Everson Tesla, Inc. Group Medical Plan — Form 5500 plan (Everson Tesla, Inc.)

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, Everson Tesla, Inc. Group Medical Plan is a benefit plan reported by Everson Tesla, Inc. under EIN 51-0468658 and plan number 501. The latest loaded filing year is 2023. The filing reports 78 participants and $38,151 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Everson Tesla, Inc.
EIN
51-0468658
Plan number
501
Plan type
2
Location
Nazareth, PA
Latest filing year
2023
Participants
78
End-of-year plan assets
$38,151

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202378I, C20240606134704NAL0047673170001

Reported financial statement (2023 · Schedule I)

Net assets

Total assets (EOY)
$38,151
Total liabilities (EOY)
$107,463
Net assets (EOY)
-$69,312
Net assets (BOY)
-$55,587

Income & contributions

Employer contributions
$358,010
Participant contributions
$42,849
Total income / additions
$401,334

Expenses & distributions

Benefits paid
$250,959
Administrative expenses
$1,422
Total expenses
$415,059
Net increase / (decrease)
-$13,725

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Onedigital (Philadelphia)BROKER$9,480not reported in the loaded dataset2023
The Benecon GroupBROKER$4,586not reported in the loaded dataset2023
Capital BluecrossADMIN$1,422not reported in the loaded dataset2023
Connectcare3PATIENT ADVOCATE$1,294not reported in the loaded dataset2023

Related Form 5500 pages