2025-11-04T15:03:46-06:00 2024-12-31 341851358 CBIZ ADVISORS LLC 530 HOWELL ROAD SUITE 209 GREENVILLE SC 29615 990 2024-01-01 510228088 DELTA DENTAL OF DELAWARE INC DELT 7177668500 300 CORPORATE CENTER DR STE600 CAMP HILL PA 17011 ALICIA F WEBER CFO 7177668500 2025-10-30 1 1 KELLIE A LANFORD P00538614 8642412001 2024 2025-03-06 01:10:19Z ALICIA F WEBER 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 101844888 0 X WWW.DELTADENTALINS.COM X 1987 DE TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 4 0 0 0 0 0 0 0 91968055 101179473 679353 636047 -70112 29368 92577296 101844888 0 0 83086739 92837889 0 0 0 0 0 8587949 9395955 91674688 102233844 902608 -388956 24295597 23835332 12413300 12341991 11882297 11493341 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 0 0 101083854 101844888 THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 249,061 BENEFICIARIES IN 2024, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS. SERVING 70 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $92.8 MILLION FOR DENTAL CARE DURING 2024. 101083854 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 13681 0 1 0 0 0 0 0 0 0 0 0 X 4 0 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 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 1.00 49.00 X X 0 3786474 58791 CHAVARRIA SARAH M CEO AND PRESIDENT 1.00 49.00 X X 0 4054523 71468 HANKINSON MICHAEL G EVP CHIEF LEGAL OFFICER 1.00 49.00 X X 0 2976704 60109 TITCOMBE DOMINIC S EVP CHIEF INFORMATION OFFICER 1.00 49.00 X X 0 2126255 71468 MACGILVRAY JENNIFER A EVP CHIEF QUALITY OFFICER 1.00 49.00 X 0 955287 69992 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 1.00 49.00 X 0 961647 61866 SHERMAN BRIAN D EVP CHIEF PEOPLE OFFICER 1.00 49.00 X 0 1309510 66646 SCHROEDER KURT G EVP CHIEF MKTG & COMM OFFICER 1.00 49.00 X 0 1128187 66922 NAVID MOHAMMADREZA EVP CHIEF RELATIONSHIP AND BDO 1.00 49.00 X 0 1544530 70257 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 1.00 49.00 X 0 654897 48744 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 1.00 49.00 X 0 736177 62246 DAVIS CHRISTOPHER T VICE PRESIDENT SALES 1.00 49.00 X 0 540699 67099 GRAY ALICIA VICE PRESIDENT BUSINESS QUALITY 1.00 49.00 X 0 465214 66842 CASTRO MICHAEL J FORMER CHIEF EXECUTIVE OFFICER 0.00 5.00 X 0 6133398 26198 SHEETZ MARTY A FORMER DIRECTOR 0.00 0.00 X 0 871410 54613 FOSTER JEANNE M FORMER VP FINANCE/FORMER DIRECTOR 0.00 0.00 X 0 76545 0 0 28321457 923261 0 1 1 0 0 DIRECT PREMIUMS 524114 101179473 101179473 101179473 636047 636047 BAD DEBT EXPENSE 524114 26747 26747 MISC EXPENSE 524114 2621 2621 29368 101844888 101844888 0 0 92837889 92837889 161694 161694 73188 73188 588 588 60010 53426 6584 3880 3454 426 260005 260005 50713 50713 ADMINISTRATIVE FEES 8097781 7209320 888461 BROKER FEES 514476 514476 OUTSIDE SERVICES 134540 119779 14761 39080 34792 4288 102233844 101083854 1149990 0 5212824 4473071 6573517 7831916 12509256 11530345 24295597 23835332 6202050 6163301 329297 409118 5881953 5769572 12413300 12341991 X 0 0 0 0 11882297 11493341 11882297 11493341 24295597 23835332 -388956 0 X 0 1 X 1 0 0 PAYABLES TO AFFILIATES 697743 GROUP PREFUND DEPOSITS 71829 INTERCOMPANY NOTE PAYABLE 5000000 5769572 X 43675242 0 43675242 589 58169057 58169646 101844888 44064198 0 44064198 589 58169057 58169646 102233844 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 FINANCIAL STATEMENT 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 0 0 0 0 0 0 0 0 0 CASTRO MICHAEL J FORMER CHIEF EXECUTIVE OFFICER 0 251167 0 5461535 0 420696 0 26198 0 0 0 6159596 0 0 CHAVARRIA SARAH M CEO AND PRESIDENT 0 1291827 0 2431185 0 331511 0 36225 0 35243 0 4125991 0 0 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 0 900019 0 2598783 0 287672 0 36225 0 