2020-11-13T11:59:28-06:00 2019-12-31 GRANT THORNTON LLP 75 State Street Boston MA 02109 990 2019-01-01 050296998 Delta Dental of Rhode Island % GEORGE BEDARD DELT 4017526000 10 Charles Street Providence RI 02904 RICHARD A FRITZ CFO & SR VP Finance 4017526000 2020-11-13 true Erin COUTURE P01390592 6177237900 71.232.176.125 04586620203185000022 2020-11-13 P F8E25777DF00157D73DA55E6CE52E42E1968B2B6 D630D68E957553469DE07FA9F3B9F7290754183B 2019 2021-04-22 16:20:28Z Joseph R Perroni 10 Charles Street Providence RI 02904 136235976 false X www.deltadentalri.com X 1959 RI TO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES. 15 14 59 0 0 0 0 0 205401185 117348071 2191006 2164559 168957 140720 207761148 119653350 561225 3626179 183141875 92152879 11941359 12707005 0 0 0 7156251 7133448 202800710 115619511 4960438 4033839 118476917 129957737 22860154 25939145 95616763 104018592 X OUR MISSION IS TO DELIVER IMPECCABLE SERVICE, QUALITY AND INNOVATION THAT EXCEEDS EXPECTATIONS. AS EXPERTS IN ORAL HEALTH CARE, WE ARE COMMITTED TO ACCESSIBLE, AFFORDABLE CARE THAT DRIVES IMPROVED HEALTH OUTCOMES. false false 95779059 0 117348071 DENTAL BENEFITS FOR 581,693 MEMBERS UNDER 285,096 CONTRACTS. THE COMPANY OFFERS A BROAD RANGE OF PREPAID DENTAL CARE COVERAGE OPTIONS AND ADMINISTRATIVE SERVICES TO ORGANIZATIONS PROVIDING SUCH BENEFITS TO THEIR EMPLOYEES ON A CONTRIBUTORY OR A NONCONTRIBUTORY BASIS. 9185026 3626179 0 AT DELTA DENTAL, WE HAVE A LONG-STANDING TRADITION OF HELPING OUR STATE'S MOST VULNERABLE CITIZENS. IN 2005, WE ESTABLISHED THE DELTA DENTAL OF RHODE ISLAND FUND, FORMALIZING OUR COMMITMENT TO DENTAL HEALTH INITIATIVES IN OUR COMMUNITY. AS A VESTED COMMUNITY PARTNER, WE LEVERAGE THE DELTA DENTAL OF RHODE ISLAND FUND, AS WELL AS OUR ROBUST EMPLOYEE VOLUNTEER PROGRAM, and matching gift program TO SUPPORT CRITICAL ORAL HEALTH NEEDS ACROSS THE STATE. GRANTS ARE AWARDED TO QUALIFYING CHARITABLE ORGANIZATIONS FOR PROGRAMS OR CAPITAL EXPENDITURES THAT INCREASE ACCESS TO DENTAL CARE FOR AT-RISK, VULNERABLE RHODE ISLANDERS 104964085 false false false false false false false false false true true false false true true 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 true true true false true 16 0 true 59 true false false false false false false true false X 15 14 false false false false true true true true true false false true true true true true true true true false X GEORGE BEDARD 4017526240 10 CHARLES STREET Providence RI 02904 Joseph Nagle THRU 06 FORMER CEO & President 40.0 1.0 X 1086822 0 79475 Joseph Perroni CEO & PRESIDENT (AS OF 7/2019) 40.0 1.0 X 473830 0 63296 Thomas Chase SR VP & COO 40.0 0.0 X 0 438289 62281 Richard Fritz CFO & SR VP Finance 40.0 1.0 X 403352 0 61267 Wendy Duncan VP - Chief Marketing officer 40.0 0.0 X 338624 0 37705 Angelo Pezzulo Director Major Accounts 40.0 0.0 X 201087 0 47117 Ellen Hendrix AVP Underwriting 