2021-11-12T12:04:07-06:00 2020-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2020-01-01 221896118 DELTA DENTAL OF NEW JERSEY INC % MICHAEL RODRIGUES DELT 9732854205 1639 ROUTE 10 PO BOX 222 PARSIPPANY NJ 070540222 MICHAEL RODRIGUES SVP/CFO 9732854205 2021-11-10 true MICHAEL RODRIGUES 000000000 Scott J Mariani P00642486 9738989494 2 2020 2022-09-23 18:48:47Z DENNIS G WILSON 1639 ROUTE 10 PARSIPPANY NJ 070540222 421506460 false X deltadentalnj.com X 1969 NJ TO PROMOTE ORAL HEALTH TO THE GREATEST NUMBER OF PEOPLE BY PROVIDING ACCESSIBLE DENTAL BENEFIT PROGRAMS OF THE HIGHEST QUALITY, SERVICE AND VALUE. 11 8 373 0 0 0 0 276274719 265223167 8557670 5547456 -1867307 -1476562 282965082 269294061 1228256 3288742 206239653 170447070 37058914 41763611 0 0 0 41120782 47200312 285647605 262699735 -2682523 6594326 329849063 341103768 90127723 94270682 239721340 246833086 X TO PROMOTE ORAL HEALTH TO THE GREATEST NUMBER OF PEOPLE BY PROVIDING ACCESSIBLE DENTAL BENEFIT PROGRAMS OF THE HIGHEST QUALITY, SERVICE AND VALUE. THE ORGANIZATION ALSO OFFERS AFFORDABLE DENTAL COVERAGE FOR THOSE INDIVIDUALS IN NEW JERSEY WITHOUT ACCESS TO A GROUP DENTAL PLAN. THE ORGANIZATION'S PLANS PROVIDE ACCESS TO A BROAD ARRAY OF DENTAL SERVICES THROUGH ITS VAST NETWORK OF PARTICIPATING DENTISTS. THE ORGANIZATION'S PLANS OFFER QUALITY COVERAGE OPTIONS AT COMPETITIVE RATES. FOR MORE THAN 50 YEARS, DELTA DENTAL OF NEW JERSEY HAS REACHED OUT TO SERVE THE PEOPLE OF NEW JERSEY AND, MORE RECENTLY, IN CONNECTICUT. IN 1986, WE FORMED THE DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. TO AID IN CREATING ACCESS TO CARE FOR THE UNDER-INSURED AND UN-INSURED, AND SUPPORT DENTAL EDUCATION PROGRAMS FOR CHILDREN, AS WELL AS DENTAL ASSISTING AND DENTAL HYGIENE SCHOLARSHIPS FOR STUDENTS PURSUING A CAREER IN THE DENTAL FIELD. EACH YEAR, OUR FOUNDATION AWARDS AT LEAST $1 MILLION TO SUPPORT WORTHWHILE N false false 253803342 3288742 265223167 EXPENSES INCURRED IN PROMOTING ORAL HEALTH TO THE GREATEST NUMBER OF PEOPLE BY PROVIDING ACCESSIBLE DENTAL BENEFIT PROGRAMS OF THE HIGHEST QUALITY, SERVICE AND VALUE; PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS TO MEMBER SUBSCRIBERS. PLEASE ALSO REFER TO THE ORGANIZATION'S COMPLETE MISSION INCLUDED IN OUR RESPONSE TO PART III, QUESTION #1 ABOVE. 253803342 false false false false false false false false false true true false false true true true true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false true 52775 0 true 373 true false true BD false false false false true false X 11 8 false true false false true true false true true false false true true true true true true true true false X MICHAEL RODRIGUES 9732854205 1639 ROUTE 10 PARSIPPANY NJ 070540222 X DENNIS G WILSON PRESIDENT/CEO 50.0 0.7 X 1652837 0 92888 LORI A ACKER SVP OPERATIONS 50.0 0.0 X 987927 0 60314 PAUL J DIMAIO ESQ SVP/GENERAL COUNSEL 50.0 0.4 X 756085 0 