Form 5500 · Employee benefit plan · WORCESTER, MA
WORCESTER ACADEMY
Public Form 5500 records show how WORCESTER ACADEMY (WORCESTER, 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 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 04-2105855 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 151 | June | $7,775 |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Vision | 133 | May | $1,248 |
Questions
Who is WORCESTER ACADEMY's benefits broker?
Per its most recent Form 5500 Schedule A, WORCESTER ACADEMY's broker of record is JENNIFER A. BORISLOW INS AGENCY INC.
What insurance carrier does WORCESTER ACADEMY use?
WORCESTER ACADEMY's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 2 disclosed carriers.
When does WORCESTER ACADEMY's group plan renew?
The most recent Schedule A policy period for WORCESTER ACADEMY ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from WORCESTER ACADEMY's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.