2023 Form 5500 filing — Non-Vested Former Player Wellness Benefit 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 20250114034247NAL0019443777001) for Non-Vested Former Player Wellness Benefit Plan, reported by Nfl Player Insurance Trust under EIN 13-3077470 and plan number 503. It reports 10,793 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 1 · 2023
Filing snapshot
Net assets (EOY)$297.3KReported net assets$297,283
Participants10.8K10,793
Provider compensation$162K2 Schedule C row(s)$161,965
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20250114034247NAL0019443777001
- Plan sponsor
- Nfl Player Insurance Trust
- EIN
- 13-3077470
- Plan number
- 503
- Location
- New York, NY
- 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)$338.2K total assets
Net assets$297.3KLiabilities$41K
Full reported line items
- Total assets (EOY)
- $338,249
- Total liabilities (EOY)
- $40,966
- Net assets (EOY)
- $297,283
- Employer contributions
- $200,000
- Total income / additions
- $200,000
- Benefits paid
- $0
- Administrative expenses
- $174,165
- Total expenses
- $174,165
- Net increase / (decrease)
- $25,835
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Evernorth Behavioral Health, Inc. | NONE | $132,000 | not reported in the loaded dataset |
| Aon Consulting | NONE | $29,965 | not reported in the loaded dataset |