DELTA DENTAL OF NORTH CAROLINA: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF NORTH CAROLINA (EIN 56-1018068)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202533179349307433
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T16:46:45+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN331498605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 MICHIGAN AVE SUITE 100AddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48823ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561018068EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF NORTH CAROLINABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone8005879514PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13737 GLENWOOD AVENUE 320AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCURTIS R LADIG CPAPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHAL CPAPreparerPersonNm
PTINP00378651PTIN
Phone5173326200PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1CURTIS R LADIG CPABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13737 GLENWOOD AVENUE 320AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$183,140,039GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALNC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionDELTA DENTAL OF NORTH CAROLINA'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH PREPAID DENTAL SERVICES, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee38TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$940,483TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$12,652NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$152,100,380PYProgramServiceRevenueAmt
CY Program Service Revenue$170,366,347CYProgramServiceRevenueAmt
PY Investment Income$205,295PYInvestmentIncomeAmt
CY Investment Income$1,917,682CYInvestmentIncomeAmt
PY Other Revenue$19,547PYOtherRevenueAmt
CY Other Revenue$32,972CYOtherRevenueAmt
PY Total Revenue$152,325,222PYTotalRevenueAmt
CY Total Revenue$172,317,001CYTotalRevenueAmt
PY Grants And Similar Paid$40,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$207,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,860,909PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,068,985CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$147,718,364PYOtherExpensesAmt
CY Other Expenses$162,591,882CYOtherExpensesAmt
PY Total Expenses$154,619,273PYTotalExpensesAmt
CY Total Expenses$170,868,367CYTotalExpensesAmt
PY Revenues Less Expenses-$2,294,051PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,448,634CYRevenuesLessExpensesAmt
Total Assets BOY$46,454,268TotalAssetsBOYAmt
Total Assets EOY$49,118,988TotalAssetsEOYAmt
Total Liabilities BOY$19,990,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,513,514TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,464,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,605,474NetAssetsOrFundBalancesEOYAmt
MissionDELTA DENTAL OF NORTH CAROLINA'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH PREPAID DENTAL SERVICES, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$160,815,547ExpenseAmt
Grant$207,500GrantAmt
Revenue$169,458,836RevenueAmt
DescPROMOTING DENTAL CARE: DELTA DENTAL OF NORTH CAROLINA IS A LEADING GROUP DENTAL BENEFITS PROVIDER. THE PURPOSE OF THE ORGANIZATION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH. THIS IS DONE BY OFFERING INNOVATIVE, COST-EFFECTIVE PRODUCTS THAT MEET THE NEEDS OF CUSTOMERS. THIS WAS DEMONSTRATED IN 2024 BY PAYING OUT OVER $131 MILLION IN CLAIMS AND BY PROVIDING DENTAL BENEFITS FOR THE PUBLIC AND ADVANCING THE SCIENCE OF DENTISTRY. IN ADDITION, OVER 2 MILLION CLAIMS WERE PROCESSED FOR OVER 1.1 MILLION MEMBERS. COST SAVING STRATEGIES: DELTA DENTAL BENEFIT PLANS ARE COMMITTED TO SAVING GROUPS AND MEMBERS MONEY. THE DELTA DIFFERENCE IS AN INTEGRATION OF ACTIVITIES SUCH AS COST MANAGEMENT POLICIES, FEE REDUCTION AGREEMENTS WITH DENTISTS, AND ANTI-FRAUD PROGRAMS, ALL OF WHICH ENSURE QUALITY, COST-EFFECTIVE DENTAL BENEFIT DELIVERY. COMMITMENT TO THE COMMUNITY: THE DELTA DENTAL FUND, THE COMPANY'S PHILANTHROPIC AFFILIATE, ENCOURAGES ADVANCES IN DENTISTRY AND SUPPORTS DENTAL EDUCATION AND RESEARCH. IN 2024, DELTA DENTAL FUND CONTRIBUTED OVER $332,000 TO ORGANIZATIONS IN NORTH CAROLINA TO SUPPORT THESE CAUSES. UNEQUALED ACCESS TO DENTISTS: FOR FIVE DECADES, DELTA DENTAL HAS HELPED PROMOTE ORAL HEALTH BY DESIGNING AND ADMINISTERING INNOVATIVE, COST-EFFECTIVE DENTAL BENEFIT