Delta Family-Care Medical Plan — Form 5500 plan (Delta Air Lines, 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, Delta Family-Care Medical Plan is a benefit plan reported by Delta Air Lines, Inc. under EIN 58-0218548 and plan number 501. The latest loaded filing year is 2023. The filing reports 7,070 participants and $7,492,497 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Delta Air Lines, Inc.
EIN
58-0218548
Plan number
501
Plan type
2
Location
Atlanta, GA
Latest filing year
2023
Participants
7,070
End-of-year plan assets
$7,492,497

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20237,070H, C20250429110617NAL0000602240001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$7,492,497
Total liabilities (EOY)
$236,497
Net assets (EOY)
$7,256,000
Net assets (BOY)
$3,991,924

Income & contributions

Employer contributions
$8,031,842
Participant contributions
$5,186,949
Total contributions
$13,218,791
Total income / additions
$13,495,107

Expenses & distributions

Benefits paid
$2,339,979
Administrative expenses
$7,891,052
Total expenses
$10,231,031
Net increase / (decrease)
$3,264,076

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Aetna Inc.CONTRACT ADMINISTRATOR$131,384not reported in the loaded dataset2023
Umr, Inc.CONTRACT ADMINISTRATOR$120,156not reported in the loaded dataset2023
United Healthcare Services, Inc.CONTRACT ADMINISTRATOR$71,881not reported in the loaded dataset2023
Quantum Health, Inc.CONTRACT ADMINISTRATOR$50,000not reported in the loaded dataset2023
Bdo Usa, P.C.AUDITOR$41,335not reported in the loaded dataset2023
Delta Dental Insurance CompanyCONTRACT ADMINISTRATOR$19,251not reported in the loaded dataset2023
Jp Morgan ChaseTRUSTEE$8,000not reported in the loaded dataset2023

Related Form 5500 pages