2025-11-13T16:50:16+00:00 2024-12-31 331498605 Plante & Moran PLLC 1111 MICHIGAN AVE SUITE 100 EAST LANSING MI 48823 990 2024-01-01 310685339 Delta Dental Plan of Ohio Inc DELT 5173496000 PO BOX 30416 LANSING MI 489097916 GORAN JURKOVIC CPA PRESIDENT & CEO 2025-11-13 true true DAVID LOWENTHAL CPA P00378651 5173326200 2025-11-07 2024 2025-03-06 01:10:19Z GORAN JURKOVIC PO BOX 30416 LANSING MI 489097916 515944598 false X WWW.DELTADENTALOH.COM X 1960 OH DELTA DENTAL OF OHIO'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. 6 5 0 0 2340282 0 0 373293049 409879938 8426993 16334927 13803 5699 381733845 426220564 892240 767192 0 0 323500 292165 0 0 0 376776434 411177456 377992174 412236813 3741671 13983751 346751438 371180107 37912789 33868112 308838649 337311995 DELTA DENTAL OF OHIO'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. DELTA DENTAL OF OHIO IS GOVERNED BY A BOARD OF DIRECTORS CONTROLLED BY INDEPENDENT MEMBERS OF THE COMMUNITY AND IT OFFERS ENROLLMENT IN ORAL HEALTH PLANS TO A BROAD BASE OF THE COMMUNITY THROUGH A VARIETY OF PAYMENT MODELS. false false 388799759 767192 407545355 Promoting Dental Care Delta Dental Plan of Ohio, Inc. is a leading 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 $340 million for dental care, by providing dental benefits for the public and advancing the science of dentistry. In addition, over 5.3 million claims were processed for over 2.9 million members. Cost Saving Strategies Delta Dental benefit plans are committed to saving groups and subscribers money. The Delta Difference is an integration of activities; such as cost management policies, fee reduction agreements with dentists, and an anti-fraud hotline, all of which ensure quality, cost-effective dental benefit delivery. Commitment to the Community Delta Dental Plan of Ohio, Inc. believes advances in dental research and enhanced educational opportunities for dentists go a long way toward improving oral health. The company is a key player in groundbreaking research on trends in oral health in the insured population. The Delta Dental Fund, the company's philanthropic affiliate, encourages advances in dentistry and supports dental education and research. The Delta Dental Fund's total grants have now exceeded $68 million since its inception. This funding has improved oral and overall health and health equity, helped students achieve their goals, and improved the well-being of millions of children and adults in Michigan, Ohio, Indiana and North Carolina. Empowered people and communities are critical to making creative solutions to systemic challenges possible-and that means supporting work by and for the communities being served. The DDF is committed to continuing and establishing strong two-way relationships with the people and organizations aligned with its aims. In 2024, the DDF committed nearly $6.1 million in grants, scholarships, and educational resources, impacting more than 4.3 million lives in Michigan, Ohio, Indiana North Carolina and beyond. More than 354,000 educational brochures, flyers and posters, along with 351 miles of floss and 282,554 toothbrushes were donated to nonprofit organizations to disseminate in their communities. Delta Dental Plan of Ohio is also committed to building healthy, smart, vibrant communities. Delta Dental has always been keenly aware of its civic and social responsibility. Delta Dental Plans are proud to share, through direct financial contributions, with hundreds of community agencies and groups. In addition, employees log countless hours of their own time as volunteers. Community support generally falls under the broad categories that provide support to agencies and institutions serving children, seniors, low-income individuals, minorities, and the disabled and at-risk individuals, to organizations that promote education, arts and recreation and community development, and to charitable projects or programs recommended by employees, customers, participating dentists and other key groups. We continued our role as strong advocates for sound oral health policy at the state and federal levels. 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. 