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DELTA ACCOUNT-BASED HEALTHCARE PLAN 401k Plan overview

Plan NameDELTA ACCOUNT-BASED HEALTHCARE PLAN
Plan identification number 544

DELTA ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5442021-07-01
5442020-07-01
5442019-07-01
5442018-07-01
5442017-07-01
5442016-07-01CHRISTOPHER COLLINS GREG TAHVONEN2018-04-16
5442015-07-01CHRISTOPHER COLLINS GREG TAHVONEN2017-03-29
5442014-07-01CHRISTOPHER COLLINS ROBERT L. KIGHT2016-04-12
5442013-07-01CHRISTOPHER COLLINS ROBERT L. KIGHT2015-04-13
5442012-07-01ROBERT KIGHT
5442011-07-01ROBERT KIGHT
5442009-07-01ROBERT KIGHT

Plan Statistics for DELTA ACCOUNT-BASED HEALTHCARE PLAN

401k plan membership statisitcs for DELTA ACCOUNT-BASED HEALTHCARE PLAN

Measure Date Value
2021: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0128,923
Total number of active participants reported on line 7a of the Form 55002021-07-0129,905
Number of retired or separated participants receiving benefits2021-07-012,867
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0132,772
2020: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0141,858
Total number of active participants reported on line 7a of the Form 55002020-07-0126,015
Number of retired or separated participants receiving benefits2020-07-012,908
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-0128,923
2019: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0143,159
Total number of active participants reported on line 7a of the Form 55002019-07-0138,974
Number of retired or separated participants receiving benefits2019-07-012,884
Total of all active and inactive participants2019-07-0141,858
2018: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0165,990
Total number of active participants reported on line 7a of the Form 55002018-07-0140,330
Number of retired or separated participants receiving benefits2018-07-012,829
Total of all active and inactive participants2018-07-0143,159
2017: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0162,211
Total number of active participants reported on line 7a of the Form 55002017-07-0163,373
Number of retired or separated participants receiving benefits2017-07-012,617
Total of all active and inactive participants2017-07-0165,990
2016: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0161,816
Total number of active participants reported on line 7a of the Form 55002016-07-0159,827
Number of retired or separated participants receiving benefits2016-07-012,384
Total of all active and inactive participants2016-07-0162,211
2015: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0159,084
Total number of active participants reported on line 7a of the Form 55002015-07-0159,398
Number of retired or separated participants receiving benefits2015-07-012,418
Total of all active and inactive participants2015-07-0161,816
2014: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0159,145
Total number of active participants reported on line 7a of the Form 55002014-07-0157,942
Number of retired or separated participants receiving benefits2014-07-011,142
Total of all active and inactive participants2014-07-0159,084
2013: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0158,664
Total number of active participants reported on line 7a of the Form 55002013-07-0157,791
Number of retired or separated participants receiving benefits2013-07-011,354
Total of all active and inactive participants2013-07-0159,145
2012: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0160,509
Total number of active participants reported on line 7a of the Form 55002012-07-0156,936
Number of retired or separated participants receiving benefits2012-07-011,728
Total of all active and inactive participants2012-07-0158,664
2011: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0160,233
Total number of active participants reported on line 7a of the Form 55002011-07-0158,397
Number of retired or separated participants receiving benefits2011-07-012,112
Total of all active and inactive participants2011-07-0160,509
2009: DELTA ACCOUNT-BASED HEALTHCARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0143,742
Total number of active participants reported on line 7a of the Form 55002009-07-0155,887
Number of retired or separated participants receiving benefits2009-07-011,559
Total of all active and inactive participants2009-07-0157,446

