Form 5500 · Employee benefit plan · MOUNT HERMON, MA
NORTHFIELD MOUNT HERMON
Public Form 5500 records show how NORTHFIELD MOUNT HERMON (MOUNT HERMON, MA) structures its employee benefits. Its broker of record is JENNIFER A. BORISLOW INS AGENCY INC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2109865 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 266 | June | $11,562 |
| DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL OF MA | Dental | 427 | June | $5,189 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Vision | 301 | May | $2,157 |
Questions
Who is NORTHFIELD MOUNT HERMON's benefits broker?
Per its most recent Form 5500 Schedule A, NORTHFIELD MOUNT HERMON's broker of record is JENNIFER A. BORISLOW INS AGENCY INC.
What insurance carrier does NORTHFIELD MOUNT HERMON use?
NORTHFIELD MOUNT HERMON's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 3 disclosed carriers.
When does NORTHFIELD MOUNT HERMON's group plan renew?
The most recent Schedule A policy period for NORTHFIELD MOUNT HERMON ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from NORTHFIELD MOUNT HERMON's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.