Form 5500 · Employee benefit plan · SALEM, NH
TUSCAN BRANDS LLC
The filing calls this plan TUSCAN BRANDS BENEFIT PLAN.
TUSCAN BRANDS LLC of SALEM, NH is a 485-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is GEORGE W BLAISDELL. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0637989 · plan 501 · plan year 2025, filed Oct 24, 2025
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6 other employer plans in New Hampshire have policy years ending in March. 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
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, dental, vision and life; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 131 people.
The filing declares health, dental, vision, life and disability. Disability appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $2,250,806, with $58,792 in disclosed broker commissions — about 2.6% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
GEORGE W BLAISDELL is the broker of record on all 2 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Dental, Vision | 131 | Apr 1, 2025 | $2,037,158 | $51,919 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | Life | 841 | Apr 1, 2025 | $213,648 | $6,873 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957907. For the contract year on this filing, the carrier reported $2,037,158 in premium earned and $2,065,599 in claims incurred. Dividing one by the other gives 101%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 4957907 reported $293,718 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Other plans filed by this employer
How this plan compares
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Renewal calendar
6 other employer plans in New Hampshire are April 1 renewals (policy year ends March).
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