40.0 0.0 X 174912 0 47154 Timothy Fitzgibbons Sr. Director Actuarial 40.0 0.0 X 186534 0 34474 George Bedard Controller 40.0 1.0 X 153915 0 41352 Duane Easter Director of Corp Reporting 40.0 0.0 X 149070 0 42490 Shauna Fontaine DIRECTOR - Delta Dental Sales 40.0 0.0 X 147598 0 38442 Melissa Gennari AVP & director Compliance 40.0 1.0 X 147647 0 19293 JOHN T RUGGIERI Chair 1.0 1.0 X X 21450 0 0 Edward O Handy III Director 1.0 1.0 X 15600 0 0 Edwin J Santos Director 1.0 1.0 X 15000 0 0 James V Rosati Director 1.0 1.0 X 13200 0 0 Joseph J MarcAurele Vice Chair (THRU 04/2019) 1.0 1.0 X X 12750 0 0 Colin P Kane Director 1.0 1.0 X 12600 0 0 Jonathan W Hall Director 1.0 1.0 X 12000 0 0 Mark A Paulhus Director 1.0 1.0 X 11400 0 0 Heather A Provino Director 1.0 1.0 X 11400 0 0 Pete Hayes Director 1.0 1.0 X 10800 0 0 Julie G Duffy Director 1.0 1.0 X 10200 0 0 Mark Shaw Director 1.0 1.0 X 10200 0 0 Dr Thomas Enright Director 1.0 1.0 X 9600 0 0 Francis J Flynn Director 1.0 1.0 X 9600 0 0 Linda R McGoldrick Director 1.0 1.0 X 9600 0 0 JUNIOR JABBIE Director 1.0 1.0 X 4200 0 0 William Landry Secretary 1.0 1.0 X 0 0 0 3629591 438289 574346 33 false true false DUFFY SHANLEYINC 10 CHARLES STREET PROVIDENCE RI 02904 MARKETING SERVICES 387368 GRANT THORNTON LLP 124 HEBORN AVE STE 200 GLASTONBURY CT 06033 AUDIT/TAX SERVICES 315569 EDGEWATER FULLSCOPE INC PO BOX 845183 BOSTON MA 022845183 IT-PRODUCT DEVELOP 299296 CATHEDRAL CORPORATION GRIFFIN TECHNOLOGY PARK ROME NY 13441 PRINTING & MAIL SERV 286958 NETCENERGY LLC 231 ELM STREET WARWICK RI 02888 IT-CONSULTING SERV 248788 26 X 0 PREMIUMS (SEE SCHEDULE O) 524114 117348071 117348071 0 0 117348071 2121608 2121608 0 0 0 0 0 16625577 16582626 42951 42951 42951 0 0 0 0 0 0 0 0 0 INCOME FROM SUBSIDIARIES 900099 135193 0 0 135193 OTHER INCOME 900099 5527 0 0 5527 140720 119653350 117348071 0 2305279 X 3626179 3626179 0 0 92152879 92152879 3096179 537126 2559053 0 7978082 5327180 2650902 414535 270581 143954 472353 65496 406857 745856 353644 392212 0 146033 146033 486041 486041 63000 63000 0 451900 451900 841009 104245 736764 0 425841 425841 782782 514261 268521 0 0 999901 542093 457808 144182 6187 137995 0 11220 11220 0 0 353214 353214 167269 167269 EQUIPMENT RENTAL & MAINT 1383693 1383693 0 0 BOARD & ASSOCIATION FEES 527476 12933 514543 0 FACILITIES EXPENSE 128362 128362 0 LICENSE & FEES 29111 29111 192414 4588 187826 115619511 104964085 10655426 0 250 250 9431992 8312406 0 0 11553561 9291445 0 0 0 0 0 0 0 0 3570368 3748303 13256847 12025746 640937 1231101 73943007 81543267 18761759 25240512 0 0 0 0 575043 590453 118476917 129957737 16032984 19610196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6827170 6328949 22860154 25939145 X 0 0 0 0 95616763 104018592 95616763 104018592 118476917 129957737 X 4033839 4242365 125625 X false true X true false 2842468 2737660 104808 7094238 6204655 889583 