,349 participants this is one of the larger insured groups on file in NH.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 13,189 | Jan 1, 2026 | $11,109,612 | $70,586 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 3,045 employees, 101 recordable cases, 99 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
287 other employer plans in New Hampshire are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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