2023 Form 5500 filing — Delta Pilots Medical 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 20250429110732NAL0000247315001) for Delta Pilots Medical Plan, reported by Delta Air Lines, Inc. under EIN 58-0218548 and plan number 503. It reports 4,403 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250429110732NAL0000247315001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Delta Air Lines, Inc.
- EIN
- 58-0218548
- Plan number
- 503
- Location
- Atlanta, GA
- Participants
- 4,403
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,963,479
- Total liabilities (EOY)
- $8,159,362
- Net assets (EOY)
- -$195,883
- Employer contributions
- $32,945,250
- Participant contributions
- $22,940,616
- Total income / additions
- $56,147,967
- Benefits paid
- $55,876,141
- Administrative expenses
- $5,859,081
- Total expenses
- $61,735,222
- Net increase / (decrease)
- -$5,587,255
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Umr, Inc. | CONTRACT ADMINISTRATOR | $2,067,307 | not reported in the loaded dataset |
| Quantum Health, Inc. | CONTRACT ADMINISTRATOR | $629,830 | not reported in the loaded dataset |
| United Healthcare Services, Inc. | CONTRACT ADMINISTRATOR | $500,442 | not reported in the loaded dataset |
| Delta Dental Insurance Company | CONTRACT ADMINISTRATOR | $107,966 | not reported in the loaded dataset |
| Cvs Pharmacy, Inc. | OWNER OF THE PLAN'S PBM | $56,217 | not reported in the loaded dataset |
| Bdo Usa, P.C. | AUDITOR | $39,536 | not reported in the loaded dataset |
| Sharecare, Inc. | CONTRACT ADMINISTRATOR | $35,603 | not reported in the loaded dataset |
| Hello Heart | CONTRACT ADMINISTRATOR | $13,360 | not reported in the loaded dataset |
| Transcarent Fka As Bridgehealth | CONTRACT ADMINISTRATOR | $13,023 | not reported in the loaded dataset |
| Jp Morgan Chase | TRUSTEE | $11,948 | not reported in the loaded dataset |
| Nox Health Group Fka As Fusion Heal | CONTRACT ADMINISTRATOR | $11,680 | not reported in the loaded dataset |