Plan5500

2023 Form 5500 filing — Delta Family-Care 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 20250429110617NAL0000602240001) for Delta Family-Care Medical Plan, reported by Delta Air Lines, Inc. under EIN 58-0218548 and plan number 501. It reports 7,070 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20250429110617NAL0000602240001
Filing year
2023
Form type
2
Plan sponsor
Delta Air Lines, Inc.
EIN
58-0218548
Plan number
501
Location
Atlanta, GA
Participants
7,070
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$7,492,497
Total liabilities (EOY)
$236,497
Net assets (EOY)
$7,256,000
Employer contributions
$8,031,842
Participant contributions
$5,186,949
Total income / additions
$13,495,107
Benefits paid
$2,339,979
Administrative expenses
$7,891,052
Total expenses
$10,231,031
Net increase / (decrease)
$3,264,076
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Aetna Inc.CONTRACT ADMINISTRATOR$131,384not reported in the loaded dataset
Umr, Inc.CONTRACT ADMINISTRATOR$120,156not reported in the loaded dataset
United Healthcare Services, Inc.CONTRACT ADMINISTRATOR$71,881not reported in the loaded dataset
Quantum Health, Inc.CONTRACT ADMINISTRATOR$50,000not reported in the loaded dataset
Bdo Usa, P.C.AUDITOR$41,335not reported in the loaded dataset
Delta Dental Insurance CompanyCONTRACT ADMINISTRATOR$19,251not reported in the loaded dataset
Jp Morgan ChaseTRUSTEE$8,000not reported in the loaded dataset

Related Form 5500 pages