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Form 5500 · Employee benefit plan · BENNINGTON, NH

MONADNOCK PAPER MILLS, INC.

MONADNOCK PAPER MILLS, INC. of BENNINGTON, NH is a 209-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is JENNIFER A. BORISLOW INS AGENCY INC. Coverage is written through HARVARD PILGRIM HEALTH CARE OF NE INC - MA and 5 other carriers. The plan's most recent policy period ended in September.

Benefits broker of record
Plan renews
September

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0215853 · plan 515 · as of Aug 2026

Participants
209
Carriers on file
6
Disclosed commissions
$42,858
Renewal month
September

Plan brief

Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with HARVARD PILGRIM HEALTH CARE OF NE INC - MA, covers 144 people.

Reported premium across the insured contracts is $2,785,328, with $42,858 in disclosed broker commissions — about 1.5% of premium.

The health contract's policy period ended in September, while at least one ancillary line renews in August — the plan is on a split renewal cycle.

JENNIFER A. BORISLOW INS AGENCY INC is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.

6 carriers appear on the filing — HARVARD PILGRIM HEALTH CARE OF NE INC - MA, HPHC INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and DELTA DENTAL OF NEW HAMPSHIRE, INC among them — with HARVARD PILGRIM HEALTH CARE OF NE INC - MA writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
HARVARD PILGRIM HEALTH CARE OF NE INC - MAHealth144September$1,506,469$16,039
HPHC INSURANCE COMPANYHealth95September$1,047,428$10,863
UNITED OF OMAHA LIFE INSURANCE COMPANYLife, Disability204August$119,162$10,333
DELTA DENTAL OF NEW HAMPSHIRE, INCDental224September$108,969$5,149
FEDERAL INSURANCE COMPANY118December$1,425$257
RED TREE INSURANCE COMPANY, INC.Vision35September$1,875$217

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