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 231667011 DELTA DENTAL OF PENNSYLVANIA DELT 7177668500 300 CORPORATE CENTER DR STE600 CAMP HILL PA 17011 ALICIA F WEBER CFO 4159748577 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 901969533 0 X WWW.DELTADENTALINS.COM X 1964 PA TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. 9 7 812 0 0 0 0 0 898236054 888528397 13175911 14006147 -3683431 -565011 907728534 901969533 2449420 2397937 783524378 784256274 52782360 58822169 0 0 0 51321958 49533251 890078116 895009631 17650418 6959902 452498260 468023070 139902109 142137103 312596151 325885967 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. 0 0 880372045 901969533 THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 2,744,576 BENEFICIARIES IN 2024, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS. SERVING 1,919 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $784.3 MILLION FOR DENTAL CARE DURING 2024. 2397937 2397937 THE ORGANIZATION MADE GRANTS DURING 2024 TO FOSTER IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTAL EDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS. 882769982 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 84072 0 1 812 1 0 0 0 0 0 0 0 0 X 9 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 BERGERT GLEN F CPA DIRECTOR 2.00 5.00 X 36333 181167 0 MAHER DEBRA G CHAIR 2.00 2.00 X X 55832 0 0 WENGER PHILIP R VICE CHAIR 2.00 2.00 X X 23833 0 0 BECK JR JOSEPH P DIRECTOR 2.00 0.00 X 36333 0 0 CARTER JR EUGENE F DIRECTOR 2.00 0.00 X 31333 0 0 LITTLE SCOTT Q DDS DIRECTOR 1.00 0.00 X 22333 0 0 BRUNO MICHELLE A DIRECTOR 1.00 0.00 X 19333 0 0 VEIHDEFFER L WILLIAM DMD DIRECTOR 1.00 0.00 X 19333 0 0 KOTCHICK CHRISTOPHER J DMD DIRECTOR 1.00 0.00 X 0 0 0 CHAVARRIA SARAH M CEO AND PRESIDENT 4.00 46.00 X 0 4054523 71468 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 4.00 46.00 X 0 3786474 58791 HANKINSON MICHAEL G EVP CHIEF LEGAL OFFICER 4.00 46.00 X 0 2976704 60109 TITCOMBE DOMINIC S EVP CHIEF INFORMATION OFFICER 4.00 46.00 X 0 2126255 71468 MACGILVRAY JENNIFER A EVP CHIEF QUALITY OFFICER 40.00 10.00 X 955287 0 69992 NAVID MOHAMMADREZA EVP CHIEF RELATIONSHIP AND BDO 4.00 46.00 X 0 1544530 70257 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 4.00 46.00 X 0 961647 61866 SHERMAN BRIAN D EVP CHIEF PEOPLE OFFICER 4.00 46.00 X 0 1309510 66646 SCHROEDER KURT G EVP CHIEF MKTG & COMM OFFICER 4.00 46.00 X 0 1128187 66922 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 40.00 10.00 X 736177 0 62246 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 29.00 21.00 X 654897 0 48744 DAVIS CHRISTOPHER T VP SALES 40.00 10.00 X 540699 0 67099 GRAY ALICIA VICE PRESIDENT BUSINESS QUALITY 40.00 0.00 X 465214 0 66842 COOVER ROBERT D DIRECTOR SALES 40.00 0.00 X 522924 0 64918 WEIS JOHN P DIRECTOR INFRASTRUCTURE & OPERATIONS 40.00 0.00 X 414544 0 68874 MCKEE TIMOTHY SALES ACCOUNT EXECUTIVE 40.00 0.00 X 646817 0 63460 IM VANESSA SENIOR DIR BUSINESS STRATEGY ENABLEMENT 40.00 0.00 X 417326 0 64860 STEWART CHRISTIAN SALES ACCOUNT EXECUTIVE 40.00 0.00 X 490636 0 67242 CASTRO MICHAEL J FORMER CHIEF EXECUTIVE OFFICER 0.00 5.00 X 0 6133398 26198 6089184 24202395 1198002 211 1 1 0 BROADRIDGE OUTPUT SOLUTIONS INC PO BOX 416423 BOSTON MA 02241 BILLING