2022-11-15T10:01:48-06:00 2021-12-31 BDO USA LLP 200 OTTAWA AVE NW STE 300 GRAND RAPIDS MI 49503 990 2021-01-01 271365108 Northwest Airlines Group Medical Trust % DELTA AIR LINES INC NORT 4047152600 1030 DELTA BLVD Suite 216 ATLANTA GA 30354 GREG TAHVONEN VP, GLOBAL HR SRVCS 4047152600 2022-11-15 true GREG TAHVONEN 999009999 Jacob Cook P01240455 6167747000 2021 2022-09-23 18:48:47Z GREG TAHVONEN 1030 DELTA BLVD 216 ATLANTA GA 30354 5009838 false X N/A X 2010 GA DISBURSE PAYMENTS ON BEHALF OF PARTICIPANTS RELATED TO MEDICAL, DENTAL, MENTAL HEALTH AND PRESCRIPTION DRUGS. 10 9 0 0 7129 0 0 0 13214880 5002854 47715 7129 0 -145 13262595 5009838 0 0 9179995 8491555 16000 16000 0 0 0 565110 544003 9761105 9051558 3501490 -4041720 11010515 6959507 0 0 11010515 6959507 DISBURSE PAYMENTS ON BEHALF OF PARTICIPANTS RELATED TO MEDICAL, DENTAL, MENTAL HEALTH AND PRESCRIPTION DRUGS. false false DISBURSE PAYMENTS 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 10 9 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 16000 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 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 L 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 Kelley Elliott Member, Investment Committee 1.0 0.0 X 0 0 0 Robert L 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 Jennifer Shay Member, Admin Subcommittee 1.0 0.0 X 0 0 0 16000 0 0 0 false false false United Healthcare 9900 Bren Rd E MINNETONKA MN 55343 contract admin 238925 1 0 EMPLOYEE CONTRIBUTIONS 900099 5027846 5027846 EMPLOYER CONTRIBUTIONS 900099 -24992 -24992 5002854 7129 7129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 -145 -145 -145 5009838 5002709 7129 0 0 0 8491555 16000 0 0 0 0 0 0 0 9650 0 0 0 534353 0 0 0 0 0 0 0 0 0 0 0 0 9051558 94461 0 10916054 6959507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11010515 6959507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11010515 6959507 0 0 0 0 11010515 6959507 11010515 6959507 -4041720 -9288 X false true X true false 0 0 X 4919145 236175 236175 4682970 326868 326868 5009838 9108361 -660639 -660639 9769000 -717442 -717442 9051558 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 NOVEMBER 30, 2012. 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 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. SCHEDULE D, PART XI, LINE 2D AND LINE 4B: THE "OTHER" AMOUNT IS AN ADJUSTMENT TO THE TOTAL REVENUE, GAINS AND OTHER SUPPORT PER THE AUDITED FINANCIAL STATEMENTS AND IS THE DIFFERENCE BETWEEN THE CURRENT YEAR AND PRIOR YEAR EMPLOYER AND EMPLOYEE RECEIVABLE AMOUNTS AND THE CURRENT YEAR AND PRIOR YEAR INTEREST RECEIVABLE AMOUNTS. SCHEDULE D, PART XII, LINE 2D AND LINE 4B: THE "OTHER" AMOUNT IS AN ADJUSTMENT TO THE TOTAL EXPENSES AND LOSSES PER THE AUDITED FINANCIAL STATEMENTS AND IS THE DIFFERENCE BETWEEN THE CURRENT YEAR AND PRIOR YEAR ACCRUED ADMINISTRATIVE EXPENSES, PHARMACY REBATES, O/S CHECK ACCRUAL, AND MEDICAL CLAIM AMOUNTS. 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 NWA VEBA TRUST ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. DELTA AIR LINES INC 1030 DELTA BLVD ATLANTA GA 303541989 580218548 AIR TRANSPORT DE na C CORP 0 0 false false false false false false false false false false false false false false false false false false false false