Non-Vested Former Player Wellness Benefit Plan — Form 5500 plan (Nfl Player Insurance Trust)

Plain-English plan 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, Non-Vested Former Player Wellness Benefit Plan is a benefit plan reported by Nfl Player Insurance Trust under EIN 13-3077470 and plan number 503. The latest loaded filing year is 2023. The filing reports 10,793 participants and $338,249 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$297.3KPlan net assets, end of year$297,283
Participants10.8KCovered participants reported10,793
Assets / participant$31Computed: assets ÷ participants$31 (computed)
Provider compensation$162K2 Schedule C provider row(s)$161,965
Plan sponsor
Nfl Player Insurance Trust
EIN
13-3077470
Plan number
503
Plan type
1
Location
New York, NY
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202310,793H, C20250114034247NAL0019443777001
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$338.2K total assets
Net assets$297.3KLiabilities$41K
Money in vs. money out
Total income / additions$200K
Total expenses$174.2K
Benefits paid / distributions$0
Contributions
Employer$200K
ParticipantNot reported
Full reported line items

Net assets

Total assets (EOY)
$338,249
Total liabilities (EOY)
$40,966
Net assets (EOY)
$297,283
Net assets (BOY)
$271,448

Income & contributions

Employer contributions
$200,000
Total contributions
$200,000
Total income / additions
$200,000

Expenses & distributions

Benefits paid
$0
Administrative expenses
$174,165
Total expenses
$174,165
Net increase / (decrease)
$25,835
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Total expenses ÷ net assets59%Computed ratio
Provider comp. ÷ net assets54%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Evernorth Behavioral Health, Inc.NONE$132,000not reported in the loaded dataset2023
Aon ConsultingNONE$29,965not reported in the loaded dataset2023

Related Form 5500 pages