Financial Data on DELTA ACCOUNT-BASED HEALTHCARE PLAN

Measure Date Value
2022 : DELTA ACCOUNT-BASED HEALTHCARE 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$94,952,207
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$92,578,657
Total income from all sources (including contributions)2022-06-30$1,008,231,298
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,012,142,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$944,739,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,008,213,496
Value of total assets at end of year2022-06-30$62,882,363
Value of total assets at beginning of year2022-06-30$64,420,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$67,403,185
Total interest from all sources2022-06-30$20,632
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$49,025
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$165,580,019
Participant contributions at end of year2022-06-30$7,506,663
Participant contributions at beginning of year2022-06-30$7,044,905
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$36,656,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$30,742,476
Liabilities. Value of operating payables at end of year2022-06-30$2,742,719
Liabilities. Value of operating payables at beginning of year2022-06-30$2,116,810
Total non interest bearing cash at end of year2022-06-30$9,500,000
Total non interest bearing cash at beginning of year2022-06-30$17,000,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-3,911,638
Value of net assets at end of year (total assets less liabilities)2022-06-30$-32,069,844
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$-28,158,206
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$8,471,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$8,923,366
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$8,923,366
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$20,632
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$5,878,677
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-2,830
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$842,633,477
Employer contributions (assets) at end of year2022-06-30$747,794
Employer contributions (assets) at beginning of year2022-06-30$709,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$938,861,074
Contract administrator fees2022-06-30$67,354,160
Liabilities. Value of benefit claims payable at end of year2022-06-30$92,209,488
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$90,461,847
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 ACCOUNT-BASED HEALTHCARE 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$92,578,657
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$87,195,028
Total income from all sources (including contributions)2021-06-30$922,686,845
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$981,961,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$925,246,063
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$922,661,537
Value of total assets at end of year2021-06-30$64,420,451
Value of total assets at beginning of year2021-06-30$118,311,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$56,715,452
Total interest from all sources2021-06-30$50,407
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$37,338
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$147,636,570
Participant contributions at end of year2021-06-30$7,044,905
Participant contributions at beginning of year2021-06-30$6,909,381
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$30,742,476
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$28,540,384
Liabilities. Value of operating payables at end of year2021-06-30$2,116,810
Liabilities. Value of operating payables at beginning of year2021-06-30$3,313,758
Total non interest bearing cash at end of year2021-06-30$17,000,000
Total non interest bearing cash at beginning of year2021-06-30$78,000,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-59,274,670
Value of net assets at end of year (total assets less liabilities)2021-06-30$-28,158,206
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$31,116,464
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$8,923,366
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$3,197,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$3,197,506
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$50,407
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$5,813,402
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$-25,099
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$775,024,967
Employer contributions (assets) at end of year2021-06-30$709,704
Employer contributions (assets) at beginning of year2021-06-30$1,664,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$919,432,661
Contract administrator fees2021-06-30$56,678,114
Liabilities. Value of benefit claims payable at end of year2021-06-30$90,461,847
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$83,881,270
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 ACCOUNT-BASED HEALTHCARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$87,195,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$77,780,576
Total income from all sources (including contributions)2020-06-30$960,692,168
Total of all expenses incurred2020-06-30$989,198,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$935,867,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$960,167,288
Value of total assets at end of year2020-06-30$118,311,492
Value of total assets at beginning of year2020-06-30$137,403,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$53,330,954
Total interest from all sources2020-06-30$490,702
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$40,600
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$182,804,517
Participant contributions at end of year2020-06-30$6,909,381
Participant contributions at beginning of year2020-06-30$8,788,635
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$28,540,384
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$40,484,427
Liabilities. Value of operating payables at end of year2020-06-30$3,313,758
Liabilities. Value of operating payables at beginning of year2020-06-30$2,977,651
Total non interest bearing cash at end of year2020-06-30$78,000,000
Total non interest bearing cash at beginning of year2020-06-30$1,078,020
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-28,506,452
Value of net assets at end of year (total assets less liabilities)2020-06-30$31,116,464
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$59,622,916
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$3,197,506
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$85,077,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$85,077,317
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$490,702
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$6,058,426
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$34,178
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$777,362,771
Employer contributions (assets) at end of year2020-06-30$1,664,221
Employer contributions (assets) at beginning of year2020-06-30$1,975,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$929,809,240
Contract administrator fees2020-06-30$53,290,354
Liabilities. Value of benefit claims payable at end of year2020-06-30$83,881,270
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$74,802,925
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 ACCOUNT-BASED HEALTHCARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$77,780,576
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$74,073,940
Total income from all sources (including contributions)2019-06-30$993,524,963
Total of all expenses incurred2019-06-30$905,439,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$856,243,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$993,318,184
Value of total assets at end of year2019-06-30$137,403,492
Value of total assets at beginning of year2019-06-30$45,611,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$49,196,172
Total interest from all sources2019-06-30$206,565
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$69,623
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$200,516,052
Participant contributions at end of year2019-06-30$8,788,635
Participant contributions at beginning of year2019-06-30$9,093,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$40,484,427
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$32,054,622
Liabilities. Value of operating payables at end of year2019-06-30$2,977,651
Liabilities. Value of operating payables at beginning of year2019-06-30$3,196,592
Total non interest bearing cash at end of year2019-06-30$1,078,020
Total non interest bearing cash at beginning of year2019-06-30$2,500,000
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$88,085,228
Value of net assets at end of year (total assets less liabilities)2019-06-30$59,622,916
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$-28,462,312
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$85,077,317
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$76,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$76,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$206,565
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$6,064,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$214
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$792,802,132
Employer contributions (assets) at end of year2019-06-30$1,975,093
Employer contributions (assets) at beginning of year2019-06-30$1,887,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$850,179,319
Contract administrator fees2019-06-30$49,126,549
