Form 5500 · Employee benefit plan · NASHUA, NH
SILVERSTONE LIVING
The filing calls this plan SILVERSTONE LIVING, MEDICAL PLAN.
SILVERSTONE LIVING of NASHUA, NH is a 145-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is CGI BUSINESS SOLUTIONS. Coverage is written through HARVARD PILGRIM HEALTH CARE OF NE INC - MA. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0518617 · plan 503 · plan year 2024, filed Feb 5, 2025
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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
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
The filing discloses a single insured line, health, through HARVARD PILGRIM HEALTH CARE OF NE INC - MA, covering 140 people.
Reported premium across the insured contracts is $1,192,972, with $33,298 in disclosed broker commissions — about 2.8% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE OF NE INC - MA | Health | 140 | Aug 1, 2024 | $1,192,972 | $33,298 |
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.
Other plans filed by this employer
How this plan compares
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