form5500lookup

Form 5500 · Employee benefit plan · DERRY, NH

DERRY MEDICAL CENTER

DERRY MEDICAL CENTER of DERRY, NH spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GRANITE GROUP BENEFITS. Coverage is written through MATTHEW THORTON HEALTH PLAN, INC. and 3 other carriers. The plan's most recent policy period ended in May.

Benefits broker of record
Plan renews
May

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0314077 · plan 501 · as of Aug 2026

Participants
177
Carriers on file
4
Disclosed commissions
$72,378
Renewal month
May

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with MATTHEW THORTON HEALTH PLAN, INC., covers 364 people.

Reported premium across the insured contracts is $3,386,541, with $72,378 in disclosed broker commissions — about 2.1% of premium.

The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.

GRANITE GROUP BENEFITS is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing — MATTHEW THORTON HEALTH PLAN, INC., HARTFORD LIFE AND ACCIDENT, DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. and VISION SERVICE PLAN — with MATTHEW THORTON HEALTH PLAN, INC. writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MATTHEW THORTON HEALTH PLAN, INC.Health364May$2,876,122$40,017
HARTFORD LIFE AND ACCIDENTLife, Disability305May$311,661$22,867
DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC.Dental342May$178,899$7,509
VISION SERVICE PLANVision164May$19,859$1,985

More employer plans in New Hampshire — largest plans, brokers, carriers and renewal months.