93827 KATHLEEN A FENNELL-BORGES SVP HR (TERMED 3/13/2020) 50.0 0.0 X 756399 0 47409 VINCENT FARINELLA VP STRATEGY & PRODUCT DEVELOP 50.0 0.0 X 664224 0 61222 JAMES SULESKI SVP/CFO (TERMED 4/3/20) 50.0 0.4 X 580291 0 63585 JEFF FURBISH VP/CSO 50.0 0.0 X 552750 0 87804 KEITH D LIBOU CHIEF CLINICAL OFFICER 50.0 0.0 X 551563 0 88876 RANDY M STODARD VP/CHIEF MARKETING OFFICER 50.0 0.4 X 480602 0 86286 MICHAEL RODRIGUES SVP/CFO (EFF 4/4/20) 50.0 0.4 X 436904 0 46613 ALLAN BERKIN ACCOUNT EXECUTIVE 50.0 0.0 X 388499 0 94831 JUSTIN LAHULLIER CIO/VP INFORMATION SERVICES 50.0 0.0 X 347527 0 94660 BARRY PETRUZZI VP UNDERWRITING 50.0 0.0 X 287087 0 92008 WENDY WALKER GENERAL MANAGER 50.0 0.0 X 279606 0 85018 KIM WHITE-WAPELHORST ACCOUNT EXECUTIVE 50.0 0.0 X 254838 0 96766 DAVID ATHA ASSISTANT VICE PRESIDENT 50.0 0.0 X 268017 0 62083 ROOTA ALMEIDA CHIEF INFO. SECURITY OFFICER 50.0 0.0 X 253466 0 47187 RONALD I DEBLINGER DMD CHAIRMAN - TRUSTEE 25.0 1.0 X X 257321 0 34164 RYAN DOYLE ACCOUNT EXECUTIVE 50.0 0.0 X 241165 0 48757 CLAUDE RICHARDSON SVP HR (EFF 5/4/2020) 50.0 0.0 X 205009 0 37216 GENE F NAPOLIELLO DDS TRUSTEE 3.0 6.0 X 81757 0 2475 WILLIAM J FAULKNER TRUSTEE 4.4 1.0 X 65757 11000 1681 MORTON REINHART TRUSTEE 4.9 1.0 X 65757 11000 1398 JOSEPH P MAZZA DMD TRUSTEE 3.0 0.0 X 65757 5000 0 DEBRA G SALMAN DDS TRUSTEE 3.2 0.0 X 65757 0 2615 RICHARD G BOZZA EDD TRUSTEE 3.0 0.0 X 65757 0 1398 JAY H OYER TRUSTEE 3.0 1.0 X 65757 0 1398 JORGE E GRACIA ESQ TRUSTEE 3.0 0.0 X 61757 0 2379 GEORGE C MCLAUGHLIN DMD TRUSTEE 4.8 1.0 X 61757 0 815 LISA N GALLUCCI DMD TRUSTEE 3.0 1.0 X 61757 0 815 10546902 27000 1429683 106 false true false WYSSTA SERVICES INC PO BOX 86 STEVENS POINT WI 54481 CLAIMS PROCESSING 3796244 8 WEST CONSULTING CURRAHEEN ROAD CORK 0 EI SYSTEMS DEVELOPER 2719445 ENCARA INC 4818 STARKEY ROAD ROANOKE VA 24018 MARKETING 1900442 DELTA DENTAL OF WASHINGTON 680 WEST MAIN STREET FREEHOLD NJ 07728 DIGITAL PLATFORM 1797444 42 NORTH DENTAL CARE PLLC 200 5TH AVENUE 3RD FLOOR WALTHAM MA 02451 DENTAL PROVIDER 1418144 821 0 DENTAL BENEFITS COVERAGE REVENUE 524114 264480234 264480234 OTHER RELATED REVENUE 900099 742933 742933 265223167 2254860 2254860 0 0 1634707 3111269 -1476562 0 -1476562 -1476562 152393726 149101130 3292596 3292596 3292596 0 0 0 0 0 0 0 0 0 0 269294061 265223167 4070894 3288742 3288742 0 0 170447070 170447070 10480595 9432535 1048060 0 19977360 17979624 1997736 4554243 4098819 455424 4643754 4179379 464375 2107659 1896893 210766 0 150443 135399 15044 304350 273915 30435 87746 78971 8775 0 1108123 997311 110812 14147240 12732516 1414724 1963056 1766750 196306 4546928 4092235 454693 1297833 1168050 129783 0 -60940 -54846 -6094 284976 256478 28498 0 0 0 0 4605721 4145149 460572 613781 552403 61378 BROKERAGE COMMISSIONS 10539801 9485821 1053980 0 DUES & SUBSCRIPTIONS 1350198 1215178 135020 0 RECRUITMENT & DEVELOPMENT 543090 488781 54309 0 