PROGRAMS. EXPERTS AT PLAN DESIGN, DELTA DENTAL HAS CREATED DENTAL BENEFIT PROGRAMS THAT MEET CUSTOMER COST-OBJECTIVES WHILE HELPING TO IMPROVE AND MAINTAIN ORAL HEALTH. OUR LONG STANDING RELATIONSHIPS WITH PROVIDERS IN THE COMMUNITIES WE SERVE ALLOW US TO MAINTAIN LARGE NETWORKS, ALLOWING BROAD ACCESS FOR MEMBERS AND COST-EFFECTIVE CARE. DELTA DENTAL'S GROUP MEMBERS ARE AFFORDED ADDED PROTECTION BECAUSE THEY GUARANTEE THAT PARTICIPATING DENTISTS WILL ACCEPT THEIR PAYMENT FOR COVERED SERVICES AND NO CHARGE, OTHER THAN CO-PAYMENTS AND DEDUCTIBLES ARE BILLED BACK TO THE MEMBER. THIS LOWERS CLAIM COSTS FOR CUSTOMERS AND REDUCES OUT-OF-POCKET COSTS FOR SUBSCRIBERS. WITH TWO NETWORKS OF FULL-TIME PARTICIPATING DENTISTS IN ONE INTEGRATED CLAIMS SYSTEM, DELTA DENTAL CAN DELIVER TO CUSTOMERS AND GROUP MEMBERS BROAD ACCESS TO CARE.Desc
Total Program Service Expenses$160,815,547TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document47416IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee38EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY BASEL CHIEF FINANCIAL OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5173496000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 OKEMOS ROADAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
COURTNEY CROWDER
VICE CHAIR2.00.0Yes (X)Yes (X)$32,000$0$0
JAMES R ROSE JR
CHAIR2.05.0Yes (X)Yes (X)$37,000$24,996$0
MOIRA S LOCASCIO
IMMEDIATE PAST CHAIR2.00.0Yes (X)Yes (X)$32,000$0$0
SHEILA AHLER CPA
SECRETARY & TREASURER2.00.0Yes (X)Yes (X)$33,000$0$0
CLAIRE B NIVER
DIRECTOR2.00.0Yes (X)$29,000$0$0
KARA M HENDERSON DDS
DIRECTOR2.00.0Yes (X)$29,000$0$0
LEAH DEVLIN DDS MPH
DIRECTOR2.00.0Yes (X)$29,000$0$0
RAJESH MANICKAM PHARMD
DIRECTOR2.00.0Yes (X)$29,000$0$0
STEWART D HOLMES
DIRECTOR2.00.0Yes (X)$30,500$0$0
AMY L BASEL CPA
CHIEF FINANCIAL OFFICER5.045.0Yes (X)$0$2,481,908$688,090
CURT R LADIG
PRESIDENT & CEO50.00.0Yes (X)$1,216,134$0$109,369
DEBORAH JONES
SVP & CHIEF SALES OFFICER50.00.0$386,924$0$20,874Yes (X)
MARIROSE STEIGERWALD
SVP & CAO50.00.0$304,933$0$33,336Yes (X)
JIM COUCH
VP, GENERAL COUNSEL40.00.0$345,905$0$46,402Yes (X)
JOHN PEATTIE
ACCOUNT EXECUTIVE40.00.0$233,713$0$42,220Yes (X)
RACHEL PISCIOTTA
VP, FINANCE40.00.0$223,828$0$27,163Yes (X)
TROY KIRK
VP, SALES & ACCOUNT MGT40.00.0$266,734$0$19,532Yes (X)
VINCENT CELENTANO
ACCOUNT EXECUTIVE40.00.0$264,607$0$43,366Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,523,278TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,506,904TotReportableCompRltdOrgAmt
Total Other Compensation$1,030,352TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AP GLOBAL INSURANCE SERVICES LLC
4928 LINKSLAND DRHOLLY SPRINGSNC27540COMMISSIONS$1,178,118
MERCER HEALTH & BENEFITS LLC
1000 RIDGEWAY LOOP RDMEMPHISTN38120COMMISSIONS$971,401
GALLAGHER BENEFIT SERVICES INC
2081 VISTA PKWYWEST PALM BEACHFL33411COMMISSIONS$662,667
LOCKTON COMPANIES LLC
444 WEST 47TH STREETKANSAS CITYMO64112COMMISSIONS$627,428
USI INSURANCE SERVICES LLC
PO BOX 601478CHARLOTTENC28260COMMISSIONS$580,404
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DENTAL CARE REVENUE524114$169,425,864$169,425,864
VISION CARE REVENUE524298$940,483$940,483

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$170,366,347TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,589,769TotalRevenueColumnAmt
Exclusion$1,589,769ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,150,951SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,822,433SecuritiesAmt
Other$605OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$328,518SecuritiesAmt
Other-$605OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$327,913TotalRevenueColumnAmt
Exclusion$327,913ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$32,972TotalRevenueColumnAmt
Related Or Exempt Func Income$32,972RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$32,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,317,001TotalRevenueColumnAmt
Related Or Exempt Func Income$169,458,836RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$940,483UnrelatedBusinessRevenueAmt
Exclusion$1,917,682ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$207,500TotalAmt
Program Services$207,500ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,361,030TotalAmt
Program Services$1,534,670ProgramServicesAmt
Management And General$826,360ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,414,894TotalAmt
