Form 5500 · Employee benefit plan · MALVERN, PA
TELA BIO, INC
The filing calls this plan TELA BIO, INC. WELFARE BENEFITS PLAN.
TELA BIO, INC of MALVERN, PA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is KISTLER TIFFANY BENEFITS GEN AGENCY. Coverage is written through INDEPENDENCE BLUE CROSS and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5320061 · plan 501 · plan year 2025, filed Jun 23, 2026
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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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with INDEPENDENCE BLUE CROSS, covers 439 people.
Reported premium across the insured contracts is $3,468,873, with $215,041 in disclosed broker commissions — about 6.2% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
KISTLER TIFFANY BENEFITS GEN AGENCY is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including INDEPENDENCE BLUE CROSS, STANDARD INSURANCE COMPANY, CIGNA HEALTH AND LIFE INSURANCE COMPANY and AFLAC. INDEPENDENCE BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| INDEPENDENCE BLUE CROSS | Health | 439 | Jan 1, 2026 | $2,566,423 | $158,388 |
| STANDARD INSURANCE COMPANY | Vision, Life, Disability | 199 | Jan 1, 2026 | $215,965 | $36,096 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental | 272 | Jan 1, 2026 | $194,428 | $13,610 |
| AFLAC | — | 10 | Jan 1, 2026 | $12,814 | $6,947 |
| INDEPENDENCE BLUE CROSS | Health | 215 | Jan 1, 2026 | $479,243 | $0 |
Premium and claims on these contracts
INDEPENDENCE BLUE CROSS, contract 0001713254. For the contract year on this filing, the carrier reported $2,566,423 in premium earned and $1,335,062 in claims incurred. Dividing one by the other gives 52%.
STANDARD INSURANCE COMPANY, contract 166790. For the contract year on this filing, the carrier reported $215,965 in premium earned and $353,261 in claims incurred. Dividing one by the other gives 164%.
INDEPENDENCE BLUE CROSS, contract 0001713254. For the contract year on this filing, the carrier reported $479,243 in premium earned and $572,348 in claims incurred. Dividing one by the other gives 119%.
- INDEPENDENCE BLUE CROSS, contract 0001713254 reported $252,513 in retention.
- STANDARD INSURANCE COMPANY, contract 166790 reported $147,518 in retention.
- INDEPENDENCE BLUE CROSS, contract 0001713254 reported $21,029 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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