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DELTA FAMILY-CARE MEDICAL PLAN 401k Plan overview

Plan NameDELTA FAMILY-CARE MEDICAL PLAN
Plan identification number 501

DELTA FAMILY-CARE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

DELTA AIR LINES, INC. has sponsored the creation of one or more 401k plans.

Company Name:DELTA AIR LINES, INC.
Employer identification number (EIN):580218548
NAIC Classification:481000
NAIC Description: Air Transportation

Additional information about DELTA AIR LINES, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0654427

More information about DELTA AIR LINES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA FAMILY-CARE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01CHRISTOPHER COLLINS GREG TAHVONEN2018-04-16
5012015-07-01CHRISTOPHER COLLINS GREG TAHVONEN2017-03-29
5012014-07-01CHRISTOPHER COLLINS ROBERT L. KIGHT2016-04-11
5012013-07-01CHRISTOPHER COLLINS ROBERT L. KIGHT2015-04-14
5012012-07-01ROBERT KIGHT
5012011-07-01ROBERT KIGHT
5012010-07-01ROBERT KIGHT
5012009-07-01ROBERT KIGHT

Plan Statistics for DELTA FAMILY-CARE MEDICAL PLAN

401k plan membership statisitcs for DELTA FAMILY-CARE MEDICAL PLAN

Measure Date Value
2021: DELTA FAMILY-CARE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-018,004
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-017,512
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-017,512
2020: DELTA FAMILY-CARE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-018,582
Total number of active participants reported on line 7a of the Form 55002020-07-010
Number of retired or separated participants receiving benefits2020-07-018,004
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-018,004
2019: DELTA FAMILY-CARE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-019,131
Total number of active participants reported on line 7a of the Form 55002019-07-010
Number of retired or separated participants receiving benefits2019-07-018,582
Total of all active and inactive participants2019-07-018,582
2018: DELTA FAMILY-CARE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-019,750
Total number of active participants reported on line 7a of the Form 55002018-07-010
Number of retired or separated participants receiving benefits2018-07-019,131
Total of all active and inactive participants2018-07-019,131
2017: DELTA FAMILY-CARE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0110,339
Total number of active participants reported on line 7a of the Form 55002017-07-010
Number of retired or separated participants receiving benefits2017-07-019,750
Total of all active and inactive participants2017-07-019,750
2016: DELTA FAMILY-CARE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0110,874
Total number of active participants reported on line 7a of the Form 55002016-07-010
Number of retired or separated participants receiving benefits2016-07-0110,339
Total of all active and inactive participants2016-07-0110,339
2015: DELTA FAMILY-CARE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0111,352
Total number of active participants reported on line 7a of the Form 55002015-07-010
Number of retired or separated participants receiving benefits2015-07-0110,874
Total of all active and inactive participants2015-07-0110,874
2014: DELTA FAMILY-CARE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0112,100
Total number of active participants reported on line 7a of the Form 55002014-07-010
Number of retired or separated participants receiving benefits2014-07-0111,352
Total of all active and inactive participants2014-07-0111,352
2013: DELTA FAMILY-CARE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0113,272
Total number of active participants reported on line 7a of the Form 55002013-07-010
Number of retired or separated participants receiving benefits2013-07-0112,100
Total of all active and inactive participants2013-07-0112,100
2012: DELTA FAMILY-CARE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0114,686
Number of retired or separated participants receiving benefits2012-07-0113,272
Total of all active and inactive participants2012-07-0113,272
2011: DELTA FAMILY-CARE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0116,012
Number of retired or separated participants receiving benefits2011-07-0114,686
Total of all active and inactive participants2011-07-0114,686
2010: DELTA FAMILY-CARE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-0132,198
Number of retired or separated participants receiving benefits2010-07-0133,434
Total of all active and inactive participants2010-07-0133,434
2009: DELTA FAMILY-CARE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0132,295
Total number of active participants reported on line 7a of the Form 55002009-07-010
Number of retired or separated participants receiving benefits2009-07-0132,198
Total of all active and inactive participants2009-07-0132,198