3320141 3083431 236710 1231101 SUBSIDIARIES 19465026 C INVESTMENT-OTHER 5775486 F 25240512 0 CLAIMS INCURRED BUT UNPAID 3420000 ADVANCED SUBSCRIBER PREMIUMS 1935928 SUBSCRIBER DEPOSITS 610667 ACCRUED CLAIMS ADJUSTMENT EXPENSE 362354 6328949 X ASC 470 SCHEDULE D, PART X DELTA DENTAL OF RHODE ISLAND IS A NOT-FOR-PROFIT CORPORATION PURSUANT TO SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE (IRC) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE IRC. ACCORDINGLY, NO PROVISION FOR INCOME TAXES RELATIVE TO DELTA DENTAL OF RHODE ISLAND HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY EVALUATES ITS UNCERTAIN TAX POSITIONS WITH A TWO-STEP PROCESS IN ACCORDANCE WITH GAAP. FIRST, THE COMPANY DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT AN UNCERTAIN TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BASED ON THE TECHNICAL MERITS OF THE POSITION. SECOND, AN UNCERTAIN TAX POSITION THAT MEETS THE MORE LIKELY THAN NOT THRESHOLD IS MEASURED TO DETERMINE THE AMOUNT OF BENEFIT TO RECOGNIZE IN THE FINANCIAL STATEMENTS. THE POSITION IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. UNCERTAIN TAX POSITIONS THAT PREVIOUSLY FAILED TO MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE RECOGNIZED IN THE FIRST SUBSEQUENT REPORTING PERIOD IN WHICH THE THRESHOLD IS MET. PREVIOUSLY RECOGNIZED UNCERTAIN TAX POSITIONS THAT NO LONGER MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE DERECOGNIZED IN THE FIRST SUBSEQUENT REPORTING PERIOD IN WHICH THE THRESHOLD IS NO LONGER MET. SHOULD INTEREST OR PENALTIES BE ASSESSED, SUCH EXPENSES WOULD BE REFLECTED IN SELLING, GENERAL AND ADMINISTRATIVE EXPENSES. AS OF DECEMBER 31, 2019 AND 2018, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS. true THE RHODE ISLAND FOUNDATION 1 UNION STATION PROVIDENCE RI 02903 222604963 501(C)(3) 3025000 0 PROGRAM SUPPORT COMMUNITY PREPARATORY SCHOOL 135 PRAIRIE AVE PROVIDENCE RI 02905 222485332 501(C)(3) 103330 0 PROGRAM SUPPORT SAN MIGUEL SCHOOL 525 BRANCH AVENUE PROVIDENCE RI 02904 223232973 501(C)(3) 68500 0 PROGRAM SUPPORT UNITED WAY OF RI 50 VALLEY STREET PROVIDENCE RI 02909 050276059 501(C)(3) 52123 0 PROGRAM SUPPORT CVS CHARITY CLASSIC INC 1 CVS DR WOONSOCKET PROVIDENCE RI 02895 050508742 501(C)(3) 26500 0 PROGRAM SUPPORT CROSSROADS RHODE ISLAND 160 BROAD STREET PROVIDENCE RI 02903 050259094 501(C)(3) 25500 0 PROGRAM SUPPORT RI COMMUNITY FOOD BANK 200 NIANTIC AVE PROVIDENCE RI 02907 050395601 501(C)(3) 22910 0 PROGRAM SUPPORT FIRST WORKS 270 WESTMINSTER STREET PROVIDENCE RI 02903 222597014 501(C)(3) 21000 0 PROGRAM SUPPORT MAKE A WISH MASS AND RI 133 FEDERAL ST BOSTON MA 02110 222867371 501(C)(3) 18100 0 PROGRAM SUPPORT RI HOSPITAL FOUNDATION 167 POINT STREET PROVIDENCE RI 02903 050468736 501(C)(3) 16500 0 PROGRAM SUPPORT SALVE REGINA UNIVERSITY 100 OCHRE POINT AVE NEWPORT RI 02840 050259080 501(C)(3) 16000 0 PROGRAM SUPPORT