Form 5500 · Employee benefit plan · CONWAY, NH
NORTHERN HUMAN SERVICES
Public Form 5500 records show how NORTHERN HUMAN SERVICES of CONWAY, NH, a health care and social assistance employer, structures its employee benefits. Its broker of record is JENNIFER A. BORISLOW INS AGENCY INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0300994 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health and vision; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 396 people.
Reported premium across the insured contracts is $4,536,775, with $6,978 in disclosed broker commissions — about 0.2% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
JENNIFER A. BORISLOW INS AGENCY INC is the broker of record on all 2 contracts.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and RED TREE INSURANCE COMPANY, INC..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 396 | June | $4,514,695 | $4,459 |
| RED TREE INSURANCE COMPANY, INC. | Vision | 358 | June | $22,080 | $2,519 |
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