2024-11-07T07:06:12-06:00 2023-12-31 341851358 CBIZ ADVISORS LLC 530 HOWELL ROAD SUITE 209 GREENVILLE SC 29615 990 2023-01-01 111980218 DELTA DENTAL OF NEW YORK INC DELT 7177668500 300 CORPORATE CENTER DR STE600 CAMP HILL PA 17011 ALICIA F WEBER CFO 4159748577 2024-11-06 1 0 KELLIE A LANFORD P00538614 8642412001 2023 2024-10-15 13:58:12Z ALICIA F WEBER 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 818884508 0 X WWW.DELTADENTALINS.COM X 1960 NY TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 7 7 26 0 0 0 0 0 747013665 781707164 4498020 8611352 -1243711 -653457 750267974 789665059 1618288 2388179 665166633 699637227 5749240 5019210 0 0 0 57892141 57900371 730426302 764944987 19841672 24720072 232486380 256381782 82068278 81350017 150418102 175031765 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 0 0 757012789 789665059 THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 2,123,756 BENEFICIARIES IN 2023, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 2,288 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $699.6 MILLION FOR DENTAL CARE DURING 2023. 2388179 2388179 THE ORGANIZATION MADE GRANTS DURING 2023 TO FOSTER IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTAL EDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS. 759400968 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 88849 0 1 26 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X ALICIA F WEBER CFO 4159748577 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 X CASTRO MICHAEL J CHIEF EXECUTIVE OFFICER 3.00 47.00 X 0 6909365 262132 JACKSON KEVIN L EVP/CHIEF GROWTH OFFICER 0.00 X 0 4160020 16795 CHAVARRIA SARAH M PRESIDENT 3.00 47.00 X 0 3084552 66709 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 3.00 47.00 X 0 2737332 74060 HANKINSON MICHAEL G EVP CHIEF LEGAL OFFICER 3.00 47.00 X 0 2237025 55810 TITCOMBE DOMINIC EVP/CHIEF INFORMATION OFFICER 3.00 47.00 X 0 1918394 66709 MACGILVRAY JENNIFER SENIOR VICE PRESIDENT QUALITY CARE AND CLAIMS 3.00 47.00 X 0 692106 64823 KUELZOW DANIEL P SALES ACCOUNT EXECUTIVE 40.00 X 618850 0 60325 GANNON BRIAN DIRECTOR SALES 40.00 X 603084 0 63196 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 3.00 47.00 X 0 591677 58075 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 3.00 47.00 X 0 562132 45704 SEWARD ROBERT C SALES ACCOUNT EXECUTIVE 40.00 X 408029 0 61377 DAVIS CHRISTOPHER T VICE PRESIDENT SALES 3.00 47.00 X 0 389200 62231 CEMBROLA MICHAEL VP SALES 3.00 47.00 X 0 422548 14665 DILIBERTO LISA A DIRECTOR ACCOUNT SERVICES 40.00 X 346136 0 39382 WHITLEY TEENA RENEE ACCOUNT MANAGER 40.00 X 165362 0 37360 FOSTER JEANNE M VP FINANCE 0.00 X 0 192219 0 METZ LYNETTE A CHAIR 2.00 X X 19200 0 0 MAZZA STACY DIRECTOR 1.00 X 7395 0 0 MCCARTIN THOMAS J DIRECTOR 1.00 X 7395 0 0 LEVINE ANDREW S DDS DIRECTOR 1.00 X 7395 0 0 KARALEKAS GEORGE S DIRECTOR 1.00 X X 6561 0 0 HALTON THOMAS M DMD DIRECTOR 1.00 X 6000 0 0 SPENCER JAMES E DDS DIRECTOR 1.00 X 3000 0 0 2198407 23896570 1049353 21 1 1 0 0 DIRECT PREMIUMS 524114 781707164 781707164 781707164 7531428 7531428 30299373 29219449 1079924 1079924 1079924 MISCELLANEOUS INCOME 524114 -251433 -251433 OTHER REVENUE 524114 -402024 -402024 -653457 789665059 789665059 0 0 2388179 2388179 699637227 699637227 56946 56946 4257269 3834848 422421 354100 318834 35266 99345 89451 9894 251550 226497 25053 150554 150554 99220 99220 127819 127819 346574 312058 34516 762246 686332 75914 19296 17374 1922 2007526 2007526 223096 200877 22219 311149 280161 30988 1522 1370 152 8763 8763 53411 48092 5319 ADMINISTRATIVE FEES 44062966 39674614 4388352 BROKER FEES 9149240 9149240 OUTSIDE SERVICES 926744 834447 92297 -349755 -314922 -34833 764944987 759400968 5544019 0 100048 5606311 35063095 52756395 55654068 1594144 1504574 161914716 164059997 10614814 0 232486380 256381782 53450282 61971417 3340816 3076034 25277180 16302566 82068278 81350017 X 0 0 0 0 150418102 175031765 150418102 175031765 232486380 256381782 X 24720072 -106409 X 0 1 X 1 0 0 PREFUNDED DEPOSITS 665739 PAYABLES TO AFFILIATES 8428307 REFUNDABLE BALANCES 6167613 LONG TERM LEASE LIABILITY 1040907 16302566 X 246385671 0 246385671 127819 543151569 543279388 789665059 221665599 0 221665599 127819 543151569 543279388 764944987 PART X, LINE 2: THE COMPANY IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND, AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. CURRENT ACCOUNTING GUIDANCE CLARIFIES HOW UNCERTAINTIES IN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. POSITIONS INCLUDE THOSE WITH RESPECT TO THE COMPANY'S TAX EXEMPT STATUS AND WITH RESPECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE COMPANY HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN UNCERTAINTIES REQUIRING RECOGNITION. PART XI, LINE 4B - OTHER ADJUSTMENTS: ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE PART XII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS ACCRUED FOR ADMINISTRATIVE SERVICE CONTRACTS PART X, LINE 1, (4) REFUNDABLE BALANCES: ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED A NOVEL STRAIN OF CORONAVIRUS (COVID-19) AS A GLOBAL PANDEMIC. THE COVID-19 OUTBREAK HAS CAUSED BUSINESS DISRUPTION THROUGH MANDATED AND VOLUNTARY CLOSINGS OF BUSINESSES AND SHELTER IN PLACE ORDERS. THESE DISRUPTIONS IMPACTED THE ORGANIZATION'S CUSTOMERS' ABILITY TO OBTAIN DENTAL SERVICES. THE ORGANIZATION HAS TAKEN A POSITION AND COMMITTED TO ITS CUSTOMERS, PROVIDERS, AND REGULATORS TO NOT EXCESSIVELY PROFIT FROM THE PANDEMIC. TO THIS END, IN 2020, THE ORGANIZATION ESTABLISHED ESTIMATED RESERVES REPRESENTING EXCESS UNDERWRITING GAINS IN THE AMOUNT OF $22.8 MILLION. DURING 2021 THROUGH 2023, RESERVE AMOUNTS WERE USED TO SUPPORT CUSTOMERS THROUGH ONGOING PAYMENT RELIEF AND OTHER PROGRAMS. ALL RESERVES HAVE BEEN EXAUSTED AS OF DECEMBER 31, 2023. IN ADDITION, CERTAIN CONTRACTS PROVIDE THAT PREMIUMS RECEIVED IN EXCESS OF CLAIMS INCURRED AND ADMINISTRATIVE FEES ARE EITHER REFUNDABLE TO THE GROUPS AT THE EXPIRATION OF THE AGREEMENTS OR APPLIED AGAINST FUTURE PREMIUM PAYMENTS. 