2023-11-14T11:35:09-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 1111 MICHIGAN AVE STE 100 EAST LANSING MI 48823 990 2022-01-01 850224562 DELTA DENTAL PLAN OF NEW MEXICO INC DELT 5058557114 100 SUN AVE NE 400 ALBUQUERQUE NM 87109 AMY BASEL CHIEF FINANCIAL OFFICER 5058557114 2023-11-08 1 AMY BASEL 999009999 1 DAVID LOWENTHAL CPA P00378651 5173326200 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LOUIS VOLK III 100 SUN AVE NE 400 ALBUQUERQUE NM 87109 120415344 0 X HTTP://WWW.DELTADENTALNM.COM X 1971 NM DELTA DENTAL OF NEW MEXICO'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. 8 7 42 0 2110 0 0 0 69512073 70066015 5981835 -866777 23378 9380 75517286 69208618 427664 483134 0 0 3722115 3889237 0 0 0 61954539 64651497 66104318 69023868 9412968 184750 81908346 81083410 4615155 10140953 77293191 70942457 X DELTA DENTAL OF NEW MEXICO'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. 0 0 66359196 483134 70073285 PROMOTING DENTAL CAREDELTA DENTAL OF NEW MEXICO, INC. IS A LEADNG GROUP DENTAL BENEFITS PROVIDER. THE PURPOSE OF THE ORGANIZATION IS TO ADVANCE AND PROMOTE THE IMPROVEMEMNT OF ORAL HEALTH. THIS IS DONE BY OFFERING INNOVATIVE, COST-EFFECTIVE PRODUCTS THAT MEET THE NEEDS OF CUSTOMERS. THIS WAS DEMONSTRATED IN 2022 BY PAYING OUT OVER $55 MILLION IN CLAIMS AND BY PROVIDING DENTAL BENEFITS FOR THE PUBLIC AND ADVANCING THE SCIENCE OF DENTISTRY. IN ADDITION, OVER 780,000 CLAIMS WERE PROCESSED FOR OVER 402,000 MEMBERS. SEE SCHEDULE O FOR CONTINUATIONCOST SAVING STRATEGIESDELTA 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. 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 ALLOWS 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. 66359196 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 13131 0 1 42 1 1 1 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X AMY BASEL CFO 5173496000 4100 OKEMOS ROAD OKEMOS MI 48864 X AMY BASEL CFO & TREASURER 1.00 49.00 X 0 1462790 485855 SUE ELLEN JENKINS CHIEF LEGAL OFFICER & SECRETARY 1.00 49.00 X 0 1118484 319364 LOUIS VOLK III PRESIDENT & CEO 50.00 0.00 X 560818 0 46663 NATHALIE CASADO DIRECTOR, CORPORATE ADMINISTRATION 50.00 0.00 X 214227 0 40081 JOLOU TRUJILLO-OTTINO VP SALES AND MARKETING 50.00 0.00 X 170026 0 19860 DIANNE LEDESMA DIRECTOR OF OPERATIONS 50.00 0.00 X 166334 0 30054 DOUGLAS DUNTON MANAGER, QUALITY & ANALYTICS 50.00 0.00 X 128840 0 10799 JAMES TRUJILLO CHAIR 5.00 5.00 X X 20000 24996 0 CHRISTINE N NATHE RDH MS VICE CHAIR 5.00 0.00 X X 17000 0 0 DAVID JAMES MARTINEZ DDS DIRECTOR 5.00 0.00 X 17000 0 0 ROBERT L SIMMONS DIRECTOR - PART YEAR 5.00 0.00 X 17000 0 0 LAWRENCE T PETERSON DIRECTOR 5.00 0.00 X 13500 0 0 ANDREW DOLAN DIRECTOR 5.00 0.00 X 13500 0 0 ROBIN DOZIER OTTEN DIRECTOR 5.00 0.00 X 13500 0 0 FRED CISNEROS DIRECTOR 5.00 0.00 X 13500 0 0 RALPH MCELMURRY DDS DIRECTOR 5.00 0.00 X 13500 0 0 1378745 2606270 952676 5 0 1 0 HUB INTERNATIONAL INSURANCE SERVICE 9990 JEFFERSON NE SUITE 101 ALBUQUERQUE NM 87190 COMMISSIONS 429591 PEOPLE INK 13519 PINO CANYON PL NE ALBUQUERQUE NM 87111 HR CONSULTING 315971 DEWPOINT 300 WASHINGTON SQUARE LANSING MI 48933 IT CONSULTING 138399 MARKETING SOLUTIONS LLC 9426 INDIAN SCHOOL RD NE STE 2 ALBUQUERQUE NM 87112 MARKETING SERVICES 113401 4 DENTAL CARE REVENUE 524114 70063905 70063905 VISION CARE REVENUE 524298 