Financial Data on DELTA FAMILY-CARE MEDICAL PLAN

Measure Date Value
2022 : DELTA FAMILY-CARE MEDICAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$523,898
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$751,653
Total income from all sources (including contributions)2022-06-30$14,826,038
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$14,388,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$4,770,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$14,820,004
Value of total assets at end of year2022-06-30$3,501,753
Value of total assets at beginning of year2022-06-30$3,292,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$9,617,981
Total interest from all sources2022-06-30$7,159
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$48,775
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$6,039,250
Participant contributions at end of year2022-06-30$460,636
Participant contributions at beginning of year2022-06-30$606,330
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$134,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$175,663
Liabilities. Value of operating payables at end of year2022-06-30$33,436
Liabilities. Value of operating payables at beginning of year2022-06-30$81,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$437,251
Value of net assets at end of year (total assets less liabilities)2022-06-30$2,977,855
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$2,540,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$2,905,326
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$2,507,866
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$2,507,866
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$7,159
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$26,031
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-1,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$8,780,754
Employer contributions (assets) at end of year2022-06-30$1,324
Employer contributions (assets) at beginning of year2022-06-30$2,398
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$4,744,775
Contract administrator fees2022-06-30$9,569,206
Liabilities. Value of benefit claims payable at end of year2022-06-30$490,462
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$670,072
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30BDO USA LLP
Accountancy firm EIN2022-06-30135381590
2021 : DELTA FAMILY-CARE MEDICAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$751,653
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$896,284
Total income from all sources (including contributions)2021-06-30$7,509,246
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$7,571,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$6,028,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$7,507,082
Value of total assets at end of year2021-06-30$3,292,257
Value of total assets at beginning of year2021-06-30$3,498,854
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$1,542,975
Total interest from all sources2021-06-30$3,145
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$35,518
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$6,572,405
Participant contributions at end of year2021-06-30$606,330
Participant contributions at beginning of year2021-06-30$787,458
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$175,663
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$249,349
Liabilities. Value of operating payables at end of year2021-06-30$81,581
Liabilities. Value of operating payables at beginning of year2021-06-30$43,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-61,966
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,540,604
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$2,602,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$2,507,866
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$2,446,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$2,446,309
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$3,145
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$11,334
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$-981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$934,677
Employer contributions (assets) at end of year2021-06-30$2,398
Employer contributions (assets) at beginning of year2021-06-30$15,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$6,016,903
Contract administrator fees2021-06-30$1,507,457
Liabilities. Value of benefit claims payable at end of year2021-06-30$670,072
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$852,296
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30BDO USA LLP
Accountancy firm EIN2021-06-30135381590
2020 : DELTA FAMILY-CARE MEDICAL PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$896,284
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,083,264
Total income from all sources (including contributions)2020-06-30$10,250,748
Total of all expenses incurred2020-06-30$9,852,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$8,354,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$10,217,041
Value of total assets at end of year2020-06-30$3,498,854
Value of total assets at beginning of year2020-06-30$3,287,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,497,926
Total interest from all sources2020-06-30$32,844
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$34,650
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$8,088,818
Participant contributions at end of year2020-06-30$787,458
Participant contributions at beginning of year2020-06-30$696,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$249,349
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$588,845
Liabilities. Value of operating payables at end of year2020-06-30$43,988
Liabilities. Value of operating payables at beginning of year2020-06-30$121,018
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$398,016
Value of net assets at end of year (total assets less liabilities)2020-06-30$2,602,570
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$2,204,554
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$2,446,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$1,984,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$1,984,818
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$32,844
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$12,830
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$2,128,223
Employer contributions (assets) at end of year2020-06-30$15,738
Employer contributions (assets) at beginning of year2020-06-30$18,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$8,341,976
Contract administrator fees2020-06-30$1,463,276
Liabilities. Value of benefit claims payable at end of year2020-06-30$852,296
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$962,246
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2020-06-30581433845
2019 : DELTA FAMILY-CARE MEDICAL PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,083,264
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,588,354
Total income from all sources (including contributions)2019-06-30$11,579,314
Total of all expenses incurred2019-06-30$12,182,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$10,360,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$11,528,376
Value of total assets at end of year2019-06-30$3,287,818
Value of total assets at beginning of year2019-06-30$4,395,897
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$1,821,574
Total interest from all sources2019-06-30$50,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$24,150
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$9,461,793
Participant contributions at end of year2019-06-30$696,050
Participant contributions at beginning of year2019-06-30$848,827
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$588,845
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$601,769
Liabilities. Value of operating payables at end of year2019-06-30$121,018
Liabilities. Value of operating payables at beginning of year2019-06-30$204,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-602,989
Value of net assets at end of year (total assets less liabilities)2019-06-30$2,204,554
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,807,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$1,984,818
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$2,933,812
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$2,933,812
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$50,725
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$21,472
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$213
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$2,066,583
Employer contributions (assets) at end of year2019-06-30$18,105
Employer contributions (assets) at beginning of year2019-06-30$11,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$10,339,257
Contract administrator fees2019-06-30$1,797,424
Liabilities. Value of benefit claims payable at end of year2019-06-30$962,246
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$1,383,491
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2019-06-30581433845
2018 : DELTA FAMILY-CARE MEDICAL PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,588,354
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,360,356
Total income from all sources (including contributions)2018-06-30$14,385,442
