Ophthalmic Consultants of Boston, Inc.

Waltham, MA Health careNAICS 621111

Self-funded health planPlan year 2025Renews January
647Participants-6% vs. prior year
$1.5MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#36 of 40Health care in MABy participants

Overview

Ophthalmic Consultants of Boston, Inc. sponsors a self-funded health plan that covered 647 participants in plan year 2025, down 6% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, short-term disability, long-term disability.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
647 · prior year 688
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Ophthalmic Consultants of Boston, Inc. Health, Welfare,& Benefits Plan, plan 501 (647 participants)
Stop-loss carrier
Swiss RE Corporate Solutions America Ins. Corp.
Broker compensation
$727K across insured contracts
MedicalLife insuranceDentalShort-term disabilityLong-term disability

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Swiss RE Corporate Solutions America Ins. Corp.Stop-loss438$777K—
NA Speciality Ins. (swiss RE)Medical432$776K$548K
Unum Life Insurance Company of AmericaLife, Short-term disability, Long-term disability620$393K$59K
Delta Dental of MassachusettsDental1,006—$67K
Rxbenefits, Inc.Prescription drug449—$9K
Blue Benefit Administrators of MassachusettsFSA Cafeteria432—$23K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$1.5M/ year

Estimated prescription spend: 647 participants × $2,371 national average per member. Usually higher once dependents are counted.

$40K–$98K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$12K–$29K
Lower-cost therapeutic alternatives$17K–$36K
Generic pricing vs. actual cost$7K–$22K
PBM contract terms$4K–$12K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Ophthalmic Consultants of Boston, Inc.
Sponsor EIN
04-2500346
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 04-2500346 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Ophthalmic Consultants of Boston, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Ophthalmic Consultants of Boston, Inc..

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