2110 2110 70066015 1386159 1386159 48953790 51206726 -2252936 -2252936 -2252936 DISCOUNT CARD INCOME 561000 9380 9380 9380 69208618 70073285 2110 -866777 X 483134 483134 912811 593327 319484 2270313 1856942 413371 160618 145210 15408 356240 305198 51042 189255 151274 37981 314402 314402 79167 79167 159459 159459 56604241 56006418 597823 176088 176088 575369 496916 78453 378745 251037 127708 253078 164501 88577 75919 56834 19085 11299 11269 30 122745 85141 37604 63986 41591 22395 PROCESSING FEES 2297991 2153518 144473 COMMISSIONS 1884417 1884417 PREMIUM TAXES 1129000 1129000 MEMBERSHIP DUES & ASSOC 372612 261669 110943 152979 105712 47267 69023868 66359196 2664672 0 6012367 10266576 4429594 4584318 169651 129897 1270098 484685 849906 785413 62515377 53503083 7547135 7336343 384316 4477780 81908346 81083410 1998022 2557757 677403 898907 1939730 6684289 4615155 10140953 X 77293191 70942457 77293191 70942457 81908346 81083410 X 184750 -6804598 269114 X 0 1 X 1 0 20568 4799 15769 1201905 432261 769644 47625 47625 0 785413 7336343 C 7336343 OTHER ASSETS 266494 RIGHT-OF-USE OPERATING LEASE ASSETS - NET 4211286 4477780 CLAIMS RESERVES 1623000 DUE TO AFFILIATE 835861 OPERATING LEASE LIABILITY 4225428 6684289 69049159 0 69049159 159459 159459 69208618 68864409 0 68864409 159459 159459 69023868 1 ALBUQUERQUE HEALTH CARE FOR THE HOMELESS PO BOX 25445 ALBUQUERQUE NM 87125 850368993 501(C)(3) 75000 0 N/A N/A CHARITABLE CONTRIBUTION ALBUQUERQUE MEALS ON WHEELS INC 5901 HARPER DR NE ALBUQUERQUE NM 87109 850301043 501(C)(3) 10000 0 N/A N/A CHARITABLE CONTRIBUTION AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 78753 135613797 501(C)(3) 140000 0 N/A N/A CHARITABLE CONTRIBUTION EXPLORA SCIENCE CENTER 1701 MOUNTAIN RD ALBUQUERQUE NM 87104 850442062 501(C)(3) 18134 0 N/A N/A CHARITABLE CONTRIBUTION FUTURE FOCUSED EDUCATION 200 BROADWAY BLVD NE ALBUQUERQUE NM 87102 473717716 501(C)(3) 9000 0 N/A N/A CHARITABLE CONTRIBUTION NATIONAL HISPANIC CULTURAL CENTER FOUNDATION 1701 4TH ST SW ALBUQUERQUE NM 87102 850335056 501(C)(3) 20000 0 N/A N/A CHARITABLE CONTRIBUTION NEW MEXICO DENTAL FOUNDATION 9201 MONTGOMERY BLVD NE ALBUQUERQUE NM 87111 743146433 501(C)(3) 15000 0 N/A N/A CHARITABLE CONTRIBUTION NEW MEXICO STATE UNIVERSITY FOUNDATION PO BOX 3590 LAS CRUCES NM 88003 850170157 501(C)(3) 31000 0 N/A N/A CHARITABLE CONTRIBUTION TO DENTAL HYGIENE PROGRAM SANTA FE COMMUNITY FOUNDATION PO BOX 1827 SANTA FE NM 87504 850303044 501(C)(3) 20000 0 N/A N/A CHARITABLE CONTRIBUTION SPECIAL OLYMPICS NEW MEXICO INC 6600 PALOMAS NE ALBUQUERQUE NM 87109 850268084 501(C)(3) 10000 0 N/A N/A CHARITABLE CONTRIBUTION UNIVERSITY OF NEW MEXICO FOUNDATION INC TWO WOODWARD CENTER ALBUQUERQUE NM 87102 850275408 501(C)(3) 135000 0 N/A N/A CHARITABLE CONTRIBUTION TO DENTAL HYGIENE PROGRAM 11 0 PART I, LINE 2: CONTRIBUTIONS ARE MADE AT THE ORGANIZATION'S DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF NEW MEXICO'S MISSION. 