Form 5500 · Employee benefit plan · HILLSBORO, NH
OSRAM SYLVANIA INC.
The filing calls this plan OSRAM SYLVANIA INC RETIREE HEALTH AND WELFARE BENEFITS PLAN.
Public Form 5500 records show how OSRAM SYLVANIA INC. of HILLSBORO, NH, a manufacturing employer, structures its employee benefits. Its broker of record is WILLIS TOWERS WATSON NORTHEAST, INC. Coverage is written through SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3349012 · plan 507 · plan year 2025, filed May 8, 2026
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287 other employer plans in New Hampshire have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
Also declared: other welfare.
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.
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
Schedule A lists 2 insured contracts covering health and life; the largest, with SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC., covers 737 people.
Reported premium across the insured contracts is $2,765,147, with $49,441 in disclosed broker commissions — about 1.8% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
WILLIS TOWERS WATSON NORTHEAST, INC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. and HARTFORD LIFE AND ACCIDENT.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | Health | 737 | Jan 1, 2026 | $2,010,441 | $42,620 |
| HARTFORD LIFE AND ACCIDENT | Life | 2,664 | Jan 1, 2026 | $754,706 | $6,821 |
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.
Reported to OSHA
Reported to OSHA for 2025: 498 employees, 18 recordable cases, 207 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
287 other employer plans in New Hampshire are January 1 renewals (policy year ends December).
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