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DSRA BENEFIT TRUST INC

ROCHESTER, NY · EIN 264594868 · Form 990 · FY2024 · Small ($100K-$1M) · dsrabenefittrust.net
revenue
$112K
expenses
$197K
net assets
$687K
employees
0
program ratio
57%
mission · from form 990

TO PROVIDE RETIREMENT WELFARE BENEFITS TO ELIGIBLE RETIREES OF DELPHI CORP AND/OR THEIR SURVIVORS.

profile · synthesized from sources

DSRA Benefit Trust Inc provides retirement welfare benefits, primarily health insurance, to eligible retirees of Delphi Corp and their survivors. The organization facilitates access to Medicare Advantage, Medicare Supplement, dental, vision, and prescription drug plans through partnerships with carriers like Blue Cross Blue Shield of Michigan and The Hartford. Members enroll and manage coverage through a designated plan administrator, Benistar Retiree Service Center.

named programs · 5 · from sources

What they call their work

Dental Plans
Provides two BCBSM dental plan options (High and Low) covering preventive, basic, and major services for pre- and post-65 retirees and dependents.
Medicare Advantage PPO Plans
Offers three BCBSM Medicare Advantage PPO Plus plans (Diamond, Emerald, Ruby) with integrated prescription drug coverage for post-65 retirees.
Medicare Supplement Plans
Provides Hartford-underwritten group health plans (Elite, Premium, Choice, Premium Plus) that function as Medicare Supplements for post-65 retirees.
Standalone Prescription Drug Plans
Offers BCBSM PDP plans (High and Low) through OptumRX for prescription drug coverage, available with or without a Hartford medical plan.
Vision Plans
Offers vision coverage through BCBSM and VSP network, including annual eye exams and materials, for retirees and dependents.
activities · 3 groups

What they do

  • Union and Association Benefit Funds 2 activities
    • Manages term life and personal accident insurance plans for Delphi retirees
      Acts as plan sponsor and policyholder for MetLife Optional and Dependent Term Life Insurance and Personal Accident Insurance Plans, providing coverage to salaried retirees of Delphi and their spouses or domestic partners, effective January 1, 2013.
    • Provides healthcare and life insurance benefits to Delphi retirees and eligible family members
      Offers medical, prescription drug, vision, dental, and voluntary life insurance coverage to eligible salaried and hourly retirees of Delphi Corp and their dependents, including pre-Medicare and Medicare-eligible individuals. Coverage includes Blue Cross Blue Shield Medicare Advantage PPO Plus plans and standalone prescription drug plans through BCBSM.
  • Direct Financial Assistance to Individuals 1 activity
    • Administers Hardship Grants for eligible Delphi retirees and survivors
      Provides financial assistance through a Hardship Fund established with $1 million from initial Trust funding, offering grants ranging from $3,280 to $12,210 based on household size and age. Applications are accepted year-round and processed by Benistar, the Trust’s administrator.
  • Retirement Benefits Education & Support 1 activity
    • Facilitates access to legal and insurance support services
      Provides WillPrep legal services at little or no cost to eligible members enrolled in voluntary life insurance plans and sends an “Aging Up” information packet to members approaching age 65 to assist with transition planning.
financials · form 990 · fy2024
revenue
Total revenue$112K
Contributions & grants$00%
Program service revenue$00%
Investment income$58K52%
Other revenue$54K
expenses
Total expenses$197K
Program expenses57%
Admin / overhead43%
Fundraising0%
Salaries & benefits$0
Grants paid out$0
Largest expense lineProfessional Fees
balance sheet
Total assets$687K
Cash$5K
Investments$682K
Liabilities$0
Net assets$687K
Liquid reserves41.8 mo
4 years on record · 2020–2024 · YoY revenue +0.4%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 5
NameTitleHours/wkCompensation
GREG WHITE MEMBER AT LARGE 8 $6K
LORI OSTRANDER TREASURER 10 $6K
PAUL BEITER CHAIRPERSON 10 $6K
SHARON DELEZENNE SECRETARY 10 $6K
STEPHEN DUCA MEMBER AT LARGE 8 $6K
relationships · 13

Who they work with

  • Benistar Partner — Administers call center services for DSRA Benefit Trust.
  • Benistar Partner — Administrates the Hardship Grant program, including application processing and applicant notifications.
  • Benistar Partner — Contracts with Benistar to serve as administrator for voluntary life insurance policies, handling enrollment, billing, and claims.
  • Benistar Partner — Provides personalized administrative support and service for DSRA Benefit Trust members.
  • Benistar Partner — Third Party Administrator contracted to administer benefits under the plan.
  • Benistar Retiree Service Center Partner — Processes enrollment forms, change of status documents, and premium payments for DSRA Benefit Trust members.
  • Blue Cross Blue Shield of Michigan Partner — Offers Medicare Advantage PPO Plus and Prescription Drug plans through a partnership with the DSRA Benefit Trust.
  • Delphi Corp Government — Provided $8.75 million in initial funding to the Trust as part of a court-ordered bankruptcy settlement.
  • Delphi Corp Government — Source of eligible retirees and survivors for retirement welfare benefits
  • Delphi Salaried Retirees Assoc. Network — Related association for salaried retirees; DSRA Benefit Trust operates the VEBA for its members.
  • MetLife Partner — Partner organization offering life insurance plans through the DSRA Benefit Trust.
  • MetLife Partner — Partners with MetLife to administer group term life and personal accident insurance plans for Delphi salaried retirees.
  • OptumRX Partner — Administers prescription drug plan designs for the DSRA Benefit Trust’s BCBSM RX plans.
strategies · 4

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Means-Tested Financial Assistance with Asset-Inclusive Formula
    methodology: means_testing_with_asset_inclusion
    By providing financial assistance based on a means-testing formula that excludes home equity but includes a percentage of other financial assets in Modified Adjusted Gross Income, the organization targets support to financially distressed retirees while maintaining equitable and sustainable eligibility standards, because this approach balances need with responsible resource allocation.
  • Nationwide Access with Low-Barrier Provider Networks
    methodology: national_parity_access
    By offering a PPO model that enables nationwide access to Medicare-accepting providers with minimal out-of-pocket costs and no referral requirements, the organization increases utilization and continuity of care, because removing administrative and geographic barriers improves health engagement among geographically dispersed retirees.
  • Preventive Care and Long-Term Health Management
    methodology: preventive_health_focus
    By focusing on preventive care and disease management rather than solely on medical treatment, the organization promotes sustained health outcomes among retirees, because early intervention and ongoing management reduce long-term healthcare costs and improve quality of life.
  • VEBA-Based Tax-Advantaged Benefits
    methodology: VEBA-based tax-advantaged benefits
    By utilizing a Voluntary Employees' Beneficiary Association (VEBA) structure, the organization enables tax-advantaged healthcare and life insurance benefits for retirees under 65, thereby preserving eligibility for federal subsidies such as Health Coverage Tax Credits and ACA subsidies, because the taxable nature of certain grants avoids disqualifying income thresholds.