Form 5500 · Employee benefit plan · SALEM, NH
SITE ACQUISITIONS LLC
The filing calls this plan SITE ACQUISITIONS LLC HEALTH AND WELFARE PLAN.
SITE ACQUISITIONS LLC of SALEM, NH spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GRANITE GROUP BENEFITS AN ALERA GRO. Coverage is written through HARVARD PILGRIM HEALTH CARE OF NE INC and 5 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-3324231 · plan 501 · plan year 2025, filed Jan 8, 2026
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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
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 7 insured contracts covering health, dental, vision, life and disability; the largest, with HARVARD PILGRIM HEALTH CARE OF NE INC, covers 100 people.
Reported premium across the insured contracts is $1,323,567, with $51,152 in disclosed broker commissions — about 3.9% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
GRANITE GROUP BENEFITS AN ALERA GRO is the broker of record on 5 of the 7 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including HARVARD PILGRIM HEALTH CARE OF NE INC, EQUITABLE FINANCIAL LIFE INSURANCE COMPANY, DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. and VISION SERVICE PLAN. HARVARD PILGRIM HEALTH CARE OF NE INC writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARVARD PILGRIM HEALTH CARE OF NE INC | Health | 100 | May 1, 2025 | $600,528 | $16,941 |
| HARVARD PILGRIM HEALTH CARE OF NE INC | Health | 80 | May 1, 2025 | $515,865 | $14,683 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | Life, Disability | 119 | May 1, 2025 | $102,009 | $14,034 |
| DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | Dental | 91 | May 1, 2025 | $94,410 | $4,661 |
| VISION SERVICE PLAN | Vision | 70 | May 1, 2025 | $10,755 | $833 |
| HRA ADMINISTRATOR- LANDMARK BENEFITS | — | 177 | May 1, 2025 | — | $0 |
| HRC TOTAL SOLUTIONS | — | 32 | May 1, 2025 | — | $0 |
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: 135 employees, 1 recordable cases, 2 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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