2022-05-16T16:21:45-05:00 2021-06-30 BDO USA LLP 200 OTTAWA AVE NW STE 300 GRAND RAPIDS MI 49503 990 2020-07-01 366791916 Delta Family Care Medical Trust % DELTA AIR LINES INC DELT 4047152600 1030 DELTA BOULEVARD Suite 216 ATLANTA GA 30354 GREG TAHVONEN VP, GLOBAL & IT HR 4047152600 2022-05-16 true GREG TAHVONEN 999009999 Jacob Cook P01240455 6167747000 2020 2022-09-23 18:48:47Z GREG TAHVONEN 1030 DELTA BLVD 216 ATLANTA GA 30354 13922982 false X www.delta.com X 1984 GA DISBURSE PAYMENTS TO OR ON BEHALF OF PARTICIPANTS RELATED TO MEDICAL, DENTAL, MENTAL HEALTH AND PRESCRIPTION DRUGS. 11 11 0 0 2861 0 0 0 10217041 7507080 32844 2861 0 0 10249885 7509941 0 0 8354806 6210461 0 0 0 0 0 1497926 1542974 9852732 7753435 397153 -243494 3498854 3292257 43988 81581 3454866 3210676 DISBURSE PAYMENTS TO OR ON BEHALF OF PARTICIPANTS RELATED TO MEDICAL, DENTAL, MENTAL HEALTH AND PRESCRIPTION DRUGS. false false DISBURSE PAYMENTS TO OR ON BEHALF OF PARTICIPANTS RELATED TO MEDICAL, DENTAL, MENTAL HEALTH AND PRESCRIPTION DRUGS. false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 0 0 true 0 true true false false false false false false false X 11 11 false false false false false false false true true false false false false true true false false false GA X DELTA AIR LINES INC 4047152600 1030 DELTA BLVD DEPT 837 ATLANTA GA 30354 JP Morgan Chase Trustee 1.0 0.0 X 6000 0 0 Greg S Tahoven Chair, Admin Comm; Member 1.0 0.0 X 0 0 0 Janet Brunk Member, Admin Committee 1.0 0.0 X 0 0 0 Mindy Davison Member, Admin Committee 1.0 0.0 X 0 0 0 Vickie Strickland Member, Admin Comm thru 10.20 1.0 0.0 X 0 0 0 Kenneth W Morge Member, Investment Committee 1.0 0.0 X 0 0 0 William C Carroll Member, Investment Committee 1.0 0.0 X 0 0 0 Garrett Chase Member, Investment Committee 1.0 0.0 X 0 0 0 Shawn Cole Member, Investment Committee 1.0 0.0 X 0 0 0 Paul Jacobson Member, Invest Comm thru 11.20 1.0 0.0 X 0 0 0 Kelley Elliott Member, Investment Committee 1.0 0.0 X 0 0 0 Robert Kight Member, Invest Comm thru 2.21 1.0 0.0 X 0 0 0 Heather Ostis Member, Investment Committee 1.0 0.0 X 0 0 0 Brandi Thomas Member, Invest Comm thru 11.20 1.0 0.0 X 0 0 0 Sandy Meeks Member Admin Subcom thru 12.20 1.0 0.0 X 0 0 0 Jennifer Shay Member, Admin Subcommittee 1.0 0.0 X 0 0 0 6000 0 0 0 false false false United Healthcare 9900 Bren Rd E MINNETONKA MN 55343 Contract Admin 234851 Aetna 151 Farmington Ave HARTFORD CT 06156 Contract Admin 152736 2 0 EMPLOYEE CONTRIBUTIONS 900099 6572404 6572404 EMPLOYER CONTRIBUTIONS 900099 934676 934676 7507080 3145 3145 0 0 0 0 0 6412757 6413041 -284 -284 -284 0 0 0 0 0 0 0 0 0 0 7509941 7507080 2861 X 0 0 0 6210461 0 0 0 0 0 0 0 0 27350 0 0 0 1515624 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7753435 0 0 0 X 0 0 2446309 2507866 0 0 1052545 784391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3498854 3292257 43988 81581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43988 81581 X 3454866 3210676 0 0 0 0 3454866 3210676 3498854 3292257 -243494 -696 X false true X true false 0 0 X 7509244 -697 -697 7509941 7509941 7753435 7753435 7753435 SCHEDULE D, PART X, LINE 2: The Trust is intended to qualify pursuant to Section 501(c)(9) of the Code and accordingly, the Trust's net investment income is exempt from income taxes. The Trust has obtained a favorable tax opinion letter from the Internal Revenue Service ("IRS") dated February 10, 1988. The Plan has been amended since receiving the opinion letter. The Plan and Trust must operate in accordance with the Code to maintain the Trust's tax exempt status. The Company believes that the Plan as amended, and the Trust, continue to qualify and to operate in accordance with applicable requirements of the Code; therefore, no provision for income taxes has been included in the Plan's financial statements. U.S. GAAP requires plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 IS COMPLETED EACH YEAR BY DELTA AIR LINES, INC.'S CORPORATE BENEFITS DEPARTMENT AND THEIR INDEPENDENT ACCOUNTANTS. THE DEPARTMENT AND THE ACCOUNTANTS ENTER ALL THE INFORMATION AND GATHER THE NECESSARY FILES AND SCHEDULES FOR SUPPORT. THE RETURN GOES THROUGH TWO LEVELS OF MANAGERIAL REVIEW, AND THEN THE RETURN IS REVIEWED WITH THE PRINCIPAL OFFICER PRIOR TO SIGNING THE FORM. FORM 990, PART VI, SECTION C, LINE 19: THE FINANCIAL STATEMENTS OF THE FAMILY-CARE MEDICAL TRUST ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART X: THE BEGINNING OF YEAR BALANCE SHEET IS BEING RESTATED TO REMOVE THE BENEFIT CLAIM PAYABLE (CLAIMS INCURRED BUT NOT REPORTED) ON LINE 25. THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE THIS AMOUNT IN LIABILITIES, THEREFORE THE 990 IS NOW PRESENTED IN ACCORDANCE WITH THE AUDITED FINANCIAL STATEMENTS. FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE FEES TOTAL FEES:1103557 FORM 990 PART IX LINE 11G DESCRIPTION:PLAN ADMIN FEES TOTAL FEES:403900 FORM 990 PART IX LINE 11G DESCRIPTION:TRUSTEE FEES TOTAL FEES:6000 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:2167 DELTA AIR LINES INC 1030 DELTA BLVD ATLANTA GA 303541989 580218548 AIR TRANSPORT DE NA C CORP 0 0 0.00000 false false false false false false false false false false false false false false false false false false false false