Total of all expenses incurred2018-06-30$15,381,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$13,149,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$14,343,242
Value of total assets at end of year2018-06-30$4,395,897
Value of total assets at beginning of year2018-06-30$5,164,234
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$2,232,761
Total interest from all sources2018-06-30$42,250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$40,500
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$9,857,613
Participant contributions at end of year2018-06-30$848,827
Participant contributions at beginning of year2018-06-30$280,274
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$601,769
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$1,035,603
Liabilities. Value of operating payables at end of year2018-06-30$204,863
Liabilities. Value of operating payables at beginning of year2018-06-30$122,088
Total non interest bearing cash at end of year2018-06-30$0
Total non interest bearing cash at beginning of year2018-06-30$612,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-996,335
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,807,543
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$3,803,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$2,933,812
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$3,224,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$3,224,200
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$42,250
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$32,934
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$-50
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$4,485,629
Employer contributions (assets) at end of year2018-06-30$11,489
Employer contributions (assets) at beginning of year2018-06-30$11,744
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$13,116,082
Contract administrator fees2018-06-30$2,192,261
Liabilities. Value of benefit claims payable at end of year2018-06-30$1,383,491
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$1,238,268
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2018-06-30581433845
2017 : DELTA FAMILY-CARE MEDICAL PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,360,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,728,948
Total income from all sources (including contributions)2017-06-30$19,091,948
Total of all expenses incurred2017-06-30$19,272,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$17,441,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$19,073,436
Value of total assets at end of year2017-06-30$5,164,234
Value of total assets at beginning of year2017-06-30$5,713,581
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,830,959
Total interest from all sources2017-06-30$18,031
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$34,250
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$11,868,838
Participant contributions at end of year2017-06-30$280,274
Participant contributions at beginning of year2017-06-30$352,928
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$1,035,603
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$971,800
Liabilities. Value of operating payables at end of year2017-06-30$122,088
Liabilities. Value of operating payables at beginning of year2017-06-30$125,771
Total non interest bearing cash at end of year2017-06-30$612,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-180,755
Value of net assets at end of year (total assets less liabilities)2017-06-30$3,803,878
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$3,984,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$3,224,200
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$4,355,955
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$4,355,955
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$18,031
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$71,298
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$7,204,598
Employer contributions (assets) at end of year2017-06-30$11,744
Employer contributions (assets) at beginning of year2017-06-30$32,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$17,370,446
Contract administrator fees2017-06-30$1,796,709
Liabilities. Value of benefit claims payable at end of year2017-06-30$1,238,268
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$1,603,177
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2017-06-30581433845
2016 : DELTA FAMILY-CARE MEDICAL PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,728,948
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$4,438,732
Total income from all sources (including contributions)2016-06-30$29,319,857
Total of all expenses incurred2016-06-30$26,246,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$23,669,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$29,314,023
Value of total assets at end of year2016-06-30$5,713,581
Value of total assets at beginning of year2016-06-30$5,350,267
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$2,577,061
Total interest from all sources2016-06-30$5,834
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$28,000
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$13,532,478
Participant contributions at end of year2016-06-30$352,928
Participant contributions at beginning of year2016-06-30$843,650
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$971,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$845,608
Liabilities. Value of operating payables at end of year2016-06-30$125,771
Liabilities. Value of operating payables at beginning of year2016-06-30$154,499
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$3,073,098
Value of net assets at end of year (total assets less liabilities)2016-06-30$3,984,633
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$911,535
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$4,355,955
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$3,616,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$3,616,096
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$5,834
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$90,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$15,781,545
Employer contributions (assets) at end of year2016-06-30$32,898
Employer contributions (assets) at beginning of year2016-06-30$44,913
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$23,579,097
Contract administrator fees2016-06-30$2,549,061
Liabilities. Value of benefit claims payable at end of year2016-06-30$1,603,177
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$4,284,233
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2016-06-30581433845
2015 : DELTA FAMILY-CARE MEDICAL PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$4,438,732
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,887,584
Total income from all sources (including contributions)2015-06-30$34,475,718
Total of all expenses incurred2015-06-30$33,227,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$30,849,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$34,474,575
Value of total assets at end of year2015-06-30$5,350,267
Value of total assets at beginning of year2015-06-30$2,551,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$2,378,098
Total interest from all sources2015-06-30$1,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$38,400
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$16,489,361
Participant contributions at end of year2015-06-30$843,650
Participant contributions at beginning of year2015-06-30$786,555
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$845,608
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$826,987
Liabilities. Value of operating payables at end of year2015-06-30$154,499
Liabilities. Value of operating payables at beginning of year2015-06-30$177,752
Total non interest bearing cash at end of year2015-06-30$0
Total non interest bearing cash at beginning of year2015-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$1,248,019
Value of net assets at end of year (total assets less liabilities)2015-06-30$911,535
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$-336,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$3,616,096
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$863,514
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$863,514
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$1,143
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$115,019
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$17,985,214
Employer contributions (assets) at end of year2015-06-30$44,913
Employer contributions (assets) at beginning of year2015-06-30$74,044
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$30,734,582
Contract administrator fees2015-06-30$2,339,698
Liabilities. Value of benefit claims payable at end of year2015-06-30$4,284,233
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$2,709,832
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2015-06-30581433845
2014 : DELTA FAMILY-CARE MEDICAL PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$2,887,584
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$4,580,878
Total income from all sources (including contributions)2014-06-30$29,815,070
