2023 Form 5500 filing — The Charles Stark Draper Laboratory, Inc. Retired Employees Medical Benefits Plan

Plain-English filing summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20241015142915NAL0014843267001) for The Charles Stark Draper Laboratory, Inc. Retired Employees Medical Benefits Plan, reported by Charles Stark Draper Laboratory under EIN 04-2505372 and plan number 510. It reports 741 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$25.5MReported net assets$25,458,244
Participants741
Provider compensation$3.5M3 Schedule C row(s)$3,544,037
Schedules filedSchedule H, Schedule CLoaded schedules
EFAST2 acknowledgement
20241015142915NAL0014843267001
Plan sponsor
Charles Stark Draper Laboratory
EIN
04-2505372
Plan number
510
Location
Cambridge, MA
Received date
not reported in the loaded dataset
Schedule H · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$25.5M total assets
Net assets$25.5MLiabilities$0
Money in vs. money out
Total income / additions$4.1M
Total expenses$1.5M
Benefits paid / distributions$1.3M
Contributions
Employer$728.9K
Participant$244.3K
Full reported line items
Total assets (EOY)
$25,458,244
Total liabilities (EOY)
$0
Net assets (EOY)
$25,458,244
Employer contributions
$728,935
Participant contributions
$244,285
Total income / additions
$4,102,781
Benefits paid
$1,253,910
Administrative expenses
$203,602
Total expenses
$1,457,512
Net increase / (decrease)
$2,645,269

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Blue Cross Blue Shield Of MassachusINSURER$2,890,383$315,690
TiaaRECORDKEEPER$203,602not reported in the loaded dataset
Mercer Investments LLCFIDUCIARY$92,837$41,525

Related Form 5500 pages