RHODE ISLAND FREE CLINIC 655 BROAD ST PROVIDENCE RI 02907 050501276 501(C)(3) 11600 0 PROGRAM SUPPORT AMOS HOUSE 415 FRIENDSHIP STREET PROVIDENCE RI 02907 050387218 501(C)(3) 11000 0 PROGRAM SUPPORT SPECIAL OLYMPICS RHODE ISLAND 370 GW HIGHWAY SMTHFIELD RI 02917 050377867 501(C)(3) 10452 0 PROGRAM SUPPORT YMCA OF GREATER PROVIDENCE 21 PEACE ST 6FL PROVIDENCE RI 02907 050258878 501(C)(3) 10175 0 PROGRAM SUPPORT JUNIOR ACHIEVEMENT 57 GREENE STREET WARWICK RI 02886 050263443 501(C)(3) 9250 0 PROGRAM SUPPORT LA SALLE ACADEMY 612 ACADEMY AVE PROVIDENCE RI 02908 050258897 501(C)(3) 9000 0 PROGRAM SUPPORT HASBRO CHILDRENMIRIAM HOSPITAL FDN 167 INSTEAD OF 139 PROVIDENCE RI 02903 050377502 501(C)(3) 8400 0 PROGRAM SUPPORT MCAULEY MINISTRIES 622 ELMWOOD AVE PROVIDENCE RI 02907 050440470 501(C)(3) 7750 0 PROGRAM SUPPORT JEFFREY OSBORNE CELEBRITY CLASSIC PO BOX 27815 PROVIDENCE RI 02907 050510492 501(C)(3) 7500 0 PROGRAM SUPPORT FAMILY SERVICE OF RI PO BOX 6688 PROVIDENCE RI 02840 050258858 501(C)(3) 7133 0 PROGRAM SUPPORT BRYANT UNIVERSITY 1150 DOUGLAS TURNPIKE PROVIDENCE RI 02908 050258810 501(C)(3) 6750 0 PROGRAM SUPPORT OCEAN STATE JOB LOT CHARITABLE 375 COMMERCE PARK RD N KINGSTOWN RI 02852 200959438 501(C)(3) 6000 0 PROGRAM SUPPORT WOMAN & INFANTS DEVELOPMENT 101 DUDLEY STREET PROVIDENCE RI 02905 050258937 501(C)(3) 5250 0 PROGRAM SUPPORT TOMORROW FUND 593 EDDY STREET PROVIDENCE RI 02903 050450569 501(C)(3) 5250 0 PROGRAM SUPPORT 25 SCHEDULE I, PART I, LINE 2 THE COMPANY DOES NOT ISSUE SPECIFIC GRANTS, HOWEVER, AS PART OF THE CORPORATE RESPONSIBILITY PROGRAM, DELTA DENTAL OF RHODE ISLAND SUPPORTS LOCAL CHARITABLE ORGANIZATIONS. X X true true X X X X X true true false false false false false false false Joseph Nagle THRU 062019 FORMER CEO & President 704173 0 239228 0 143421 0 56100 0 23375 0 1166297 0 0 0 Thomas Chase SR VP & COO 0 356527 0 78241 0 3521 0 37407 0 24874 0 500570 0 0 Richard Fritz CFO & SR VP Finance 326771 0 71664 0 4917 0 37393 0 23874 0 464619 0 0 0 Joseph Perroni CEO & PRESIDENT (AS OF 7/2019) 385563 0 77667 0 10600 0 40421 0 22875 0 537126 0 0 0 Angelo Pezzulo Director Major Accounts 161419 0 31368 0 8300 0 21743 0 25374 0 248204 0 0 0 Ellen Hendrix AVP Underwriting 157076 0 16383 0 1453 0 20864 0 26290 0 222066 0 0 0 Timothy Fitzgibbons Sr. Director Actuarial 131767 0 11853 0 42914 0 13170 0 21304 0 221008 0 0 0 George Bedard Controller 140231 0 11745 0 1939 0 17698 0 23654 0 195267 0 0 0 Duane Easter Director of Corp Reporting 132951 0 15472 0 647 0 16916 0 25574 0 191560 0 0 0 Melissa Gennari AVP & director Compliance 134772 0 12255 0 620 0 16063 0 3230 0 166940 0 0 0 Wendy Duncan VP - Chief Marketing officer 291974 0 45162 0 1488 0 34198 0 3507 0 376329 0 0 0 Shauna Fontaine DIRECTOR - Delta Dental Sales 119923 0 22425 0 5250 0 14397 0 24045 0 186040 0 0 0 Gross-Up Payments Schedule J, Part I, Line 1a THE