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).
- EFAST2 acknowledgement
- 20241015142915NAL0014843267001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Charles Stark Draper Laboratory
- EIN
- 04-2505372
- Plan number
- 510
- Location
- Cambridge, MA
- Participants
- 741
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- 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
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Massachus | INSURER | $2,890,383 | $315,690 |
| Tiaa | RECORDKEEPER | $203,602 | not reported in the loaded dataset |
| Mercer Investments LLC | FIDUCIARY | $92,837 | $41,525 |