OTHER EXPENSES 5717966 5146169 571797 0 262699735 253803342 8896393 0 X 6242506 8753885 0 0 0 0 48940667 48071392 0 0 0 0 0 0 0 0 2819630 2661999 74363436 48133055 28172772 26230381 199124133 210176479 28897792 30820471 12666606 11790949 245028 165870 2739929 2432342 329849063 341103768 16595278 18209216 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73532445 76061466 90127723 94270682 X 25000 25000 258735755 270647561 -19039415 -23839475 239721340 246833086 329849063 341103768 X 6594326 8520366 -8002946 X X false true X true false 10060407 10060407 11227681 3310084 7917597 5462590 3172490 2290100 46693931 40984025 5709906 918827 666456 252371 26230381 EQUITY SECURITIES 30820471 F 30820471 0 UNPAID CLAIMS 35005000 UNPAID CLAIMS ADJUSTMENT EXPENSES 2282000 DEPOSITS AND ADVANCES 5063031 ACCRUED PENSION COSTS 23728731 OTHER LIABILITIES 9635535 SECURITY DEPOSITS 59602 DUE TO AFFILIATES 287567 76061466 X 274329643 8520366 5261095 13781461 260548182 8745879 8745879 269294061 265315354 5261095 5261095 260054259 1108123 1537353 2645476 262699735 SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS SUBSIDIARIES AND AFFILIATE FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE ORGANIZATION'S 2020 AUDITED CONSOLIDATED FINANCIAL STATEMENTS: THE PLAN FOLLOWS THE RECOGNITION AND DISCLOSURE PROVISIONS OF THE ACCOUNTING STANDARD RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS STANDARD, TAX POSITIONS ARE EVALUATED FOR RECOGNITION USING A MORE-LIKELY-THAN-NOT THRESHOLD, AND THOSE TAX POSITIONS REQUIRING RECOGNITION ARE MEASURED AT THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE PLAN HAS EVALUATED THE LIKELIHOOD OF THEIR TAX POSITIONS BEING CHALLENGED AS REMOTE AND, ACCORDINGLY HAS NOT INCLUDED ANY INCOME TAX PROVISIONS, INCLUDING INTEREST AND PENALTIES, IN THE FINANCIAL STATEMENTS RELATED TO POTENTIAL VIOLATIONS. SCHEDULE D, PART XI, LINE 2D OTHER AMOUNTS INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT ON FORM 990: - INTERCOMPANY RENT PAID TO DISREGARDED ENTITY - $2,149,826; - EXPENSES OF DISREGARDED ENTITY - $3,111,269. SCHEDULE D, PART XI, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON AUDITED FINANCIAL STATEMENTS: - REINSURANCE REIMBURSEMENT - $742,933; - NET CHANGE RELATED TO ACCRUED PENSION - $8,002,946. SCHEDULE D, PART XII, LINE 2D OTHER AMOUNTS INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT ON FORM 990: - INTERCOMPANY RENT PAID TO DISREGARDED ENTITY - $2,149,826; - EXPENSES OF DISREGARDED ENTITY - $3,111,269. SCHEDULE D, PART XII, LINE 4B OTHER AMOUNTS INCLUDED ON AUDITED FINANCIAL STATEMENTS BUT NOT ON FORM 990: - REINSURANCE REIMBURSEMENT - $742,933; - NET INCOME OF DISREGARDED ENTITY - $794,420. true DELTA DENTAL OF NEW JERSEY FOUNDATION INC 1639 ROUTE 10 PARSIPPANY NJ 07054 222764745 501(c)(3) 3288742 PROGRAM SUPPORT 1 SCHEDULE I, PART I, QUESTION 2 DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. ("FOUNDATION"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, IS FUNDED SOLELY BY DELTA DENTAL OF NEW JERSEY, INC. THE MONIES DISBURSED BY THE FOUNDATION ARE BASED ON GRANT REQUESTS WHICH ARE REVIEWED AND APPROVED BY THE FOUNDATION BOARD OF TRUSTEES BASED ON NEED. IN THE CASE OF LARGE GRANT REQUESTS THAT MAY SPAN MULTIPLE YEARS, THE DISBURSEMENT MAY BE MADE FROM THE ORGANIZATION AND NOT ITS RELATED FOUNDATION. THE ORGANIZATION'S BOARD OF TRUSTEES' APPROVAL IS REQUIRED FOR THIS TYPE OF COMMITMENT. PROGRESS ON GRANTS OF THIS NATURE IS MONITORED BY THE ORGANIZATION WITH UPDATES PROVIDED TO THE BOARD OF TRUSTEES. X X X X true true X X X X X false true false false false false false true false DENNIS G WILSON PRESIDENT/CEO 784661 0 368078 0 500098 0 47378 0 45510 0 1745725 0 0 0 LORI A ACKER SVP OPERATIONS 338153 0 128621 0 521153 0 44271 0 16043 0 1048241 0 0 0 PAUL J DIMAIO ESQ SVP/GENERAL COUNSEL 368809 0 142675 0 244601 0 45131 0 48696 0 849912 0 0 0 KATHLEEN A FENNELL-BORGES SVP HR (TERMED 3/13/2020) 59959 0 101847 0 594593 0 42432 0 4977 0 803808 0 0 0 VINCENT FARINELLA VP STRATEGY & PRODUCT DEVELOP 292120 0 90717 0 281387 0 42429 0 18793 0 725446 0 0 0 JAMES SULESKI SVP/CFO (TERMED 4/3/20) 107628 0 148320 0 324343 0 45185 0 18400 0 643876 0 0 0 JEFF FURBISH VP/CSO 253768 0 48538 0 250444 0 40774 0 47030 0 640554 0 0 0 KEITH D LIBOU CHIEF CLINICAL OFFICER 360527 0 97928 0 93108 0 43886 0 44990 0 640439 0 0 0 RANDY M STODARD VP/CHIEF MARKETING OFFICER 304477 0 72031 0 104094 0 36400 0 49886 0 566888 0 0 0 MICHAEL RODRIGUES SVP/CFO (EFF 4/4/20) 335773 0 56237 0 44894 0 44234 0 2379 0 483517 0 0 0 ALLAN BERKIN ACCOUNT EXECUTIVE 84320 0 282729 0 21450 0 47800 0 47031 0 483330 0 0 0 JUSTIN LAHULLIER CIO/VP INFORMATION SERVICES 249863 0 62170 0 35494 0 47800 0 46860 0 442187 0 0 0 BARRY PETRUZZI VP UNDERWRITING 238359 0 38846 0 9882 0 43282 0 48726 0 379095 0 0 0 WENDY WALKER GENERAL MANAGER 216866 0 51485 0 11255 0 40557 0 44461 0 364624 0 0 0 KIM WHITE-WAPELHORST ACCOUNT EXECUTIVE 81122 0 155851 0 17865 0 46536 0 50230 0 351604 0 0 0 DAVID ATHA ASSISTANT VICE PRESIDENT 218892 0 34622 0 14503 0 40315 0 21768 0 330100 0 0 0 ROOTA ALMEIDA CHIEF INFO. SECURITY OFFICER 211673 0 40149 0 1644 0 42058 0 5129 0 300653 0 0 0 RONALD I DEBLINGER DMD CHAIRMAN - TRUSTEE 0 0 0 0 257321 0 0 0 34164 0 291485 0 0 0 RYAN DOYLE ACCOUNT EXECUTIVE 71442 0 154687 0 15036 0 41378 0 7379 0 289922 0 0 0 CLAUDE RICHARDSON SVP HR (EFF 5/4/2020) 173270 0 76 0 31663 0 36400 0 816 0 242225 0 0 0 SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION'S PRESIDENT/CEO TRAVELS FIRST CLASS ON BUSINESS RELATED FLIGHTS EXCEEDING THREE HOURS TO ATTEND ORGANIZATION RELATED WORK EVENTS. THIS PROVIDES THE PRESIDENT/CEO THE ABILITY TO WORK ON ORGANIZATIONAL MATTERS DURING TRAVEL. THE EXCESS COST OVER STANDARD RELATED TO THE 1ST CLASS TRAVEL WAS NOT INCLUDED