Program Services$1,881,753ProgramServicesAmt
Management And General$2,533,141ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$244,748TotalAmt
Program Services$96,153ProgramServicesAmt
Management And General$148,595ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$700,242TotalAmt
Program Services$297,216ProgramServicesAmt
Management And General$403,026ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$348,071TotalAmt
Program Services$172,141ProgramServicesAmt
Management And General$175,930ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$211,755TotalAmt
Program Services$6,091ProgramServicesAmt
Management And General$205,664ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,874TotalAmt
Management And General$45,874ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$92,942TotalAmt
Management And General$92,942ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$96,450TotalAmt
Management And General$96,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$137,462,098TotalAmt
Program Services$135,065,546ProgramServicesAmt
Management And General$2,396,552ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$503,163TotalAmt
Management And General$503,163ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,860,418TotalAmt
Program Services$1,006,153ProgramServicesAmt
Management And General$854,265ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$682,463TotalAmt
Program Services$70,563ProgramServicesAmt
Management And General$611,900ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$367,736TotalAmt
Management And General$367,736ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$317,474TotalAmt
Program Services$96,954ProgramServicesAmt
Management And General$220,520ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,571TotalAmt
Program Services$14,452ProgramServicesAmt
Management And General$24,119ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$155,145TotalAmt
Program Services$19,922ProgramServicesAmt
Management And General$135,223ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$73,233TotalAmt
Management And General$73,233ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMISSION$8,778,571$8,778,571
PROCESSING FEES$7,812,800$7,812,800
PREMIUM TAX$3,165,853$3,165,853
FEDERAL TAX EXPENSE$50,886$50,886

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$876,450TotalAmt
Program Services$589,209ProgramServicesAmt
Management And General$287,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$170,868,367TotalAmt
Program Services$160,815,547ProgramServicesAmt
Management And General$10,052,820ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$945,869BOYAmt
EOY$1,461,210EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,385,739BOYAmt
EOY$12,729,031EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$922,676BOYAmt
EOY$586,826EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,350,760LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$265,650LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$792,084BOYAmt
EOY$1,085,110EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,117,019BOYAmt
EOY$28,428,527EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,290,881BOYAmt
EOY$4,828,284EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,454,268BOYAmt
EOY$49,118,988EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,292,883BOYAmt
EOY$10,894,573EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,442,504BOYAmt
EOY$2,488,551EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,254,823BOYAmt
EOY$7,130,390EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,990,210BOYAmt
EOY$20,513,514EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,464,058BOYAmt
EOY$28,605,474EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,464,058BOYAmt
EOY$28,605,474EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,454,268BOYAmt
EOY$49,118,988EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,448,634ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$692,782NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$253,539OtherCostOrOtherBasisAmt
Depreciation$24,379DepreciationAmt
Book Value$229,160BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$738,513OtherCostOrOtherBasisAmt
Depreciation$196,757DepreciationAmt
Book Value$541,756BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$358,708OtherCostOrOtherBasisAmt
Depreciation$44,514DepreciationAmt