388799759 false false false false false false false false false false true true false false true false false true false false false false false false false false false true false true false false false false false false false true false false false false false false false true true true false false true 61169 0 true 0 true true false false false false false false false X 6 5 false false false false true true true true true false false false true true true true true true false false true true X AMY BASEL CHIEF FINANCIAL OFFICER 5173496000 4100 OKEMOS ROAD OKEMOS MI 48864 CAROLE SIMONETTI-WATKINS CHAIR 5.0 6.0 X X 45996 25996 0 FRANK BUZAKI JR CHAIR - PART YEAR 5.0 5.0 X X 6169 14581 23000 POE A TIMMONS CPA VICE CHAIR 5.0 10.0 X X 42000 47089 0 CANISE Y WRIGHT BEAN DMD DIRECTOR 5.0 0.0 X 42000 0 0 CHRISTOPHER T FISHER DIRECTOR 5.0 10.0 X 42000 125004 0 MARK E BRONSON DDS DIRECTOR 5.0 0.0 X 24500 0 0 MICHAEL S STULL DIRECTOR 5.0 0.0 X 42000 0 0 TIMOTHY E MOFFIT DBA DIRECTOR - PART YEAR 5.0 0.0 X 24500 0 0 AMY L BASEL CPA EVP/CFO & CRO/TREASURER 5.0 45.0 X 0 2481908 688090 ANTHONY D ROBINSON EVP, CMO & CRO 5.0 45.0 X 0 2839357 788064 GORAN M JURKOVIC CPA PRESIDENT & CEO 10.0 40.0 X 0 9457582 2715780 JEFFREY W JOHNSTON DDS MS SVP & CHIEF SCIENCE OFFICER 5.0 45.0 X 0 517662 119099 SUE ELLEN JENKINS EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY 5.0 45.0 X 0 2838668 452377 269165 18347847 4786410 0 false true false USI INSURANCE SERVICES LLC 1 HILLCREST DR CHARLESTON WV 25311 COMMISSIONS 812508 GALLAGHER BENEFIT SERVICES INC 2081 VISTA PARKWAY SUITE 300 WEST PALM BEACH FL 33411 COMMISSIONS 695672 ALLIANT INSURANCE SERVICES INC 1733 W LANE AVE COLUMBUS OH 43221 COMMISSIONS 545966 HORAN ASSOCIATES INC 40 N MAIN ST DAYTON OH 45423 COMMISSIONS 541888 MCGOHAN-BRABENDER AGENCY INC 3931 SOUTH DIXIE DRIVE DAYTON OH 45439 COMMISSIONS 530139 29 0 DENTAL CARE REVENUE 624100 407539656 407539656 VISION CARE REVENUE 524298 2340282 2340282 0 0 0 0 409879938 9693089 9693089 0 0 96365872 89724034 6641838 0 6641838 6641838 MISCELLANEOUS INCOME 561000 3849 3849 PRINTING SERVICES 561000 1850 1850 0 0 0 0 5699 426220564 407545355 2340282 16334927 X 767192 767192 0 0 292165 189907 102258 478794 436330 42464 134076 134076 138208 138208 1032786 1032786 340642149 340581636 60513 0 36524 36524 644326 644326 330262 330262 69032 69032 25701 25701 ADMIN/INVESTMENT O/H 52516537 32830369 19686168 COMMISSION EXPENSE 10369459 10369459 PREMIUM TAX EXPENSE 3270559 3270559 FEDERAL TAX EXPENSE -6800 -6800 1495843 354307 1141536 0 412236813 388799759 23437054 0 4201841 3146862 15489666 3495542 0 0 19352665 24005837 0 0 0 0 1092813 1042694 282713 38552 269862 244161 261224132 297063325 42663707 39683222 0 2456752 2498464 346751438 371180107 10844435 11610132 3810069 1895247 0 0 23258285 20362733 37912789 33868112 X 9707604 9707604 299131045 327604391 308838649 337311995 346751438 371180107 X 13983751 16539770 -2050175 X false true true false 282713 38552 244161 244161 Closely-held equity interests Financial derivatives INVESTMENT IN RENAISSANCE HOLDING COMPANY 7322509 F INVESTMENT IN THE 4100 GROUP 32360713 F 39683222 0 Federal Income Taxes 0 CLAIMS RESERVES 9074726 UNEARNED PREMIUMS 5709133 OTHER ACCRUED LIABILITIES 3047 INTERCOMPANY PAYABLE 4218663 LEASE LIABILITY 1357164 20362733 0 0 0 0 0 0 0 0 0 0 0 0 true A KID AGAIN 2014 N SAGINAW RD MIDLAND MI 48640 311440073 501(C)(3) 15000 0 N/A N/A CHARITABLE DONATION AMERICAN DENTAL EDUCATION ASSOCIATION 655 K STREET STE 800 WASHINGTON DC 20001 911993281 501(C)(3) 5958 0 N/A N/A CHARITABLE DONATION AMERICAN HEART ASSOCIATION 271 WOODLAND PASS STE 110 EAST LANSING MI 48823 135613797 501(C)(3) 15000 0 N/A N/A CHARITABLE DONATION DELTA DENTAL FOUNDATION PO BOX 30416 LANSING MI 48909 382337000 501(C)(3) 500000 0 N/A N/A VITAL DENTAL EDUCATION AND RESEARCH JUNIOR ACHIEVEMENT CENTRAL OHIO 68 E 2ND AVE COLUMBUS OH 43201 314385042 501(C)(3) 35000 0 N/A N/A CHARITABLE DONATION JUNIOR ACHIEVEMENT NORTHWESTERN OHIO 1645 INDIAN WOOD CIRCLE STE 104 MAUMEE OH 43537 344430363 501(C)(3) 25000 0 N/A N/A CHARITABLE DONATION PLANET SMILEZ INC 493 FORD HILL RD HUNTER NY 12442 471378352 501(C)(3) 5958 0 N/A N/A CHARITABLE DONATION SOCIETY OF AMERICAN INDIAN DENTISTS 230 FAIRVIEW DR CARSON CITY NV 89701 205966903 501(C)(3) 5958 0 N/A N/A CHARITABLE DONATION TEAM NEO 1111 SUPERIOR WAY CLEVELAND OH 44114 341885407 501(C)(3) 125000 0 N/A N/A CHARITABLE DONATION 9 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CONTRIBUTIONS ARE MADE AT MANAGEMENT DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF OHIO'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 OHIO. X true true false true false false false false false false false CHRISTOPHER T FISHER DIRECTOR 42000 125004 0 0 0 0 0 0 0 0 42000 125004 0 0 GORAN M JURKOVIC CPA PRESIDENT & CEO 0 1511908 0 3756580 0 4189094 0 2688539 0 27241 0 12173362 0 4141804 AMY L BASEL CPA EVP/CFO & CRO/TREASURER 0 552581 0 968814 0 960513 0 660849 0 27241 0 3169998 0 921829 ANTHONY D ROBINSON EVP, CMO & CRO 0 652874 0 1038809 0 1147674 0 760823 0 27241 0 3627421 0 1130171 SUE ELLEN JENKINS EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY 0 567525 0 1037144 0 1233999 0 447227 0 5150 0 3291045 0 1206808 JEFFREY W JOHNSTON DDS MS SVP & CHIEF SCIENCE OFFICER 0 350158 0 160568 0 6936 0 100022 0 19077 0 636761 0 0 Schedule J, Part I, Line 1a Travel for companions TRAVEL 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 plan 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 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, GORAN JURKOVIC, AMY BASEL, ANTHONY ROBINSON, AND SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLANS. GORAN JURKOVIC, AMY BASEL, ANTHONY ROBINSON, AND SUE ELLEN JENKINS BECAME VESTED IN A PORTION OF THEIR 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 DEFFERED ON PRIOR FORM 990S. Schedule J, Part I, Line 3 THE CEO IS A W-2 EMPLOYEE OF A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION IS DETERMINED BY THAT ENTITY. THE DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION COMMITTEE REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. MARK E BRONSON BOARD MEMBER AND OWNER OF MARK E. BRONSON DDS, INC 131951 PAYMENTS FOR DENTAL SERVICES false Form 990, Part IV, Line 12a DELTA DENTAL PLAN OF OHIO RECEIVES AN AUDITED FINANCIAL STATEMENT FROM AN INDEPENDENT ACCOUNTANT BUT THESE STATEMENTS ARE PREPARED ON A STATUTORY BASIS AND NOT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). Form 990, Part VI, Line 15 COMPENSATION OF THE CEO AND OTHER EXECUTIVES IS DETERMINED BY A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING CEO AND CFO. THE RELATED ORGANIZATION CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. COMPENSATION IS SET, BASED ON THE DATA PROVIDED, BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024. Form 990, Part VI, Line 6 Classes of members or stockholders DELTA DENTAL PLAN OF OHIO HAS A SOLE MEMBER, DELTA DENTAL PLAN OF MICHIGAN, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER HAS VOTING RIGHTS TO ELECT DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders DELTA DENTAL PLAN OF MICHIGAN, INC., AS THE SOLE MEMBER OF DELTA DENTAL PLAN OF OHIO, INC. AS THE RIGHTS PRESCRIBED BY LAW FOR MEMBERS OF NONPROFIT CORPORATIONS SUBJECT TO CHAPTER 1702 OF THE OHIO REVISED CODE AND AMENDED AND RESTATED CODE OF REGULATIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 FORM 990 WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE COMPANY'S EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO 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 EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO. IF A PROHIBITED TRANSACTION WERE IDENTIFIED, THE MATTER IS ESCALATED TO THE NOMINATING AND GOVERNANCE 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 19 Required documents available to the public NO DOCUMENTS AVAILABLE TO THE PUBLIC Form 990, Part VII, Section A, Line 1a, Column (B) 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 Other Fees CONTRACTED SERVICES - Total Expense: 92926, Program Service Expense: 32413, Management and General Expenses: 60513, Fundraising Expenses: ; PURCHASED DENTAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances LOSS ON INVESTMENT IN SUBSIDIARIES - -2050175; Total - -2050175; RENAISSANCE HEALTH SERVICE CORPORATION PO BOX 30416 LANSING MI 489097916 381675667 PROMOTING DENTAL CARE MI 501(c)(4) NA false DELTA DENTAL PLAN OF INDIANA INC PO BOX 30416 LANSING MI 489097916 351545647 PROVIDE DENTAL SERVICE PLANS IN 501(c)(4) DELTA DENTAL PLAN OF MICHIGAN INC false DELTA DENTAL PLAN OF MICHIGAN INC 4100 OKEMOS ROAD OKEMOS MI 48864 381791480 PROVIDE DENTAL SERVICE PLANS MI 501(c)(4) RENAISSANCE HEALTH SERVICE CORPORATION false DELTA DENTAL OF TENNESSEE 1600 WEST END AVENUE SUITE 1700 NASHVILLE TN 37203 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