FORMER CEO AND PRESIDENT'S EMPLOYMENT AGREEMENT CONTAINS PROVISIONS FOR HIM TO RECEIVE PAYMENTS SO THAT HE CAN PERSONALLY PROCURE CERTAIN FRINGE BENEFITS SUCH AS LIFE INSURANCE AND LONG TERM DISABILITY POLICIES THAT ARE OTHERWISE AVAILABLE TO ALL OTHER EMPLOYEES. THIS ADDITIONAL INCOME IS GROSSED UP TO ACCOUNT FOR THE TAX IMPACT OF THESE PAYMENTS AND THE GROSS-UP IS INCLUDED IN REPORTABLE COMPENSATION ON SCHEDULE J PART II COLUMN (B)(III). Health or Social Club Dues SCHEDULE J, PART I, LINE 1A THE CURRENT AND FORMER CEO AND PRESIDENT ARE/WERE MEMBERS OF A LOCAL BUSINESS CLUB. REIMBURSEMENT FOR USE OF THIS IS EXCLUSIVELY FOR OFFSITE EMPLOYEE MEETINGS AS WELL AS BUSINESS RELATED MEETINGS WITH INDIVIDUALS OUTSIDE THE COMPANY. THE COMPANY MAINTAINS STRICT POLICIES REGARDING SUBSTANTIATION AND DOCUMENTATION FOR ALL BUSINESS RELATED EXPENSES INCURRED. THIS BENEFIT IS NOT REPORTED AS TAXABLE COMPENSATION. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A SR. DIRECTOR ACTUARIAL RECEIVED A SEVARANCE PAYMENT OF $42,283 IN CALENDAR YEAR 2019. THIS PAYMENT HAS BEEN REPORTED ON SCHEDULE J, PART II COLUMN B(III). SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FORMER CEO AND PRESIDENT PARTICIPATES IN A 457(F) DEFERRED COMPENSATION PLAN. In 2019, the former CEO and President received a plan payment of $36,399 which has been reported on Schedule J, Part II column B(iii). NO CONTRIBUTIONS ARE INCLUDED IN SCHEDULE J, PART II COLUMN C. Blish Cavanagh LANDRY - SECRETARY 141946 Payment for Legal Services false East Bay Dental Asso Inc Enright - Board Member 609610 Payment for Dental Services false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L PART IV THE ORGANIZATION ENGAGES IN TRANSACTIONS WITH DENTAL PRACTICES WITH WHOM THE BOARD MEMBER IDENTIFIED ON SCHEDULE L, PART IV, LINE (2) HAS A CONTROLLING INTEREST. THE TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE. THE TRANSACTION WITH THIS ENTITY IS SUBJECT TO THE SAME PROCEDURES AND REVIEW AS ALL DENTAL PRACTICES. THE ORGANIZATION RECEIVED LEGAL SERVICES FROM THE LAW FIRM, BLISH & CAVANAGH, WITH WHOM THE SECRETARY, IDENTIFIED ON SCHEDULE L, PART IV, LINE (1), HAS A CONTROLLING INTEREST. THIS TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE. Administrative Service Contract Fees Part I, line 8 & 15, Part III, line 4a, Part VIII, line 2a, and Part IX, line 4 Due to the adoption of FASB ASU 606, DDRI is no longer reporting Administrative Service Contract Fees on a gross basis for subscriber premiums and claims incurred expenses for self-insured groups on its audited financial statements for the year ended December 31, 2019. The Form 990 follows the financial statement presentation by presenting the net balance on Part VIII, line 2a. As a result, revenues and expenses decreased compared to the prior year return, however there is no effect to net income. