2023 Form 5500 filing — Gene Upshaw Nfl Player Health Reimbursement Account 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 20241115182812NAL0001356641001) for Gene Upshaw Nfl Player Health Reimbursement Account Plan, reported by Health Board under EIN 11-3805568 and plan number 501. It reports 11,655 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241115182812NAL0001356641001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Health Board
- EIN
- 11-3805568
- Plan number
- 501
- Location
- Baltimore, MD
- Participants
- 11,655
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $824,773,751
- Total liabilities (EOY)
- $847,583
- Net assets (EOY)
- $823,926,168
- Employer contributions
- $80,419,918
- Total income / additions
- $109,922,641
- Benefits paid
- $45,158,734
- Administrative expenses
- $4,097,260
- Total expenses
- $49,255,994
- Net increase / (decrease)
- $60,666,647
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cigna Health And Life Insurance Co | NONE | $1,713,532 | $0 |
| Groom Law Group, Chartered | NONE | $792,871 | not reported in the loaded dataset |
| Aon Consulting, Inc. | NONE | $410,965 | not reported in the loaded dataset |
| Alight Holding Company, LLC | NONE | $364,168 | not reported in the loaded dataset |
| Pnc Capital Advisors, LLC | NONE | $337,007 | not reported in the loaded dataset |
| B Bell/P Rozelle Nfl Player Ret Pl | NONE | $265,089 | not reported in the loaded dataset |
| Consolidated Graphics, Inc. | NONE | $76,222 | not reported in the loaded dataset |
| The Bank Of New York Mellon | NONE | $60,284 | $0 |
| Mitchell & Titus, Llp | NONE | $29,593 | not reported in the loaded dataset |
| Riggs Counselman Michaels & Downes | NONE | $7,660 | $0 |
| Cloudberry Creative, Inc. | NONE | $7,243 | not reported in the loaded dataset |