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 NEW MEXICO. X X 0 1 0 0 0 0 0 1 0 AMY BASEL CFO & TREASURER 0 507383 0 561274 0 394133 0 462136 0 23719 0 1948645 0 364896 SUE ELLEN JENKINS CHIEF LEGAL OFFICER & SECRETARY 0 522489 0 575320 0 20675 0 311438 0 7926 0 1437848 0 0 LOUIS VOLK III PRESIDENT & CEO 418435 0 128235 0 14148 0 30500 0 16163 0 607481 0 0 0 NATHALIE CASADO DIRECTOR, CORPORATE ADMINISTRATION 174334 0 39375 0 518 0 22051 0 18030 0 254308 0 0 0 JOLOU TRUJILLO-OTTINO VP SALES AND MARKETING 109109 0 47250 0 13667 0 17196 0 2664 0 189886 0 0 0 DIANNE LEDESMA DIRECTOR OF OPERATIONS 139515 0 25272 0 1547 0 16032 0 14022 0 196388 0 0 0 PART I, LINE 4B A 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 A SENIOR 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 2022, AMY BASEL AND SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS 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 2022. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S. PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, TOP MANAGEMENT OFFICIALS RECEIVED A BONUS BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. DAVID J MARTINEZ DDS PC DAVID MARTINEZ, DIRECTOR ON DDNM BOARD, OWNS AN INTEREST IN MARTINEZ DDS PC 614692 PAYMENTS FOR DENTAL SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 6 DELTA DENTAL PLAN OF NEW MEXICO, INC. HAS A SOLE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A BOARD MEMBERS ARE ELECTED BY THE PRESENT BOARD AND ARE APPROVED BY RENAISSANCE HEALTH SERVICE CORPORATION, THE SOLE CORPORATE MEMBER OF DELTA DENTAL PLAN OF NEW MEXICO, INC. FORM 990, PART VI, SECTION A, LINE 7B THE 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, SECTION B, LINE 11B THE 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, PRIOR TO FILING THE 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ENTERPRISE'S VICE PRESIDENT AND CHIEF LEGAL OFFICER 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 VICE PRESIDENT AND CHIEF LEGAL OFFICER. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE CEO AND TO THE AUDIT, FINANCE AND RISK MANAGEMENT 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, SECTION B, LINE 15 CEO 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 AND CHIEF LEGAL OFFICER IS DETERMINED AND PAID THROUGH A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. FORM 990, PART VI, SECTION C, LINE 19 DELTA DENTAL PLAN OF NEW MEXICO, INC. (DDNM) FILES ON A QUARTERLY AND ANNUAL BASIS COMPREHENSIVE FINANCIAL DOCUMENTS WITH THE NEW MEXICO OFFICE OF INSURANCE SUPERINTENDENT (OSI). OSI AND THE NEW MEXICO SECRETARY OF STATE HAVE ON FILE ALL GOVERNING DOCUMENTS. THE DDNM'S 990 FORM IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII: CERTAIN 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 CONTRACT LABOR: PROGRAM SERVICE EXPENSES 729,131. MANAGEMENT AND GENERAL EXPENSES 597,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,326,954. PURCHASED DENTAL SERVICES: PROGRAM SERVICE EXPENSES 55,277,287. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,277,287. FORM 990, PART XI, LINE 9: GAIN ON INVESTMENT IN RENAISSANCE HOLDING COMPANY 269,114. RENAISSANCE HEALTH SERVICE CORPORATION PO BOX 30416 LANSING MI 489097916 381675667 PROMOTING DENTAL CARE MI 501(C)(4) N/A N/A 0 DELTA DENTAL PLAN OF MICHIGAN INC 4100 OKEMOS ROAD OKEMOS MI 48864 381791480 PROVIDE DENTAL SERVICE PLANS MI 501(C)(4) N/A RENAISSANCE HEALTH SERVICE CORPORATION 0 DELTA DENTAL PLAN OF INDIANA INC PO BOX 30416 LANSING MI 489097916 351545647 PROVIDE DENTAL SERVICE PLANS IN 501(C)(4) N/A DELTA DENTAL PLAN OF MICHIGAN INC 0 DELTA DENTAL PLAN OF OHIO INC PO BOX 30416 LANSING MI 489097916 