Book Value$314,194BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,085,110TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
457B ASSETS$390,224
457F ASSETS$471,974
RIGHT-OF-USE OPERATING LEASE ASSETS - NET$3,944,941
MISC LONG-TERM ASSET$21,145
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,828,284TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Federal Income Taxes
DUE TO AFFILIATES$2,152,225
OPERATING LEASE LIABILITY$4,100,967
MISCELLANEOUS LIABILITIES$15,000
457B LIABILITY$390,224
457F LIABILITY$471,974
FieldValueIRS element (for citing)
Total Liability$7,130,390TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$172,913,333TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$692,782NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$692,782RevenueNotReportedAmt
Revenue Subtotal$172,220,551RevenueSubtotalAmt
Investment Expenses Not Incld$96,450InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$96,450RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$172,317,001TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$170,771,917TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$170,771,917ExpensesSubtotalAmt
Investment Expenses Not Incld2$96,450InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$96,450ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$170,868,367TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
DELTA DENTAL FUND
PO BOX 30416LANSINGMI48909382337000501(c)(3)$175,000$0N/AN/ACHARITABLE CONTRIBUTION
POE CENTER FOR HEALTH EDUCATION
224 SUNNYBROOK RDRALEIGHNC27610561500678501(c)(3)$7,500$0N/AN/ACHARITABLE CONTRIBUTION
STATE OF NORTH CAROLINA
3200 ATLANTIC AVERALEIGHNC27604561545517GOVT$25,000$0N/AN/ANC DISASTER RELIEF FUND
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationContributions are made at management discretion to organizations that support Delta Dental Plan of North Carolina's mission. CONTRIBUTIONS MADE TO THE DELTA DENTAL FUND ARE APPROVED BY THE BOARD OF DIRECTORS. In order for funds to be disbursed, voucher records must pass through the approval process, similar to any other expenditure made by Delta Dental Plan of North Carolina.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CURT R LADIG
PRESIDENT & CEO$766,202$0$257,426$0$192,506$0$98,800$0$10,569$0$1,325,503$0$0$0
AMY L BASEL CPA
CHIEF FINANCIAL OFFICER$0$552,581$0$968,814$0$960,513$0$660,849$0$27,241$0$3,169,998$0$921,829
MARIROSE STEIGERWALD
SVP & CAO$254,494$0$46,875$0$3,564$0$12,275$0$21,061$0$338,269$0$0$0
DEBORAH JONES
SVP & CHIEF SALES OFFICER$103,985$0$264,664$0$18,275$0$10,350$0$10,524$0$407,798$0$0$0
JOHN PEATTIE
ACCOUNT EXECUTIVE$84,173$0$148,267$0$1,273$0$9,618$0$32,602$0$275,933$0$0$0
JIM COUCH
VP, GENERAL COUNSEL$295,249$0$45,508$0$5,148$0$13,800$0$32,602$0$392,307$0$0$0
TROY KIRK
VP, SALES & ACCOUNT MGT$170,551$0$95,000$0$1,183$0$10,692$0$8,840$0$286,266$0$0$0
VINCENT CELENTANO
ACCOUNT EXECUTIVE$84,776$0$177,646$0$2,185$0$10,764$0$32,602$0$307,973$0$0$0
RACHEL PISCIOTTA
VP, FINANCE$139,651$0$22,861$0$61,316$0$5,433$0$21,730$0$250,991$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companionsTRAVEL MAY BE AVAILABLE TO SPOUSES ON OCCASION AND WOULD BE TREATED AS TAXABLE INCOME TO THE BOARD MEMBER OR EMPLOYEE AS APPROPRIATE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planA RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE AN EXECUTIVE VICE PRESIDENT OR HIGHER AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2024, AMY BASEL ACCRUED BENEFITS AS A PARTICIPANT IN THE SERP PLAN. AMY BASEL BECAME VESTED IN A PORTION OF HER ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2024. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFERRED ON PRIOR FORM 990S. EFFECTIVE SEPTEMBER 1, 2020, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN UNDER SEC. 457(F) IS MAINTAINED BY THE ORGANIZATION FOR CERTAIN EXECUTIVE EMPLOYEES. UPON SEVERANCE FROM SERVICE PRIOR TO ATTAINMENT OF NORMAL RETIREMENT AGE, THE PARTICIPANT SHALL FORFEIT INELIGIBLE AMOUNTS IN THE PLAN UNLESS SUCH SEVERANCE IS DUE TO DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR A SEVERANCE FROM EMPLOYMENT FOR GOOD REASON. IN 2024, CURTIS LADIG ACCRUED BENEFITS AS A PARTICIPANT IN THE PLAN, BUT DID NOT RECEIVE A DISTRIBUTION. IN 2024, CURT LADIG ACCRUED BENEFITS AS A PARTICIPANT IN THE DDNC Supplemental Executive Retirement Plan (SERP). CURT LADIG BECAME VESTED IN A PORTION OF HIS ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2024.
