Form 5500 · Employee benefit plan · MANCHESTER, NH
GRANITE STATE CREDIT UNION
The filing calls this plan GRANITE STATE CREDIT UNION GROUP HEALTH AND HRA PLAN.
GRANITE STATE CREDIT UNION of MANCHESTER, NH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CGI BUSINESS SOLUTIONS. Coverage is written through HARVARD PILGRIM HEALTH CARE OF NE INC - MA and 1 other carrier. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0227484 · plan 502 · plan year 2025, filed Jul 7, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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
All 2 insured contracts are health coverage, split across HARVARD PILGRIM HEALTH CARE OF NE INC - MA and HPHC INSURANCE COMPANY.
Reported premium across the insured contracts is $2,511,611, with $67,346 in disclosed broker commissions — about 2.7% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
CGI BUSINESS SOLUTIONS is the broker of record on all 2 contracts.
Two carriers split the book: HARVARD PILGRIM HEALTH CARE OF NE INC - MA and HPHC INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE OF NE INC - MA | Health | 276 | Nov 1, 2025 | $2,354,026 | $62,897 |
| HPHC INSURANCE COMPANY | Health | 10 | Nov 1, 2025 | $157,585 | $4,449 |
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.
Other plans filed by this employer
How this plan compares
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