Form 5500 · Employee benefit plan · HADLEY, MA
NCIIA
NCIIA of HADLEY, MA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is JENNIFER A. BORISLOW INS AGENCY INC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-1727335 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Dental, Vision | 237 | June | $45,619 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 137 | June | $10,429 |
Questions
Who is NCIIA's benefits broker?
Per its most recent Form 5500 Schedule A, NCIIA's broker of record is JENNIFER A. BORISLOW INS AGENCY INC.
What insurance carrier does NCIIA use?
NCIIA's benefit plan is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., among 2 disclosed carriers.
When does NCIIA's group plan renew?
The most recent Schedule A policy period for NCIIA ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NCIIA's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.