Total of all expenses incurred2014-06-30$41,130,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$38,085,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$29,812,796
Value of total assets at end of year2014-06-30$2,551,100
Value of total assets at beginning of year2014-06-30$15,560,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$3,044,702
Total interest from all sources2014-06-30$2,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$28,711
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$19,167,454
Participant contributions at end of year2014-06-30$786,555
Participant contributions at beginning of year2014-06-30$833,631
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$826,987
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$1,132,962
Liabilities. Value of operating payables at end of year2014-06-30$177,752
Liabilities. Value of operating payables at beginning of year2014-06-30$328,188
Total non interest bearing cash at end of year2014-06-30$0
Total non interest bearing cash at beginning of year2014-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-11,315,619
Value of net assets at end of year (total assets less liabilities)2014-06-30$-336,484
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$10,979,135
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$863,514
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$13,412,927
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$13,412,927
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$2,274
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$128,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$10,645,342
Employer contributions (assets) at end of year2014-06-30$74,044
Employer contributions (assets) at beginning of year2014-06-30$180,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$37,957,784
Contract administrator fees2014-06-30$3,015,991
Liabilities. Value of benefit claims payable at end of year2014-06-30$2,709,832
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$4,252,690
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2014-06-30581433845
2013 : DELTA FAMILY-CARE MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$4,580,878
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$5,743,708
Total income from all sources (including contributions)2013-06-30$44,748,796
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$51,983,058
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$48,430,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$44,725,482
Value of total assets at end of year2013-06-30$15,560,013
Value of total assets at beginning of year2013-06-30$23,957,105
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$3,552,513
Total interest from all sources2013-06-30$23,314
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$19,000
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$22,594,649
Participant contributions at end of year2013-06-30$833,631
Participant contributions at beginning of year2013-06-30$2,464,272
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$1,132,962
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$6,871,818
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$265,066
Liabilities. Value of operating payables at end of year2013-06-30$328,188
Liabilities. Value of operating payables at beginning of year2013-06-30$371,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-7,234,262
Value of net assets at end of year (total assets less liabilities)2013-06-30$10,979,135
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$18,213,397
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$13,412,927
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$14,413,753
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$14,413,753
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$23,314
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$161,451
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$22,130,833
Employer contributions (assets) at end of year2013-06-30$180,493
Employer contributions (assets) at beginning of year2013-06-30$207,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$48,269,094
Contract administrator fees2013-06-30$3,533,513
Liabilities. Value of benefit claims payable at end of year2013-06-30$4,252,690
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$5,106,817
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2013-06-30581433845
2012 : DELTA FAMILY-CARE MEDICAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$5,743,708
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$13,917,051
Total income from all sources (including contributions)2012-06-30$86,125,752
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$58,254,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$53,758,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$86,110,747
Value of total assets at end of year2012-06-30$23,957,105
Value of total assets at beginning of year2012-06-30$4,259,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$4,495,857
Total interest from all sources2012-06-30$15,005
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$291,116
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$26,347,157
Participant contributions at end of year2012-06-30$2,464,272
Participant contributions at beginning of year2012-06-30$999,936
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$19,607,417
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$6,871,818
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$954,144
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$265,066
Liabilities. Value of operating payables at end of year2012-06-30$371,825
Liabilities. Value of operating payables at beginning of year2012-06-30$468,339
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$27,871,437
Value of net assets at end of year (total assets less liabilities)2012-06-30$18,213,397
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$-9,658,040
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Interest earned on other investments2012-06-30$184
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$14,413,753
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,959,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,959,374
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$14,821
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$225,877
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$40,156,173
Employer contributions (assets) at end of year2012-06-30$207,262
Employer contributions (assets) at beginning of year2012-06-30$345,557
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$53,532,581
Contract administrator fees2012-06-30$4,204,741
Liabilities. Value of benefit claims payable at end of year2012-06-30$5,106,817
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$13,448,712
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2012-06-30581433845
2011 : DELTA FAMILY-CARE MEDICAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$13,917,051
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$16,040,658
Total income from all sources (including contributions)2011-06-30$74,782,743
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$81,055,964
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$72,913,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$74,779,951
Value of total assets at end of year2011-06-30$4,259,011
Value of total assets at beginning of year2011-06-30$12,655,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$8,142,356
Total interest from all sources2011-06-30$2,792
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$18,000
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$25,000,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$33,457,688
Participant contributions at end of year2011-06-30$999,936
Participant contributions at beginning of year2011-06-30$9,651,878
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$954,144
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$1,766,256
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$500,000
Administrative expenses (other) incurred2011-06-30$52,413
Liabilities. Value of operating payables at end of year2011-06-30$468,339
Liabilities. Value of operating payables at beginning of year2011-06-30$599,280
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-6,273,221
Value of net assets at end of year (total assets less liabilities)2011-06-30$-9,658,040
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$-3,384,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,959,374
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$303,602
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$303,602
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$2,792
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$472,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$41,322,263
Employer contributions (assets) at end of year2011-06-30$345,557
Employer contributions (assets) at beginning of year2011-06-30$934,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$72,440,942
Contract administrator fees2011-06-30$8,071,943
Liabilities. Value of benefit claims payable at end of year2011-06-30$13,448,712
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$14,941,378
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30FRAZIER & DEETER, LLC
Accountancy firm EIN2011-06-30581433845