SERVICE AND GRIEVANCE APPEALS 4014202 ELEVATED RESOURCES 3990 WESTERLY PL STE 270 NEWPORT BEACH CA 92603 TEMP SERVICES 787151 NAT'L ELECTRONIC ATTACHMENT INC 3577 PKWY LN 250 PEACHTREE CORNERS GA 30092 ELECTRONIC CLAIMS PROCESSING 608851 EDI HEALTH GROUP 17701 COWAN STREET SUITE 250 IRVINE CA 92614 ELECTRONIC CLAIMS PROCESSING 512250 ARMANINO LLP PO BOX 398285 SAN FRANSISCO CA 94139 AUDIT SERVICES 317367 8 DIRECT PREMIUMS 524114 888528397 888528397 888528397 14006147 14006147 MISC EXPENSES 524114 -1444 -1444 BAD DEBT EXPENSE 524114 -563567 -563567 -565011 901969533 901969533 0 0 2397937 2397937 784256274 784256274 3596937 3352172 244765 30524631 26807783 3716848 6281527 5592339 689188 13908309 12382337 1525972 4510765 4015859 494906 502907 502907 395064 395064 258315 258315 653252 581579 71673 6175383 5497841 677542 1464809 1304095 160714 1928804 1928804 8334918 7420439 914479 858450 764264 94186 191074 170110 20964 47792 47792 1547631 1377830 169801 1312601 1168587 144014 COMMISSIONS 13255776 13255776 COST TRANSFERS 12642752 11255632 1387120 OUTSIDE SERVICES 3019034 2687796 331238 ADMINISTRATIVE EXPENSE 1186020 1055894 130126 -4241331 -4551158 309827 895009631 882769982 12239649 0 1500955 1528845 22335681 23399293 77181542 75183332 5000000 5000000 10074089 9292903 27710782 10745983 12368655 16964799 285414739 290222008 38622599 46431890 452498260 468023070 109302137 109206969 6296038 7972731 24303934 24957403 139902109 142137103 X 0 0 0 0 312596151 325885967 312596151 325885967 452498260 468023070 6959902 6329914 0 X 0 1 X 1 0 1484639 1484639 10231388 6212123 4019265 8821556 882421 7939135 6378857 3131182 3247675 794342 520257 274085 16964799 DELTA DENTAL INSURANCE COMPANY 4885 C SECURITIES 46427005 F 46431890 PAYABLES TO AFFILIATES 12925381 PREFUNDED DEPOSITS 1818406 REFUNDABLE BALANCES 687675 LONG TERM LEASE LIABILITY 9525941 24957403 X 362783670 6329914 6329914 356453756 258315 545257462 545515777 901969533 349493854 0 349493854 258315 545257462 545515777 895009631 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 1 DELTA DENTAL COMMUNITY CARE FOUNDATION 560 MISSION STREET ST 1300 SAN FRANCISCO CA 94105 371570764 501(C)(3) 2230035 0 TO PROVIDE DENTAL EDUCATION AMERICAN ONLINE GIVING FOUNDATION PO BOX 1010 SAFETY HARBOR FL 34695 810739440 501(C)(3) 67669 0 TO PROVIDE DENTAL EDUCATION BETHESDA MISSION WOMEN'S SHELTER 611 REILY ST HARRISBURG PA 17102 231389397 501(C)(3) 15000 0 TO PROVIDE DENTAL EDUCATION PEYTON WALKER FOUNDATION 2929 GETTYSBURG ROAD STE 8 CAMP HILL PA 17011 464655102 501(C)(3) 15000 0 TO PROVIDE DENTAL EDUCATION FOUNDATION FOR ENHANCING COMMUNITIES 200 N THIRD ST 8TH FL HARRISBURG PA 17101 010564355 501(C)(3) 10000 0 TO PROVIDE DENTAL EDUCATION SPECIAL OLYMPICS PENNSYLVANIA 55 MILLER ST ENOLA PA 17025 232078543 501(C)(3) 7500 0 TO PROVIDE DENTAL EDUCATION 6 0 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. X 1 1 0 0 0 0 0 0 0 1 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 409231 0 446195 0 99861 0 36225 0 33767 0 1025279 0 0 0 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 0 379625 0 496484 0 85538 0 36225 0 25641 0 1023513 0 0 CLARKE JAMIE VICE PRESIDENT NETWORK DEVELOPMENT 359933 0 319084 0 57160 0 36225 0 26021 0 798423 0 0 0 MCKEE TIMOTHY SALES