Schedule J, Part I, Line 7 Non-fixed paymentsAS INDICATED IN SCHEDULE J, PART II, TOP MANAGEMENT OFFICIALS RECEIVED A BONUS BASED ON INDIVIDUAL PERFORMANCE IN ACCORDANCE WITH INCENTIVE PLAN GOALS OF THE ORGANIZATION. THE BONUS FOR THE CEO IS APPROVED BY THE BOARD OF DIRECTORS, THE REMAINING EMPLOYEES' BONUSES ARE APPROVED BY THE CEO IN ACCORDANCE WITH THE COMPENSATION POLICY THAT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersDELTA DENTAL OF NORTH CAROLINA HAS A SOLE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE SOLE MEMBER HAS VOTING RIGHTS AND ELECTS DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE SOLE MEMBER HAS THE RIGHTS THAT ARE PRESCRIBED BY LAW, FOR MEMBERS OF NON-PROFIT CORPORATIONS, INCLUDING THE APPROVAL OF SIGNIFICANT EXPENDITURES AND CEO APPOINTMENT.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE SENIOR TAX ADMINISTRATOR FOR THE ORGANIZATION. THE CFO REVIEWS THE INFORMATION. ONCE APPROVED THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS PLACED IN A SECURE PORTAL FOR THE BOARD TO REVIEW. THIS IS DONE BEFORE THE RETURN IS FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ENTERPRISE'S GENERAL COUNSEL IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST DISCLOSURE FORMS ARE INITIALLY REVIEWED BY THE GENERAL COUNSEL. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE CEO AND TO THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A VOTE, IN WHICH A MEMBER HAS AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialCEO COMPENSATION IS SET BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. MARKET DATA PROVIDED BY OUTSIDE CONSULTANTS, TOWERS WATSON, IS USED TO VALIDATE THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE. COMPENSATION FOR CERTAIN OFFICERS, INCLUDING THE CFO, IS DETERMINED AND PAID THROUGH A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCOMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE CEO. DELTA DENTAL PLAN OF NORTH CAROLINA, INC. CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024.
Form 990, Part VI, Line 19 Required documents available to the publicNO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section ACERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R.
Form 990, Part IX, Line 11g Other FeesCONTRACT LABOR - Total Expense: 5691990, Program Service Expense: 3295438, Management and General Expenses: 2396552, Fundraising Expenses: ; PURCHASED DENTAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtAddress Line2USAddress/AddressLine2Txt
RENAISSANCE HEALTH SERVICE CORPORATION
PO BOX 30416LANSINGMI489097916381675667PROMOTING DENTAL CAREMI501(c)(4)NAfalse
DELTA DENTAL FUND
PO BOX 30416LANSINGMI489097916382337000SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMSMI501(c)(3)DELTA DENTAL PLAN OF MICHIGAN INCfalseType I
DELTA DENTAL OF ARKANSAS FOUNDATION INC
1513 COUNTRY CLUB RDSHERWOODAR72120261569324EMPHASIZE DENTAL HEALTH IN COMMUNITIESAR501(c)(3)DELTA DENTAL OF ARKANSASfalsePF
RENAISSANCE FAMILY FOUNDATION INC -
225 S EAST STINDIANAPOLISIN46202461376165EMPHASIZE DENTAL HEALTH IN COMMUNITIESIN501(c)(3)RENAISSANCE HOLDING COMPANYfalsePF
SMILE 180 FOUNDATION
1600 WEST END AVENUENASHVILLETN37203471654054EMPHASIZE DENTAL HEALTH IN COMMUNITIESTN501(c)(3)DELTA DENTAL OF TENNESSEE INCfalseType ISUITE 1700
DELTA DENTAL PLAN OF INDIANA INC
PO BOX 30416LANSINGMI489097916351545647PROVIDE DENTAL SERVICE PLANSIN501(c)(4)DELTA DENTAL PLAN OF MICHIGAN INCfalse
DELTA DENTAL PLAN OF MICHIGAN INC
4100 OKEMOS ROADOKEMOSMI48864381791480PROVIDE DENTAL SERVICE PLANSMI501(c)(4)RENAISSANCE HEALTH SERVICE CORPORATIONfalse