Liabilities. Value of benefit claims payable at end of year2019-06-30$74,802,925
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$70,877,348
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 ACCOUNT-BASED HEALTHCARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$74,073,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$64,680,654
Total income from all sources (including contributions)2018-06-30$856,977,759
Total of all expenses incurred2018-06-30$866,965,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$820,980,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$856,855,078
Value of total assets at end of year2018-06-30$45,611,628
Value of total assets at beginning of year2018-06-30$46,205,880
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$45,985,201
Total interest from all sources2018-06-30$121,526
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$74,164
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$171,629,185
Participant contributions at end of year2018-06-30$9,093,352
Participant contributions at beginning of year2018-06-30$8,257,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$32,054,622
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$29,695,845
Liabilities. Value of operating payables at end of year2018-06-30$3,196,592
Liabilities. Value of operating payables at beginning of year2018-06-30$3,291,678
Total non interest bearing cash at end of year2018-06-30$2,500,000
Total non interest bearing cash at beginning of year2018-06-30$10,561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-9,987,538
Value of net assets at end of year (total assets less liabilities)2018-06-30$-28,462,312
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$-18,474,774
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$76,574
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$6,154,415
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$6,154,415
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$121,526
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$6,306,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$1,155
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$685,225,893
Employer contributions (assets) at end of year2018-06-30$1,887,080
Employer contributions (assets) at beginning of year2018-06-30$2,088,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$814,673,741
Contract administrator fees2018-06-30$45,911,037
Liabilities. Value of benefit claims payable at end of year2018-06-30$70,877,348
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$61,388,976
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 ACCOUNT-BASED HEALTHCARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$64,680,654
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$71,715,112
Total income from all sources (including contributions)2017-06-30$821,995,618
Total of all expenses incurred2017-06-30$817,456,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$774,985,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$821,924,573
Value of total assets at end of year2017-06-30$46,205,880
Value of total assets at beginning of year2017-06-30$48,701,411
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$42,471,162
Total interest from all sources2017-06-30$70,553
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$37,916
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$178,561,865
Participant contributions at end of year2017-06-30$8,257,001
Participant contributions at beginning of year2017-06-30$7,712,619
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$29,695,845
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$23,198,792
Liabilities. Value of operating payables at end of year2017-06-30$3,291,678
Liabilities. Value of operating payables at beginning of year2017-06-30$3,711,929
Total non interest bearing cash at end of year2017-06-30$10,561
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$4,538,927
Value of net assets at end of year (total assets less liabilities)2017-06-30$-18,474,774
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$-23,013,701
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$6,154,415
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$14,846,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$14,846,382
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$70,553
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$5,785,876
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$492
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$643,362,708
Employer contributions (assets) at end of year2017-06-30$2,088,058
Employer contributions (assets) at beginning of year2017-06-30$2,943,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$769,199,653
Contract administrator fees2017-06-30$42,433,246
Liabilities. Value of benefit claims payable at end of year2017-06-30$61,388,976
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$68,003,183
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 ACCOUNT-BASED HEALTHCARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$71,715,112
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$60,286,959
Total income from all sources (including contributions)2016-06-30$783,575,171
Total of all expenses incurred2016-06-30$776,511,084
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$737,627,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$783,561,297
Value of total assets at end of year2016-06-30$48,701,411
Value of total assets at beginning of year2016-06-30$30,209,171
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$38,883,283
Total interest from all sources2016-06-30$13,874
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$32,012
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$166,628,167
Participant contributions at end of year2016-06-30$7,712,619
Participant contributions at beginning of year2016-06-30$8,263,255
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$23,198,792
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$18,075,572
Liabilities. Value of operating payables at end of year2016-06-30$3,711,929
Liabilities. Value of operating payables at beginning of year2016-06-30$3,514,650
Total non interest bearing cash at end of year2016-06-30$0
Total non interest bearing cash at beginning of year2016-06-30$1,000,000
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$7,064,087
Value of net assets at end of year (total assets less liabilities)2016-06-30$-23,013,701
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$-30,077,788
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$14,846,382
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$19,567
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$19,567
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$13,874
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$5,240,508
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$616,933,130
Employer contributions (assets) at end of year2016-06-30$2,943,618
Employer contributions (assets) at beginning of year2016-06-30$2,850,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$732,387,293
Contract administrator fees2016-06-30$38,851,271
Liabilities. Value of benefit claims payable at end of year2016-06-30$68,003,183
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$56,772,309
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 ACCOUNT-BASED HEALTHCARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$60,286,959
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$64,919,510
Total income from all sources (including contributions)2015-06-30$728,171,989
Total of all expenses incurred2015-06-30$717,566,275
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$682,073,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$728,169,602
Value of total assets at end of year2015-06-30$30,209,171
Value of total assets at beginning of year2015-06-30$24,236,008
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$35,492,788
Total interest from all sources2015-06-30$2,387
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$92,261
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$150,568,889
Participant contributions at end of year2015-06-30$8,263,255
Participant contributions at beginning of year2015-06-30$6,714,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$18,075,572
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$10,929,525
Liabilities. Value of operating payables at end of year2015-06-30$3,514,650
Liabilities. Value of operating payables at beginning of year2015-06-30$4,266,110
Total non interest bearing cash at end of year2015-06-30$1,000,000
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$10,605,714
Value of net assets at end of year (total assets less liabilities)2015-06-30$-30,077,788
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$-40,683,502
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$19,567
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$3,111,273
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$3,111,273
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$2,387
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$4,766,918
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$577,600,713
Employer contributions (assets) at end of year2015-06-30$2,850,777
Employer contributions (assets) at beginning of year2015-06-30$3,480,283
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$677,306,569
Contract administrator fees2015-06-30$35,400,527
Liabilities. Value of benefit claims payable at end of year2015-06-30$56,772,309
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$60,653,400