310685339 PROVIDE DENTAL SERVICE PLANS OH 501(C)(4) N/A DELTA DENTAL PLAN OF MICHIGAN INC 0 DELTA DENTAL OF TENNESSEE INC 240 VENTURE CIRCLE NASHVILLE TN 37228 620812197 PROVIDE DENTAL SERVICE PLANS TN 501(C)(4) N/A RENAISSANCE HEALTH SERVICE CORPORATION 0 DELTA DENTAL OF KENTUCKY INC 10100 LINN STATION ROAD NO 700 LOUISVILLE KY 40223 610659432 PROVIDE DENTAL SERVICE PLANS KY 501(C)(4) N/A RENAISSANCE HEALTH SERVICE CORPORATION 0 DELTA DENTAL FUND PO BOX 30416 LANSING MI 489097916 382337000 SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS MI 501(C)(3) LINE 12A, I DELTA DENTAL PLAN OF MICHIGAN INC 0 DELTA DENTAL OF NORTH CAROLINA 3737 GLENWOOD AVENUE SUITE 320 RALEIGH NC 27612 561018068 PROVIDE DENTAL SERVICE PLANS NC 501(C)(4) N/A RENAISSANCE HEALTH SERVICE CORPORATION 0 DELTA DENTAL PLAN OF ARKANSAS INC 1513 COUNTRY CLUB RD SHERWOOD AR 72120 710561140 PROVIDE DENTAL SERVICE PLANS AR 501(C)(4) N/A RENAISSANCE HEALTH SERVICE CORPORATION 0 DELTA DENTAL OF ARKANSAS FOUNDATION INC 1513 COUNTRY CLUB RD SHERWOOD AR 72120 261569324 EMPHASIZE DENTAL HEALTH IN COMMUNITIES AR 501(C)(3) PF DELTA DENTAL OF ARKANSAS 0 RENAISSANCE FAMILY FOUNDATION INC 225 S EAST ST INDIANAPOLIS IN 46202 461376165 EMPHASIZE DENTAL HEALTH IN COMMUNITIES IN 501(C)(3) PF RENAISSANCE HOLDING COMPANY 0 SMILE 180 FOUNDATION 240 VENTURE CIRCLE NASHVILLE TN 37228 471654054 EMPHASIZE DENTAL HEALTH IN COMMUNITIES TN 501(C)(3) LINE 12A, I DELTA DENTAL OF TENNESSEE INC 0 DELTA DENTAL OF KENTUCKY FOUNDATION INC 10100 LINN STATION ROAD SUITE 700 LOUISVILLE KY 40223 874045357 EMPHASIZE DENTAL HEALTH IN COMMUNITIES KY 501(C)(3) PF DELTA DENTAL OF KENTUCKY 0 RED CEDAR INVESTMENT MANGAGEMENT LLC 333 BRIDGE STREET NW SUITE 601 GRAND RAPIDS MI 49546 462667997 CAPITAL MANAGEMENT MI N/A 0 0 RENAISSANCE HOLDING COMPANY PO BOX 30381 LANSING MI 48909 412177193 HOLDING COMPANY MI DELTA DENTAL OF MICHIGAN C -100442 3826275 0.04000 0 RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA PO BOX 30381 LANSING MI 48909 470397286 INSURANCE IN RENAISSANCE HOLDING COMPANY C -160065 5578116 0.04000 0 RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK PO BOX 30381 LANSING MI 48909 134098096 INSURANCE NY RENAISSANCE HOLDING COMPANY C 46813 633297 0.04000 0 FORE HOLDING CORPORATION 240 VENTURE CIRCLE NASHVILLE TN 37228 204116122 HOLDING COMPANY TN N/A C 0 DENTAL CHOICE INC 10100 LINN STATION RD 700 LOUISVILLE KY 402233861 611105118 PROVIDE DENTAL SERVICE PLANS KY N/A C 0 DENTAL CHOICE AGENCY INC 10100 LINN STATION RD 700 LOUISVILLE KY 402233861 611336003 PRIMARY GENERAL AGENCY FOR DDKY AND DENTAL CHOICE KY N/A C 0 OMEGA ADMINISTRATORS INC 1513 COUNTRY CLUB ROAD SHERWOOD AR 72120 043740469 PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES AR N/A C 0 THE 4100 GROUP 4100 OKEMOS ROAD OKEMOS MI 48864 472557772 INVESTMENT IN SUBSIDIARIES MI N/A C 0 DEWPOINT INC 300 S WASHINGTON SQUARE LANSING MI 48933 383300595 IT CONSULTING MI N/A C 0 DENTAL CHOICE ANCILLARY INC 10100 LINN STATION RD 700 LOUISVILLE KY 402233861 881391091 PROVIDE DENTAL SERVICE PLANS KY N/A C 0 ANCILLARY CHOICE LIFE INC 10100 LINN STATION RD 700 LOUISVILLE KY 402233861 880574945 INSURANCE KY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA M 458640 ACTUAL COST DELTA DENTAL PLAN OF MICHIGAN INC M 2833510 ACTUAL COST