DELTA DENTAL PLAN OF OHIO INC
PO BOX 30416LANSINGMI489097916310685339PROVIDE DENTAL SERVICE PLANSOH501(c)(4)DELTA DENTAL PLAN OF MICHIGAN INCfalse
DELTA DENTAL PLAN OF NEW MEXICO INC
100 SUN AVE NE SUITE 400ALBUQUERQUENM87109850224562PROVIDE DENTAL SERVICE PLANSNM501(c)(4)RENAISSANCE HEALTH SERVICE CORPORATIONfalse
DELTA DENTAL OF KENTUCKY INC
10100 LINN STATION ROADLOUISVILLEKY40223610659432PROVIDE DENTAL SERVICE PLANSKY501(c)(4)RENAISSANCE HEALTH SERVICE CORPORATIONfalse
DELTA DENTAL OF TENNESSEE
1600 WEST END AVENUENASHVILLETN37203620812197PROVIDE DENTAL SERVICE PLANSTN501(c)(4)RENAISSANCE HEALTH SERVICE CORPORATIONfalseSUITE 1700
DELTA DENTAL PLAN OF ARKANSAS INC
1513 COUNTRY CLUB RDSHERWOODAR72120710561140PROVIDE DENTAL SERVICE PLANSAR501(c)(4)RENAISSANCE HEALTH SERVICE CORPORATIONfalse
DELTA DENTAL OF KENTUCKY FOUNDATION INC
10100 LINN STATION ROADLOUISVILLEKY40223874045357EMPHASIZE DENTAL HEALTH IN COMMUNITIESKY501(c)(3)DELTA DENTAL OF KENTUCKYfalsePF
DELTA DENTAL FOUNDATION OF NORTH CAROLINA
3737 GLENWOOD AVENUE SUITE 320RALEIGHNC27612331403805EMPHASIZE DENTAL HEALTH IN COMMUNITIESNC501(c)(3)DELTA DENTAL OF NORTH CAROLINAfalseType I

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
RED CEDAR INVESTMENT MANAGEMENT LLC
333 BRIDGE STREET NW SUITE 601GRAND RAPIDSMI49546462667997CAPITAL MANAGEMENTMINAN/Afalsefalse
T4G MANAGEMENT LLC
300 S WASHINGTON SQUARE SUITE 225LANSINGMI48933884271021FINANCIAL PLANNINGMINAN/Afalsefalse
T4G FINANCIAL SERVICES LLC
300 S WASHINGTON SQUARE SUITE 225LANSINGMI48933921020583FINANCIAL PLANNINGMINAN/Afalsefalse
ARCIS FUND I LLC
300 S WASHINGTON SQUARE SUITE 225LANSINGMI48933932945609INVESTMENTSMINAN/Afalsefalse
SYLVASON LLC DBA DENT-WELL LLC
10726 TUPPER LAKE DRHOUSTONTX77042994952135DENTAL CARETXNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Renaissance Holding Company
PO BOX 30381LANSINGMI48909412177193holding companyMINAC Corporationfalse
Renaissance Life & Health Insurance Company of America
PO BOX 30381LANSINGMI48909470397286INSURANCEINNAC Corporationfalse
Renaissance LIFE & Health Insurance Company of New York
PO BOX 30381LANSINGMI48909134098096INSURANCENYNAC Corporationfalse
Fore Holding Corporation
1600 WEST END AVENUENASHVILLETN37203204116122EMPLOYEE BENEFITSTNNAC Corporationfalse
dental choice inc
10100 linn station rd suite 700louisvilleKY402233861611105118PROVIDE DENTAL SERVICE PLANSKYNAC Corporationfalse
dental choice agency inc
10100 linn station rd suite 700louisvilleKY402233861611336003PRIMARY GENERAL AGENCY FOR DDKY & DENTAL CHOICEKYNAC Corporationfalse
OMEGA ADMINISTRATORS INC
1513 COUNTRY CLUB ROADSHERWOODAR72120043740469PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICESARNAC Corporationfalse
the 4100 GROUP
4100 OKEMOS ROADOKEMOSMI48864472557772INVESTMENT IN SUBSIDIARIESMINAC Corporationfalse
DENTAL CHOICE ANCILLARY INC
10100 linn station rd suite 700LOuisvilleKY402233861881391091PROVIDE DENTAL SERVICE PLANSKYNAC Corporationfalse
ANCILLARY CHOICE LIFE INC
10100 linn station rd suite 700LOuisvilleKY402233861880574945INSURANCEKYNAC Corporationfalse
DYNTL INC
2800 WHITE OAK DRNASHVILLETN37215934527543DENTAL SERVICETNNAC Corporationfalse
JOYN HEALTH INC
300 S WASHINGTON SQUARE SUITE 225LANSINGMI48933990915381DENTAL SERVICEMINAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DELTA DENTAL PLAN OF MICHIGAN INC
M$9,831,445ACTUAL COST
RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA
M$1,726,550ACTUAL COST
DELTA DENTAL OF TENNESSEE
M$630,645ACTUAL COST
DELTA DENTAL FUND
B$175,000ACTUAL COST

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.