22566 0 3845265 0 0 HANKINSON MICHAEL G EVP CHIEF LEGAL OFFICER 0 701481 0 2080736 0 194487 0 36225 0 23884 0 3036813 0 0 TITCOMBE DOMINIC S EVP CHIEF INFORMATION OFFICER 0 624719 0 1382188 0 119348 0 36225 0 35243 0 2197723 0 0 NAVID MOHAMMADREZA EVP CHIEF RELATIONSHIP AND BDO 0 539615 0 844100 0 160815 0 36225 0 34032 0 1614787 0 0 SHERMAN BRIAN D EVP CHIEF PEOPLE OFFICER 0 539663 0 672354 0 97493 0 36225 0 30421 0 1376156 0 0 SCHROEDER KURT G EVP CHIEF MKTG & COMM OFFICER 0 474135 0 565840 0 88212 0 36225 0 30697 0 1195109 0 0 MACGILVRAY JENNIFER A EVP CHIEF QUALITY OFFICER 0 409231 0 446195 0 99861 0 36225 0 33767 0 1025279 0 0 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 0 379625 0 496484 0 85538 0 36225 0 25641 0 1023513 0 0 SHEETZ MARTY A FORMER DIRECTOR 0 340214 0 455109 0 76087 0 36225 0 18388 0 926023 0 0 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 0 359933 0 319084 0 57160 0 36225 0 26021 0 798423 0 0 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 0 284769 0 290520 0 79608 0 36225 0 12519 0 703641 0 0 DAVIS CHRISTOPHER T VICE PRESIDENT SALES 0 275739 0 229910 0 35050 0 36225 0 30874 0 607798 0 0 GRAY ALICIA VICE PRESIDENT BUSINESS QUALITY 0 252000 0 162683 0 50531 0 36225 0 30617 0 532056 0 0 FOSTER JEANNE M FORMER VP FINANCE/FORMER DIRECTOR 0 0 0 76545 0 0 0 0 0 0 0 76545 0 0 PART I, LINE 3 COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE RELATED 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 RELATED 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 2024 COMPENSATION. PART II, ROW (II): SOME 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/CFO 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 RELATED 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 RELATED 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 2024 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. FORM 990, PART VII; SCHEDULE J; SCHEDULE R THE ORGANIZATION, REGULATED BY THE DELAWARE DEPARTMENT OF INSURANCE, 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 THE NATION'S LARGEST DENTAL BENEFITS DELIVERY SYSTEMS COVERING 27.1 MILLION ENROLLEES AND PROCESSING 54 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $10.8 BILLION IN 2024. THE ORGANIZATION REPRESENTS LESS THAN 1% OF TOTAL ENTERPRISE REVENUES. 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 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 THE DISTRICT OF COLUMBIA 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 521479587 DENTAL INSURANCE DC 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL COMMUNITY CARE FOUNDATION 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 371570764 CHARITABLE ORGANIZATION CA 501(C)(3) PF DENTEGRA GROUP INC 0 DELTA DENTAL OF CALIFORNIA 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 941461312 DENTAL INSURANCE CA 501(C)(4) DENTEGRA GROUP INC 0 DELTA DENTAL OF NEW YORK 300 CORPORATE CENTER DR STE 600 CAMP HILL PA 17011 111980218 DENTAL INSURANCE NY 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 CO 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 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 INC 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 384063658 INDEPENDENT PRACTICE ASSOCIATION NY DDC INSURANCE HOLDINGS INC C 0 EMERGE INC (FKA ORAL HEALTH INNOVATION CENTER INC) 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 920778836 ADMINISTRATIVE AND NON-CLINICAL MANAGEMENT SERVICES DE DDC INSURANCE HOLDINGS INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 DELTA DENTAL OF CALIFORNIA P 47738 DELTA DENTAL INSURANCE COMPANY P 1293 DELTA DENTAL OF PENNSYLVANIA P 67058 DENTEGRA INSURANCE COMPANY P 10926 DELTA DENTAL OF PENNSYLVANIA M 8097781 ALLIED ADMINISTRATORS INC M 104051