Form 5500 · Employee benefit plan · CONCORD, NH
RIVERBEND COMMUNITY MENTAL HEALTH
RIVERBEND COMMUNITY MENTAL HEALTH of CONCORD, NH is a 312-participant health care and social assistance 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 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0264383 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with HARVARD PILGRIM HEALTH CARE OF NE INC - MA, covers 325 people.
Reported premium across the insured contracts is $5,017,488, with $93,595 in disclosed broker commissions — about 1.9% 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.
JENNIFER A. BORISLOW INS AGENCY INC is the broker of record on all 4 contracts.
4 carriers appear on the filing — HARVARD PILGRIM HEALTH CARE OF NE INC - MA, DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and RED TREE INSURANCE COMPANY, INC. — with HARVARD PILGRIM HEALTH CARE OF NE INC - MA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE OF NE INC - MA | Health | 325 | December | $4,544,463 | $66,536 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 262 | December | $189,324 | $16,780 |
| DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | Dental | 378 | December | $271,683 | $8,877 |
| RED TREE INSURANCE COMPANY, INC. | Vision | 304 | December | $12,018 | $1,402 |
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