2023 Form 5500 filing — Fisher Island Club, Inc. Group Health 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 20250701093323NAL0006939907001) for Fisher Island Club, Inc. Group Health Benefit Plan, reported by Fisher Island Club, Inc. under EIN 65-0363916 and plan number 502. It reports 283 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250701093323NAL0006939907001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Fisher Island Club, Inc.
- EIN
- 65-0363916
- Plan number
- 502
- Location
- Miami, FL
- Participants
- 283
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $333,731
- Total liabilities (EOY)
- $159,824
- Net assets (EOY)
- $173,907
- Employer contributions
- $2,283,889
- Participant contributions
- $293,327
- Total income / additions
- $2,584,651
- Benefits paid
- $1,491,706
- Administrative expenses
- $919,038
- Total expenses
- $2,410,744
- Net increase / (decrease)
- $173,907
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Umr | ADMIN | $129,674 | not reported in the loaded dataset |
| Brown & Brown (Fl) | BROKER | $77,140 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $45,379 | not reported in the loaded dataset |
| Brown & Brown (Doral) | BROKER | $37,030 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $14,715 | not reported in the loaded dataset |