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 ACCOUNT-BASED HEALTHCARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$64,919,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$60,620,361
Total income from all sources (including contributions)2014-06-30$707,766,278
Total of all expenses incurred2014-06-30$715,831,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$681,219,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$707,764,379
Value of total assets at end of year2014-06-30$24,236,008
Value of total assets at beginning of year2014-06-30$28,002,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$34,611,736
Total interest from all sources2014-06-30$1,899
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$87,193
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$137,039,569
Participant contributions at end of year2014-06-30$6,714,927
Participant contributions at beginning of year2014-06-30$11,607,419
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$10,929,525
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$12,303,719
Liabilities. Value of operating payables at end of year2014-06-30$4,266,110
Liabilities. Value of operating payables at beginning of year2014-06-30$4,605,288
Total non interest bearing cash at end of year2014-06-30$0
Total non interest bearing cash at beginning of year2014-06-30$154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-8,065,143
Value of net assets at end of year (total assets less liabilities)2014-06-30$-40,683,502
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$-32,618,359
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$3,111,273
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$112,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$112,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$1,899
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$3,969,175
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$570,724,810
Employer contributions (assets) at end of year2014-06-30$3,480,283
Employer contributions (assets) at beginning of year2014-06-30$3,977,878
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$677,250,510
Contract administrator fees2014-06-30$34,524,543
Liabilities. Value of benefit claims payable at end of year2014-06-30$60,653,400
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$56,015,073
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 ACCOUNT-BASED HEALTHCARE 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$60,620,361
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$55,421,608
Total income from all sources (including contributions)2013-06-30$658,785,583
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$662,195,749
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$630,468,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$658,778,843
Value of total assets at end of year2013-06-30$28,002,002
Value of total assets at beginning of year2013-06-30$26,213,415
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$31,727,244
Total interest from all sources2013-06-30$6,740
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$21,000
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$131,883,293
Participant contributions at end of year2013-06-30$11,607,419
Participant contributions at beginning of year2013-06-30$10,935,967
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$12,303,719
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$9,190,406
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$2,050,303
Liabilities. Value of operating payables at end of year2013-06-30$4,605,288
Liabilities. Value of operating payables at beginning of year2013-06-30$4,158,850
Total non interest bearing cash at end of year2013-06-30$154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-3,410,166
Value of net assets at end of year (total assets less liabilities)2013-06-30$-32,618,359
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$-29,208,193
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
Interest earned on other investments2013-06-30$1
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$112,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$2,472,497
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$2,472,497
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$6,739
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$3,438,153
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$526,895,550
Employer contributions (assets) at end of year2013-06-30$3,977,878
Employer contributions (assets) at beginning of year2013-06-30$3,614,545
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$627,030,352
Contract administrator fees2013-06-30$31,706,244
Liabilities. Value of benefit claims payable at end of year2013-06-30$56,015,073
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$49,212,455
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 ACCOUNT-BASED HEALTHCARE 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$55,421,608
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$42,895,481
Total income from all sources (including contributions)2012-06-30$631,881,408
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$637,006,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$602,877,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$631,874,643
Value of total assets at end of year2012-06-30$26,213,415
Value of total assets at beginning of year2012-06-30$18,812,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$34,129,149
Total interest from all sources2012-06-30$6,765
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$2,079,303
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$121,086,646
Participant contributions at end of year2012-06-30$10,935,967
Participant contributions at beginning of year2012-06-30$5,863,592
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$3,568,380
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$9,190,406
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$6,529,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$2,050,303
Liabilities. Value of operating payables at end of year2012-06-30$4,158,850
Liabilities. Value of operating payables at beginning of year2012-06-30$4,782,109
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-5,125,495
Value of net assets at end of year (total assets less liabilities)2012-06-30$-29,208,193
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$-24,082,698
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$2,472,497
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$2,137,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$2,137,351
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$6,765
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$2,474,232
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$507,219,617
Employer contributions (assets) at end of year2012-06-30$3,614,545
Employer contributions (assets) at beginning of year2012-06-30$4,282,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$600,403,522
Contract administrator fees2012-06-30$32,049,846
Liabilities. Value of benefit claims payable at end of year2012-06-30$49,212,455
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$38,113,372
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 ACCOUNT-BASED HEALTHCARE 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$42,895,481
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$40,798,035
Total income from all sources (including contributions)2011-06-30$550,120,228
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$552,851,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$528,285,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$550,116,098
Value of total assets at end of year2011-06-30$18,812,783
Value of total assets at beginning of year2011-06-30$19,446,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$24,565,746
Total interest from all sources2011-06-30$4,130
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$21,000
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$114,045,267
Participant contributions at end of year2011-06-30$5,863,592
Participant contributions at beginning of year2011-06-30$6,710,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$6,529,504
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$7,254,856
Administrative expenses (other) incurred2011-06-30$41,449
Liabilities. Value of operating payables at end of year2011-06-30$4,782,109
Liabilities. Value of operating payables at beginning of year2011-06-30$4,306,904
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-2,731,035
Value of net assets at end of year (total assets less liabilities)2011-06-30$-24,082,698
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$-21,351,663
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$2,137,351
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,695,360
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,695,360
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$4,130
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$2,464,324
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$436,070,831
Employer contributions (assets) at end of year2011-06-30$4,282,336
Employer contributions (assets) at beginning of year2011-06-30$3,785,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$525,821,193
Contract administrator fees2011-06-30$24,503,297
Liabilities. Value of benefit claims payable at end of year2011-06-30$38,113,372
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$36,491,131
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 ACCOUNT-BASED HEALTHCARE PLAN

