Form 5500 · Employee benefit plan · ATLANTA, GA
DELTA AIR LINES, INC.
The filing calls this plan DELTA ACCOUNT-BASED HEALTHCARE PLAN.
Public Form 5500 records show how DELTA AIR LINES, INC. of ATLANTA, GA, a transportation and logistics employer, structures its employee benefits. Its broker of record is WILLIS TOWERS WATSON PUERTO RICO. Coverage is written through BLUE CROSS BLUE SHIELD OF HAWAII and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-0218548 · plan 544 · plan year 2025, filed Apr 15, 2026
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1,626 other employer plans in Georgia have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Health: the largest of the 3 insured health contracts, with BLUE CROSS BLUE SHIELD OF HAWAII, covers 446 of 82,657 participants (0.5%) on Schedule A.
Dental: TRIPLE S SALUD, INC. covers 145 of 82,657 participants (0.2%) on Schedule A.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health and dental.
Reported premium across the insured contracts is $4,787,255, with $70,261 in disclosed broker commissions — about 1.5% of premium.
The most recent policy period ended in December, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
WILLIS TOWERS WATSON PUERTO RICO is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF HAWAII and TRIPLE S SALUD, INC..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRIPLE S SALUD, INC. | Health, Dental | 145 | Jan 1, 2025 | $1,405,212 | $70,261 |
| BLUE CROSS BLUE SHIELD OF HAWAII | Health | 446 | Jan 1, 2025 | $3,281,241 | $0 |
| BLUE CROSS BLUE SHIELD OF HAWAII | Health | 10 | Jan 1, 2025 | $100,802 | $0 |
Premium and claims on this contract
TRIPLE S SALUD, INC., contract SP0007964. For the contract year on this filing, the carrier reported $1,405,212 in premium earned and $1,360,070 in claims incurred. Dividing one by the other gives 97%.
- TRIPLE S SALUD, INC., contract SP0007964 reported $0 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
Named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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