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Form 5500 · Employee benefit plan · BENNINGTON, NH

MONADNOCK PAPER MILLS, INC.

MONADNOCK PAPER MILLS, INC. of BENNINGTON, NH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is JENNIFER A. BORISLOW INS AGENCY INC. Coverage is written through HARVARD PILGRIM HEALTH CARE OF NE INC - MA and 2 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 512 · as of Aug 2026

Participants
136
Carriers on file
3
Disclosed commissions
$60,895
Renewal month
September

Plan brief

Schedule A lists 3 insured contracts covering health and dental; the largest, with HARVARD PILGRIM HEALTH CARE OF NE INC - MA, covers 156 people.

Reported premium across the insured contracts is $2,810,315, with $60,895 in disclosed broker commissions — about 2.2% of premium.

The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.

JENNIFER A. BORISLOW INS AGENCY INC is the broker of record on all 3 contracts.

3 carriers appear on the filing — HARVARD PILGRIM HEALTH CARE OF NE INC - MA, HPHC INSURANCE COMPANY and DELTA DENTAL OF NEW HAMPSHIRE INC — 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 - MAHealth156September$1,567,033$32,266
HPHC INSURANCE COMPANYHealth118September$1,155,234$24,233
DELTA DENTAL OF NEW HAMPSHIRE INCDental243September$88,048$4,396

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