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 76 CORPORATE MEMBERS. MEMBERS THAT MAY ELECT THE GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBERS MEET ANNUALLY TO APPROVE ANY BY-LAW CHANGES AND TO ELECT INDIVIDUALS TO THE 15 MEMBER BOARD OF DIRECTORS WHICH IS THE ORGANIZATION'S GOVERNING BODY. ALL 15 MEMBERS OF THE BOARD OF DIRECTORS ALSO SERVE AS REPRESENTATIVES OF THE CORPORATE MEMBERS. DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE CORPORATION, AT THE ANNUAL MEETING, SHALL ELECT DIRECTORS OF THE CORPORATION THAT HAVE BEEN PROPOSED BY THE BOARD OF DIRECTORS AND SHALL APPROVE AMENDMENTS OR ALTERATIONS OF THE BY-LAWS PROPOSED BY THE BOARD OF DIRECTORS. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 THE ANNUAL FORM 990 IS PREPARED BY GRANT THORNTON LLP, THE COMPANY'S TAX ADVISOR AND INDEPENDENT AUDITOR, USING INFORMATION PROVIDED BY DELTA DENTAL OF RHODE ISLAND. AFTER PREPARATION AND REVIEW OF THE RETURN BY GRANT THORNTON, THE DRAFT IS REVIEWED BY DELTA DENTAL'S FINANCE DEPARTMENT AND MANAGEMENT, INCLUDING THE CONTROLLER, SR VP-CFO, AND CEO AS NECESSARY. THE COMPLETE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL W-2 EMPLOYEES, INTERNS, TEMPS, DENTAL CONSULTANTS, AND BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE REVIEW PROCESS FOR COMPLETE QUESTIONNAIRES CONTAINING DISCLOSURES IS AS FOLLOWS: FOR W-2 EMPLOYEES, INTERNS, AND TEMPS, DISCLOSURES ARE REVIEWED BY THE AVP & DIRECTOR OF COMPLIANCE AND SR VP-CFO. DISCLOSED POTENTIAL CONFLICTS ARE DISCUSSED AND MAY BE ELEVATED IN THE REVIEW PROCESS TO THE CEO AND EXTERNAL LEGAL COUNSEL FOR ADVICE. ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. FOR THE CEO AND SR VP-CFO, DISCLOSURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL. LEGAL COUNSEL ADVISES OF ANY REQUIRED ACTIONS WHICH ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED STANDARDS OF CONDUCT AND BUSINESS ETHICS AND CONFLICT OF INTEREST POLICIES. FOR DENTAL CONSULTANTS, DISCLOSURES ARE REVIEWED BY THE AVP & DIRECTOR OF COMPLIANCE, THE SR VP-CFO, AND THE SR VP-COO. ALL CONFLICTS ARE DISCUSSED AND MAY BE ELEVATED TO EXTERNAL LEGAL COUNSEL FOR ADVICE. ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. FOR BOARD MEMBERS, DISCLOSURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL. LEGAL COUNSEL PREPARES A WRITTEN MEMORANDUM FOR PRESENTATION TO BOARD MEMBERS WITH THE RESULTS OF THE REVIEW. ALL CONFLICTS ARE DISCUSSED AND ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. IN THE CASE OF A CONFLICT, IMMEDIATE AND APPROPRIATE ACTION IS TAKEN IN ACCORDANCE WITH THE COMPANY'S POLICIES. PERSONS WITH A CONFLICT ARE RECUSED FROM DISCUSSIONS AND DO NOT VOTE ON RESOLUTIONS THAT PERTAIN DIRECTLY TO THEIR CONFLICT. COMPENSATION POLICY FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ELECTS INDEPENDENT MEMBERS TO SERVE ON ITS COMPENSATION COMMITTEE WHICH IS RESPONSIBLE FOR SETTING THE