Form 5500 · Employee benefit plan · FARMINGTON, ME
ORIGIN BJJ
Public Form 5500 records show how ORIGIN BJJ (FARMINGTON, ME) structures its employee benefits. Its broker of record is PAYCHEX INSURANCE AGENCY INC. Coverage is written through UNITED HEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5052992 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY | Health | 196 | September | $44,693 |
| STARMOUNT LIFE INSURANCE COMPANY | Dental, Vision | 156 | September | $16,812 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 195 | September | $4,595 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 105 | September | $3,579 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 41 | September | $3,090 |
Questions
Who is ORIGIN BJJ's benefits broker?
Per its most recent Form 5500 Schedule A, ORIGIN BJJ's broker of record is PAYCHEX INSURANCE AGENCY INC.
What insurance carrier does ORIGIN BJJ use?
ORIGIN BJJ's benefit plan is written through UNITED HEALTHCARE INSURANCE COMPANY, among 5 disclosed carriers.
When does ORIGIN BJJ's group plan renew?
The most recent Schedule A policy period for ORIGIN BJJ ended in September. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ORIGIN BJJ's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.