Form 5500 · Employee benefit plan · NORTHFIELD, NH
SPAULDING ACADEMY & FAMILY SERVICES
Public Form 5500 records show how SPAULDING ACADEMY & FAMILY SERVICES of NORTHFIELD, 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 HARVARD PILGRIM HEALTH CARE OF NE INC - MA and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 02-0244216 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with HARVARD PILGRIM HEALTH CARE OF NE INC - MA, covers 391 people.
Reported premium across the insured contracts is $4,314,366, with $95,289 in disclosed broker commissions — about 2.2% 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 6 contracts.
6 carriers appear on the filing — HARVARD PILGRIM HEALTH CARE OF NE INC - MA, DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC., EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY among them — 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 | 391 | December | $4,000,721 | $62,962 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 280 | December | $88,365 | $9,397 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 43 | December | $12,246 | $7,673 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 103 | December | $33,751 | $7,637 |
| DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | Dental | 368 | December | $168,014 | $6,325 |
| RED TREE INSURANCE COMPANY, INC. | Vision | 267 | December | $11,269 | $1,295 |
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