ACCOUNT EXECUTIVE 82135 0 556966 0 7716 0 36225 0 27235 0 710277 0 0 0 GRAYBILL RICHARD C VP UNDERWRITING AND ACTUARIAL 284769 0 290520 0 79608 0 36225 0 12519 0 703641 0 0 0 DAVIS CHRISTOPHER T VP SALES 275739 0 229910 0 35050 0 36225 0 30874 0 607798 0 0 0 COOVER ROBERT D DIRECTOR SALES 202467 0 253488 0 66969 0 36225 0 28693 0 587842 0 0 0 STEWART CHRISTIAN SALES ACCOUNT EXECUTIVE 95443 0 386562 0 8631 0 36225 0 31017 0 557878 0 0 0 GRAY ALICIA VICE PRESIDENT BUSINESS QUALITY 252000 0 162683 0 50531 0 36225 0 30617 0 532056 0 0 0 WEIS JOHN P DIRECTOR INFRASTRUCTURE & OPERATIONS 230244 0 146480 0 37820 0 36225 0 32649 0 483418 0 0 0 IM VANESSA SENIOR DIR BUSINESS STRATEGY ENABLEM 250302 0 148443 0 18581 0 36225 0 28635 0 482186 0 0 0 BERGERT GLEN F CPA DIRECTOR 36333 181167 0 0 0 0 0 0 0 0 36333 181167 0 0 PART I, LINE 1A FINANCIAL AND TAX PLANNING EXPENSES ARE REIMBURSED TO EMPLOYEES AT THE DIRECTOR OR ABOVE LEVELS OF MANAGEMENT. A COMPANY POLICY OUTLINES THE MAXIMUM REIMBURSEMENT ALLOWED FOR EACH MANAGEMENT LEVEL. SEVEN COMPANY EXECUTIVES RECEIVED REIMBURSEMENTS FOR FINANCIAL AND TAX PLANNING EXPENSES IN 2024. 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 2024 COMPENSATION. 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 PENNSYLVANIA 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): SOME OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON ROW (II). CHRISTOPHER J KOTCHICK DDS PARTICIPATING PROVIDER 296186 DENTAL CLAIM PAYMENTS 0 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 FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. 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 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 PENNSYLVANIA INSURANCE DEPARTMENT, 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 APPROXIMATELY 8% OF TOTAL ENTERPRISE REVENUES. 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 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 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 DELTA DENTAL INSURANCE COMPANY 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 942761537 INSURANCE COMPANY DE DDC INSURANCE HOLDINGS INC C 0.00120 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 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 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 DELTA DENTAL OF CALIFORNIA L 11034533 DELTA DENTAL OF CALIFORNIA M 33051931 DELTA DENTAL OF CALIFORNIA P 21163111 DELTA DENTAL OF CALIFORNIA Q 1729809 DELTA DENTAL OF DELAWARE L 8097781 DELTA DENTAL OF DELAWARE Q 67058 DELTA DENTAL OF DISTRICT OF COLUMBIA L 2084125 DELTA DENTAL OF DISTRICT OF COLUMBIA Q 20016 DELTA DENTAL OF NEW YORK L 43204073 DELTA DENTAL OF NEW YORK P 533063 DELTA DENTAL OF NEW YORK Q 752312 DELTA DENTAL OF WEST VIRGINIA L 1355224 DELTA DENTAL OF WEST VIRGINIA Q 24347 DELTA DENTAL INSURANCE COMPANY L 6478000 DELTA DENTAL INSURANCE COMPANY M 15672186 DELTA DENTAL INSURANCE COMPANY P 49059 DELTA DENTAL INSURANCE COMPANY Q 706366 DENTEGRA INSURANCE COMPANY P 365931 ALLIED ADMINISTRATORS INC M 4486707 DELTA DENTAL COMMUNITY CARE FOUNDATION B 2230035 ALPHA DENTAL PROGRAMS INC Q 17330 ALPHA DENTAL OF NEVADA INC Q 5987 ALPHA DENTAL OF ALABAMA INC Q 711 ALPHA DENTAL OF NEW MEXICO INC Q 911 ALPHA DENTAL OF UTAH INC Q 584