IN HIS 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. THE ORGANIZATION PAID FOR FINANCIAL/TAX PLANNING SERVICES FOR CERTAIN EMPLOYEES. THE FINANCIAL/TAX PLANNING SERVICES AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S RESPECTIVE 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DENNIS G. WILSON, $750 AND PAUL J. DIMAIO, ESQ., $525. EACH OF THE FOLLOWING INDIVIDUAL'S 2020 FORM W-2 INCLUDES A GROSS-UP AMOUNT RELATED TO THE PERSONAL USAGE OF AN AUTO ALLOWANCE; DENNIS G. WILSON $13,350; LORI A. ACKER $4,906; PAUL J. DIMAIO, ESQ., $4,884; VINCENT FARINELLA, $4,359; KEITH D. LIBOU $2,727; RANDY M. STODARD $4,025; MICHAEL RODRIGUES, $4,820 AND WENDY WALKER $4,324. IN ADDITION, CERTAIN BOARD OF TRUSTEE MEMBERS' 2020 FORMS 1099-MISC INCLUDE TAX GROSS-UP PAYMENTS RELATED TO COMPENSATION PAID TO THEM FOR PERSONAL USAGE OF AN AUTO AND/OR FINANCIAL/TAX PLANNING SERVICES. SCHEDULE J, PART I; QUESTION 4B THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE PARTICIPATION IN A PENSION RESTORATION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DENNIS G. WILSON, $419,807; LORI A. ACKER, $498,144; PAUL J. DIMAIO, ESQ., $174,285; KATHLEEN A. FENNELL-BORGES, $531,320; VINCENT FARINELLA, $259,037; JAMES SULESKI, $280,702; KEITH D. LIBOU, $82,831; RANDY M. STODARD, $83,824; MICHAEL RODRIGUES, $13,927 AND JUSTIN LAHULLIER, $35,350. PLEASE NOTE THAT THE AMOUNTS REFLECTED INCLUDE A 27% TAX ADJUSTMENT WITH RESPECT TO THE SERP PAYMENTS TO MITIGATE THE TAX INEFFICIENCY OF THE NON-QUALIFIED SERP. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII INCLUDED IN COLUMN B(II) FOR CERTAIN INDIVIDUALS IS A PAYMENT RELATED TO A PROGRESS INCENTIVE PROGRAM. UNDER THIS PROGRAM, A PAYMENT IS MADE TO THESE INDIVIDUALS WHICH IS BASED ON ESTABLISHED TARGETS, BENCHMARKS AND GOALS. IF MET, THE INDIVIDUALS RECEIVE, AS A PROGRESS INCENTIVE PAYMENT, ADDITIONAL COMPENSATION BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE ABOVE NOTED PAYMENT WAS INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION RETAINED THE SERVICES OF AN OUTSIDE PROPERTY MANAGER TO MANAGE THE DAY TO DAY ACTIVITIES AND OPERATIONS OF ITS SINGLE MEMBER LIMITED LIABILITY COMPANY; 1639 REAL ESTATE, LLC. PAYMENTS TO THE PROPERTY MANAGER AMOUNTED TO $73,250 IN 2020. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 MEMBERS OF THE ORGANIZATION SERVE AS THE TRUSTEES OF THE ORGANIZATION AND EXISTING MEMBERS VOTE TO ELECT NEW MEMBERS OF THE ORGANIZATION. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION, TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S SENIOR MANAGEMENT AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S SENIOR MANAGEMENT, FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR REVIEW. THESE INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S SENIOR MANAGEMENT AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS GOVERNING BODY AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, SENIOR MANAGEMENT AND OTHER KEY PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT. SENIOR MANAGEMENT PROVIDES THE COMPLETED QUESTIONNAIRES TO THE ORGANIZATION'S AUDIT COMMITTEE FOR ITS REVIEW AND DISCUSSION WITH RESPECT TO CONFLICTS AND ANY ASSOCIATED MITIGATING BEHAVIOR. THE AUDIT COMMITTEE THEN REPORTS TO THE ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMMITTEE AND A HUMAN RESOURCES COMMITTEE. THE BOARD HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM, WHICH INCLUDES THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT/GENERAL COUNSEL, SENIOR VICE PRESIDENT/HUMAN RESOURCES AND THE SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER. THE "TOTAL COMPENSATION" OF THE INDIVIDUALS REVIEWED INCLUDES BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THIS REVIEW IS DONE ON AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. COMPENSATION FOR THE SENIOR VICE PRESIDENT/GENERAL COUNSEL, SENIOR VICE PRESIDENT/HUMAN RESOURCES, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND SENIOR VICE PRESIDENT/CHIEF OPERATING OFFICER, WHO REPRESENT SENIOR MANAGEMENT OF THE ORGANIZATION, IS REVIEWED AND APPROVED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES ANNUALLY, AND IS EFFECTIVE EACH JANUARY 1ST. THE PRESIDENT/CHIEF EXECUTIVE OFFICER'S PERFORMANCE IS REVIEWED BY THE EXECUTIVE AND HUMAN RESOURCES COMMITTEES OF THE BOARD OF TRUSTEES, WHICH PROVIDE INPUT TO THE FULL BOARD. COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER IS DETERMINED AND APPROVED BY THE BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - NET CHANGE ARISING DURING THE PERIOD RELATED TO ACCRUED PENSION; ($8,002,946). CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ITS SUBSIDIARIES AND AFFILIATE FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S AUDIT COMMITEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. DELTA DENTAL OF NEW JERSEY PAC 1639 ROUTE 10 PARSIPPANY NJ 07054 223754874 RELATED NJ 9650 49653 NA 1639 REAL ESTATE LLC 1639 ROUTE 10 PARSIPPANY NJ 07054 RELATED NJ 3905689 28035443 DDNJ DELTA DENTAL OF NJ FOUNDATION INC 1639 ROUTE 10 PARSIPPANY NJ 07054 222764745 PUBLIC SRVC. NJ 501(C)(3) 509(A)(3) DDNJ true DDPNJ CORPORATION 1639 ROUTE 10 PARSIPPANY NJ 07054 223085009 HOLDING COMPANY NJ DDNJ C CORP. 27471625 14717301 1.00000 true FLAGSHIP HEALTH SYSTEMS INC 1639 ROUTE 10 PARSIPPANY NJ 07054 222671069 DENTAL PLAN ORG NJ DDPNJ C CORP. true DENTAL REINSURANCE COMPANY LTD 1639 ROUTE 10 PARSIPPANY NJ 07054 980160853 FOREIGN REINS. BD DDPNJ C CORP. true DELTA DENTAL OF CONNECTICUT INC 148 EASTERN BLVD STE 310 GLASTONBURY CT 06033 812414649 DENTAL PLAN ORG CT DDPNJ C CORP. true true true false false false false false false false true true true false true true true false false false DELTA DENTAL OF NJ FOUNDATION INC B 3288742 COST DELTA DENTAL OF CONNECTICUT INC P 406668 COST