Form 5500 · Employee benefit plan · BOSTON, MA
OWL LABS, INC.
The filing calls this plan OWL LABS, INC. HEALTH AND WELFARE BENEFIT PLAN.
OWL LABS, INC. of BOSTON, MA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is IMA INC. Coverage is written through BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-2544551 · plan 501 · plan year 2025, filed Oct 10, 2025
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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
Also declared: other welfare.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., covers 257 people.
Reported premium across the insured contracts is $2,229,433, with $49,815 in disclosed broker commissions — about 2.2% 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.
IMA INC is the broker of record on all 3 contracts.
3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., DELTA DENTAL and SUN LIFE ASSURANCE COMPANY OF CANADA. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | Health, Vision | 257 | Apr 1, 2025 | $2,048,914 | $38,446 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 107 | Apr 1, 2025 | $47,124 | $6,416 |
| DELTA DENTAL | Dental | 243 | Apr 1, 2025 | $133,395 | $4,953 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 8072113. For the contract year on this filing, the carrier reported $2,048,914 in premium earned and $2,550,353 in claims incurred. Dividing one by the other gives 124%.
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., contract 8072113 reported $-501,439 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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