2021: DELTA ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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 ACCOUNT-BASED HEALTHCARE 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
2009: DELTA ACCOUNT-BASED HEALTHCARE 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 Covered175
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered606
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 $4,788,383
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered659
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 $5,260,022
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 Covered171
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
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 Covered87
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered765
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 $4,989,886
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 Covered91
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered807
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 $5,606,172
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered834
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 $5,407,300
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 Covered182
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
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 Covered178
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered842
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 $4,458,486
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 Covered174
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered835
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,754,318
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 Covered169
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered762
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,914,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 95804 )
Policy contract number58196
Policy instance 1
Insurance contract or identification number58196
Number of Individuals Covered631
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $2,501,843
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
Policy instance 2
Insurance contract or identification number113061
Number of Individuals Covered73
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 95804 )
Policy contract number58196
Policy instance 2
Insurance contract or identification number58196
Number of Individuals Covered445
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,778,432
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
Policy instance 1
Insurance contract or identification number113061
Number of Individuals Covered72
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 95804 )
Policy contract number58196
Policy instance 3
Insurance contract or identification number58196
Number of Individuals Covered454
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 $1,384,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3216908
Policy instance 2
Insurance contract or identification number3216908
Number of Individuals Covered2945
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,245
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 $1,321,710
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
Policy instance 1
Insurance contract or identification number113061
Number of Individuals Covered58
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
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

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