1 DELTA DENTAL COMMUNITY CARE FOUNDATION 560 MISSION ST STE 1300 SAN FRANCISCO CA 94105 371570764 501(C)(3) 2379137 0 TO PROVIDE DENTAL EDUCATION 1 PART I, LINE 2: THE ORGANIZATION AWARDS GRANTS AND PROVIDES OTHER ASSISTANCE THROUGH CONTRIBUTIONS AND/OR SPONSORSHIPS FOR PROGRAMS THAT FOSTER DENTAL HEALTH AND EDUCATION, AS WELL AS COMMUNITY SUPPORT. THROUGH THESE GRANTS, CONTRIBUTIONS AND SPONSORSHIPS, THE ORGANIZATION HELPS FINANCE HEALTH, EDUCATION, AND RESEARCH PROJECTS IN DENTISTRY, HEALTH AND HUMAN SERVICES, AND CIVIC AND/OR COMMUNITY ACTIVITIES. INDIVIDUAL GRANTS, CONTRIBUTIONS AND/OR SPONSORSHIPS WILL GENERALLY NOT EXCEED $100,000 WITH EXCEPTION OF THE CONTRIBUTION MADE TO THE DELTA DENTAL COMMUNITY CARE FOUNDATION. GRANTS WILL BE LIMITED TO ONE-YEAR PROJECTS, SUBJECT TO RENEWAL. EXCEPT IN SPECIAL CASES, AN ORGANIZATION/ENTITY WILL NOT BE ELIGIBLE FOR MORE THAN ONE GRANT DURING ANY YEAR. 1 1 0 0 0 0 0 0 1 0 CASTRO MICHAEL J CHIEF EXECUTIVE OFFICER 0 1423077 0 5037406 0 448882 0 230073 0 32059 0 7171497 0 0 JACKSON KEVIN L EVP/CHIEF GROWTH OFFICER 0 0 0 2161459 0 1998561 0 16795 0 0 0 4176815 0 0 CHAVARRIA SARAH M PRESIDENT 0 875000 0 2191210 0 18342 0 34650 0 32059 0 3151261 0 0 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 0 848558 0 1821731 0 67043 0 57050 0 17010 0 2811392 0 0 HANKINSON MICHAEL G EVP CHIEF LEGAL OFFICER 0 674039 0 1494755 0 68231 0 34650 0 21160 0 2292835 0 0 TITCOMBE DOMINIC EVP/CHIEF INFORMATION OFFICER 0 589231 0 1296017 0 33146 0 34650 0 32059 0 1985103 0 0 MACGILVRAY JENNIFER SENIOR VICE PRESIDENT QUALITY CARE A 0 369615 0 308742 0 13749 0 34650 0 30173 0 756929 0 0 KUELZOW DANIEL P SALES ACCOUNT EXECUTIVE 105150 0 507319 0 6381 0 34650 0 25675 0 679175 0 0 0 GANNON BRIAN DIRECTOR SALES 169987 0 427431 0 5666 0 34650 0 28546 0 666280 0 0 0 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 0 337643 0 249813 0 4221 0 34650 0 23425 0 649752 0 0 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 0 272775 0 278483 0 10874 0 34650 0 11054 0 607836 0 0 SEWARD ROBERT C SALES ACCOUNT EXECUTIVE 87921 0 311143 0 8965 0 34650 0 26727 0 469406 0 0 0 DAVIS CHRISTOPHER T VICE PRESIDENT SALES 0 254480 0 128988 0 5732 0 33939 0 28292 0 451431 0 0 CEMBROLA MICHAEL VP SALES 0 70391 0 313571 0 38586 0 8296 0 6369 0 437213 0 0 DILIBERTO LISA A DIRECTOR ACCOUNT SERVICES 188304 0 134562 0 23270 0 29397 0 9985 0 385518 0 0 0 WHITLEY TEENA RENEE ACCOUNT MANAGER 129404 0 27250 0 8708 0 16449 0 20911 0 202722 0 0 0 FOSTER JEANNE M VP FINANCE 0 0 0 192219 0 0 0 0 0 0 0 192219 0 0 PART I, LINE 3 COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2023 COMPENSATION. PART I, LINE 4A DURING 2023, ONE EXECUTIVE, KEVIN L. JACKSON RECEIVED A SEVERANCE PAYMENT UPON SEPARATION FROM THE ORGANIZATION. THIS PAYMENT IS INCLUDED ON SCHEDULE J AND REPORTED IN PART II, COLUMN (B)(III). PART I, LINE 7: THE CEO OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. DELTA DENTAL OF NEW YORK MAINTAINS A LONG-TERM INCENTIVE PLAN (LTIP) FOR ELIGIBLE EMPLOYEES OF THE ORGANIZATION, LINKING COMPENSATION TO THE COMPANY'S PERFORMANCE. USING SUCCESS METRICS SUCH AS REVENUES, NET GAIN AS A PERCENTAGE OF REVENUES, AND OTHERS, ALLOWS THE COMPANY TO ACCURATELY MEASURE ITS GROWTH, INFORM ON PROGRESS OF ITS BUSINESS TRANSFORMATION, AND EMPOWER CONTINUED SUCCESS. THE LTIP IS UNFUNDED AND ALL PAYMENTS FROM THE LTIP ARE DERIVED FROM THE GAINS OF THE COMPANY. AS SUCH, THERE IS NO GUARANTEE OF INCENTIVE PAYMENTS UNDER THE LTIP. THE CEO MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR ITS REVIEW AND APPROVAL REGARDING THE PERFORMANCE OBJECTIVES, BOTH FINANCIAL AND NON-FINANCIAL, UPON WHICH PAYMENT OF AWARDS ARE BASED AND THE TIME PERIOD DURING WHICH PERFORMANCE SHALL BE MEASURED. EACH LTIP PLAN SPANS THREE YEARS, OVERLAPPING WITH CURRENT PLANS. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. PART II, ROW (II): THE MAJORITY OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON ROW (II). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERS, DESIGNATED CORPORATE MEMBERS, WHO ARE DIRECTORS OF DENTEGRA GROUP, INC., THE ORGANIZATION'S PARENT HOLDING COMPANY. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S DIRECTORS VOTE ON PERSONS NOMINATED AS DIRECTORS FOR ENDORSEMENT TO THE CORPORATE MEMBERS, WHO ELECT THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS MUST APPROVE ANY CHANGES TO SPECIFIED BYLAWS PROVISIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO AND LEGAL COUNSEL OVERSEE THE COMPLETION OF THE FORM 990 AND, PRIOR TO FILING, REVIEW IT WITH THE PRESIDENT/CEO AND WITH THE DELTA DENTAL OF PENNSYLVANIA FINANCE COMMITTEE, TO WHICH SUCH DUTIES HAVE BEEN DELEGATED. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND BETWEEN ANNUAL STATEMENTS IS REQUIRED TO DISCLOSE ANY NEW POSITION OR RELATIONSHIP FORMED THAT POTENTIALLY RAISES A CONFLICT OF INTEREST. LEGAL COUNSEL REVIEWS THESE DISCLOSURES AND REPORTS THE INFORMATION TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2023 COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENT AVAILABLE TO PERSONS OR ENTITIES KNOWN TO HAVE AN INTEREST IN THE ORGANIZATION. STATUTORY FINANCIAL STATEMENTS ARE INCLUDED IN QUARTERLY AND ANNUAL RETURNS TO STATE DEPARTMENTS OF INSURANCE REGULATING THE ORGANIZATION WHICH RETURNS ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. PART VII, SCHEDULE J; SCHEDULE R THE ORGANIZATION, REGULATED BY THE NEW YORK DEPARTMENT OF FINANCIAL SERVICES, IS A MEMBER OF THE DELTA DENTAL OF CALIFORNIA ENTERPRISE COMPANIES, WHICH INCLUDE DELTA DENTAL OF CALIFORNIA, DELTA DENTAL OF PENNSYLVANIA AND AFFILIATED COMPANIES OPERATING IN 15 STATES, THE DISTRICT OF COLUMBIA, PUERTO RICO AND THE U.S. VIRGIN ISLANDS. THE ENTERPRISE COMPANIES COMPRISE ONE OF THE NATION'S LARGEST DENTAL BENEFITS DELIVERY SYSTEMS COVERING 40.6 MILLION ENROLLEES AND PROCESSING 60 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $10.5 BILLION IN 2023. THE ORGANIZATION REPRESENTS APPROXIMATELY 8% OF TOTAL ENTERPRISE REVENUES. FORM 990, PART XI, LINE 9: ADOPTION OF NEW ACCOUNTING STANDARD -106,409. DELTA DENTAL COMMUNITY CARE FOUNDATION - 560 MISSION ST STE 1300 SAN FRANCISCO CA 94105 371570764 CHARITABLE ORGANIZATION CA 501(C)(3) DENTEGRA GROUP INC 0 DELTA DENTAL OF PENNSYLVANIA 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 231667011 DENTAL INSURANCE PA 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL OF DELAWARE INC 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 510228088 DENTAL INSURANCE DE 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL OF WEST VIRGINIA INC 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 550523124 DENTAL INSURANCE WV 