2024-06-12T08:05:47-05:00 2023-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2023-01-01 822427358 FLORIDA BANKERS HEALTH CONSORTIUM INC FLOR 4073330088 1201 S ORLANDO AVE 450 WINTER PARK FL 32789 JULIUS WALKER VP OF ACCOUNTING 4073330088 2024-06-11 1 JULIUS WALKER 999009999 0 ABIGAIL CAMPBELL P01296738 6153774600 2024-06-03 0 AAL1 IAL1 2023 2023-04-26 12:10:37Z JULIUS WALKER 300 PRIMERA BLVD 140 LAKE MARY FL 32746 26157968 0 X HTTPS://FLBANKHEALTH.COM/ X 2017 FL TO PROVIDE GROUP INSURANCE BENEFITS FOR THE EMPLOYEES OF ITS PARTICIPATING MEMBERS. 5 5 0 0 0 0 0 0 24485523 25932502 12491 41078 0 184388 24498014 26157968 0 0 0 0 0 0 0 0 0 26094296 26643214 26094296 26643214 -1596282 -485246 5275406 2065429 2941121 216255 2334285 1849174 TO PROVIDE GROUP INSURANCE BENEFITS FOR THE EMPLOYEES OF ITS PARTICIPATING MEMBERS. 0 0 TO PROVIDE GROUP INSURANCE BENEFITS FOR THE EMPLOYEES OF ITS PARTICIPATING MEMBERS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 X JULIUS WALKER 4073330088 1201 S ORLANDO AVE 450 WINTER PARK FL 32789 SANDRA CREYAUFMILLER TRUSTEE 1.00 X 0 0 0 GREGORY L NELSON TRUSTEE 1.00 X 0 0 0 RAY D COLADO TRUSTEE 1.00 X 0 0 0 PAMELA P RICCO TRUSTEE 1.00 X 0 0 0 LLOYD DEVAUX TRUSTEE 1.00 X 0 0 0 ANGELA O'REILLY CEO 20.00 X 0 0 0 JULIUS WALKER VP ACCOUNTING 20.00 X 0 0 0 0 0 0 0 0 0 0 0 PREMIUMS EARNED 524298 25932502 25932502 25932502 41078 41078 OTHER INCOME 900099 184388 184388 184388 26157968 26116890 0 41078 32296 42433 446 5935 55182 PREMIUMS PAID 25932502 CLAIMS PAID 517694 MISCELLANEOUS 45179 SELF-INSURED TAXES 11547 26643214 0 0 2397721 2050191 10159 2877685 5079 5275406 2065429 22604 216255 2918517 2941121 216255 X 0 0 2334285 1243299 0 605875 2334285 1849174 5275406 2065429 -485246 135 0 X 0 1 X 0 0 0 X 26157968 0 26157968 0 26157968 26643214 0 26643214 0 26643214 PART X, LINE 2: THE PLAN WAS ESTABLISHED AS A VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION WITHIN THE MEANING OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE ("IRC") OF 1986. THE PLAN RECEIVED A DETERMINATION LETTER DATED SEPTEMBER 17, 2018, WHICH STATED THAT THE PLAN WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THE TRUST IS EXEMPT FROM INCOME TAX, BUT IS REQUIRED TO FILE AN ANNUAL INFORMATION RETURN. THE PLAN IS ALSO REQUIRED TO FILE AN ANNUAL RETURN/REPORT WITH THE DEPARTMENT OF LABOR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERS CONSIST OF THE PARTICIPATING BANKS IN FLORIDA WHO HAVE CONSOLIDATED UNDER ONE ENTITY TO PROVIDE HEALTH BENEFITS TO THEIR EMPLOYEES AND ELIGIBLE DEPENDENTS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS SHALL HAVE THE RIGHT TO APPOINT OR ELECT TRUSTEES OR ALTERNATES TO VACANCIES AMONG THEIR RESPECTIVELY ELECTED TRUSTEES FOR ANY REASON. A TRUSTEE MUST BE AN EMPLOYEE OF A MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE VP OF ACCOUNTING HAS BEEN DELEGATED THE AUTHORITY TO REVIEW AND FILE THE FORM 990 AND SUBSEQUENT TO THE FILING, IT IS DISTRIBUTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES,FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE UPON REQUEST.