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Form 5500 · Employee benefit plan · FISHER ISLAND, FL

FISHER ISLAND COMMUNITY ASSOCIATION, INC.

The filing calls this plan FISHER ISLAND COMMUNITY ASSOCIATION, INC. WELFARE PLAN.

FISHER ISLAND COMMUNITY ASSOCIATION, INC. of FISHER ISLAND, FL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN & BROWN OF FLORIDA. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 65-0004587 · plan 501 · plan year 2024, filed Oct 14, 2025

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
238
Active at start of year
238
Active at end of year
250
Disclosed commissions
$155,165
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY173 of 238 participants (73%)
Dentaldeclared, no contract here says it covers this
Visiondeclared, no contract here says it covers this
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY250 of 238 participants
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY214 of 238 participants (90%)

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 5 insured contracts covering health, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 173 people.

The filing declares health, life, disability, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

Reported premium across the insured contracts is $2,582,898, with $155,165 in disclosed broker commissions — about 6% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.

BROWN & BROWN OF FLORIDA is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITEDHEALTHCARE INSURANCE COMPANYHealth173Jan 1, 2025$2,390,034$125,518
AMERICAN PUBLIC LIFE INSURANCE COMPANY—85Jan 1, 2025$59,563$12,491
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—81Oct 1, 2024$66,940$7,202
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability214Jan 1, 2025$47,261$7,089
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife250Jan 1, 2025$19,100$2,865

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
FISHER ISLAND COMMUNITY ASSOCIATION, INC.
EIN 65-0004587

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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