Form 5500 Responses for DELTA FAMILY-CARE MEDICAL PLAN

2021: DELTA FAMILY-CARE MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: DELTA FAMILY-CARE MEDICAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: DELTA FAMILY-CARE MEDICAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: DELTA FAMILY-CARE MEDICAL PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: DELTA FAMILY-CARE MEDICAL PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: DELTA FAMILY-CARE MEDICAL PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: DELTA FAMILY-CARE MEDICAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: DELTA FAMILY-CARE MEDICAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: DELTA FAMILY-CARE MEDICAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: DELTA FAMILY-CARE MEDICAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: DELTA FAMILY-CARE MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes
2010: DELTA FAMILY-CARE MEDICAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2010-07-01Plan benefit arrangement – General assets of the sponsorYes
2009: DELTA FAMILY-CARE MEDICAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes
2009-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HUMANA HEALTH PLANS OF PUERTO RICO INC (National Association of Insurance Commissioners NAIC id number: 95721 )
Policy contract number113061/113062
Policy instance 2
Insurance contract or identification number113061/113062
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number11790-1
Policy instance 1
Insurance contract or identification number11790-1
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $22,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLANS OF PUERTO RICO INC (National Association of Insurance Commissioners NAIC id number: 95721 )
Policy contract number113061/113062
Policy instance 2
Insurance contract or identification number113061/113062
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number11790-1
Policy instance 1
Insurance contract or identification number11790-1
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLANS OF PUERTO RICO INC (National Association of Insurance Commissioners NAIC id number: 95721 )
Policy contract number113061/113062
Policy instance 2
Insurance contract or identification number113061/113062
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number11790-1
Policy instance 1
Insurance contract or identification number11790-1
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLANS OF PUERTO RICO INC (National Association of Insurance Commissioners NAIC id number: 95721 )
Policy contract number113061/113062
Policy instance 2
Insurance contract or identification number113061/113062
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number11790-1
Policy instance 1
Insurance contract or identification number11790-1
Number of Individuals Covered7
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLANS OF PUERTO RICO INC (National Association of Insurance Commissioners NAIC id number: 95721 )
Policy contract number113061/113062
Policy instance 2
Insurance contract or identification number113061/113062
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number11790-1
Policy instance 1
Insurance contract or identification number11790-1
Number of Individuals Covered9
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $98,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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