CEO'S COMPENSATION AND APPROVING PAY RANGES FOR THE VARIOUS JOB TRACKS WITHIN THE COMPANY AS WELL AS APPROVING ANY FRINGE BENEFITS. THE COMPANY AND THE COMMITTEE ANNUALLY CONTRACT WITH INDEPENDENT COMPENSATION CONSULTANTS TO HELP DETERMINE APPROPRIATE PAY RANGES AND FRINGE BENEFITS SUCH AS HEALTH AND OTHER INSURANCES AND RETIREMENT AND OTHER BENEFITS. COMPARABLE DATA IS USED TO DETERMINE WHETHER COMPENSATION IS CONSISTENT WITH SIMILAR ORGANIZATIONS. RECOMMENDATIONS FOR THE CEO'S COMPENSATION ARE MADE BY THE COMPENSATION COMMITTEE TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE REVIEW AND APPROVAL PROCESS IS CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE COMPANY'S GOVERNING DOCUMENTS, SUCH AS BYLAWS AND CORPORATE CHARTER, ARE AVAILABLE UPON REQUEST FROM THE COMPANY AND CAN ALSO BE OBTAINED FROM THE SECRETARY OF STATE'S OFFICE WITHIN THE STATE OF RHODE ISLAND. THE COMPANY'S CONFLICT OF INTEREST POLICY, AS WELL AS THE COMPANY'S AUDITED FINANCIAL STATEMENTS, ARE ALSO AVAILABLE UPON REQUEST AT THE COMPANY'S HEADQUARTERS. ADDITIONALLY, ALL STATUTORY FILINGS COMPLETED BY THE COMPANY ARE AVAILABLE THROUGH THE INSURANCE DIVISION WITHIN THE RHODE ISLAND DEPARTMENT OF BUSINESS REGULATION. THE COMPANY'S FORM 990 IS ALSO POSTED ON WWW.GUIDESTAR.ORG. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS REPRESENTS AN ADJUSTMENT OF 125,625 FOR INCOME AND OVERACCRUED EXPENSES RELATED TO JOINT VENTURES WITH OTHER DELTA PLANS. Altus Realty Inc 10 Charles Street Providence RI 029042208 030396397 Holding Co. RI 501(c)(2) N/A DDRI true The Altus Group Inc 10 Charles Street Providence RI 02903 050502610 Holding Company RI DDRI C Corp 6364135 111923984 1.00000 true Altus Dental Inc 10 Charles Street Providence RI 029042208 050502612 Dental Network MA Altus Group Inc C Corp 0 0 1.00000 true Altus Ventures Inc 10 Charles Street Providence RI 029042208 465627174 Investment Mgmt RI Altus Group Inc C Corp 0 0 1.00000 true Altus Dental Insurance Co Inc 10 Charles Street Providence RI 029042208 050513223 Insurance RI Altus Group Inc C Corp 0 0 1.00000 true Altus Systems Inc 10 Charles Street Providence RI 029042208 050502611 Claims Processing RI Altus Group Inc C Corp 0 0 1.00000 true First Circle Inc 10 Charles Street Providence RI 029042208 814567207 Software Platform RI Altus Group Inc C Corp 0 0 1.00000 true First Circle Realty Inc 10 Charles Street Providence RI 029042208 832724654 Mgmt. Prop. RI Altus Group Inc C Corp 0 0 1.00000 true true true false true false false false false false false true true true true true true true true false ALTUS DENTAL INSURANCE COMPANY INC N 290940 FMV ALTUS DENTAL INC A(I) 98733 FMV ALTUS REALTY INC D 703007 FMV ALTUS REALTY INC K 999901 FMV ALTUS SYSTEMS INC L 5696232 FMV ALTUS DENTAL INSURANCE COMPANY INC M 1134666 FMV ALTUS DENTAL INSURANCE COMPANY INC O 1483795 FMV FIRST CIRCLE INC B 5000000 FMV