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL OF CALIFORNIA 560 MISSION ST STE 1300 SAN FRANCISCO CA 94105 941461312 DENTAL INSURANCE CA 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL OF DISTRICT OF COLUMBIA 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 521479587 DENTAL INSURANCE DC 501(C)(4) DENTEGRA GROUP INC 0 DENTEGRA GROUP INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 943386049 HOLDING COMPANY DE N/A C 0 DENTEGRA INSURANCE COMPANY 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 751233841 INSURANCE COMPANY DE DDC INSURANCE HOLDINGS INC C 0 DENTEGRA INSURANCE COMP OF NEW ENGLAND 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 300318743 INSURANCE COMPANY MA DDC INSURANCE HOLDINGS INC C 0 DELTA DENTAL INSURANCE COMPANY 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 942761537 INSURANCE COMPANY DE DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL OF NEVADA INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 880244893 INSURANCE COMPANY NV DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL OF UTAH INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 860672505 INSURANCE COMPANY UT DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL PROGRAMS INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 742447512 INSURANCE COMPANY TX DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL OF ALABAMA INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 630796079 INSURANCE COMPANY AL DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL OF NEW MEXICO INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 330279230 INSURANCE COMPANY NM DDC INSURANCE HOLDINGS INC C 0 ALPHA DENTAL OF ARIZONA INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 930939835 INSURANCE COMPANY AZ DDC INSURANCE HOLDINGS INC C 0 DENTEGRA SEGURO DENTALES SA INSURGENTES SUR 826 PISO 15 COL DEL VALLE FC DF 01300 MX INSURANCE COMPANY MX DENTEGRA INSURANCE COMPANY C 0 DELTA DENTAL OF PUERTO RICO 14 CALLE 2 SUITE 200 GUAYNABO RQ 00968 660436769 INSURANCE COMPANY RQ DELTA DENTAL OF CALIFORNIA C 0 DDC INSURANCE HOLDINGS INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 274251930 HOLDING COMPANY DE DELTA DENTAL OF CALIFORNIA C 0 ALLIED ADMINISTRATORS INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 941713371 THIRD PARTY ADMIN SERVICES CA DDC INSURANCE HOLDINGS INC C 0 DELTA DENTAL IPA OF NEW YORK 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 384063658 INDEPENDENT PRACTICE ASSOCIATION NY DDC INSURANCE HOLDINGS INC C 0 ORAL HEALTH INNOVATION CENTER INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 920778836 INACTIVE DE DDC INSURANCE HOLDINGS INC C 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 DELTA DENTAL INSURANCE COMPANY L 101846 DELTA DENTAL INSURANCE COMPANY P 41016 DELTA DENTAL INSURANCE COMPANY Q 203801 DELTA DENTAL INSURANCE COMPANY R 7778 DELTA DENTAL OF CALIFORNIA M 649300 DELTA DENTAL OF CALIFORNIA P 1014610 DELTA DENTAL OF PENNSYLVANIA M 41757178 DELTA DENTAL OF PENNSYLVANIA P 480292 DELTA DENTAL OF PENNSYLVANIA Q 644747 DENTEGRA INSURANCE COMPANY P 213243 ALLIED ADMINISTRATORS INC M 1273134 DELTA DENTAL COMMUNITY CARE FOUNDATION B 2379137