2018-11-13T13:05:44-06:00 2017-12-31 GRANT THORNTON LLP 75 State Street Boston MA 02109 990 2017-01-01 050296998 Delta Dental of Rhode Island % GEORGE BEDARD DELT 4017526000 10 Charles Street Providence RI 02904 RICHARD A FRITZ VP Finance & CFO 4017526000 2018-11-13 true Scott Thompsett P00741490 6177237900 2018-11-13 209.220.136.124 04586620183175000012 2018-11-13 P E17E9E8E8EC8B19A45D5165D09B6AE6601980AF9 F49A67012B2BD0B747B3FC8EDB4C5F33AD03E3F0 2017 2019-02-21 02:37:17Z Joseph Nagle 10 Charles Street Providence RI 02904 225033866 false X www.deltadentalri.com X 1959 RI TO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES 15 14 56 0 0 0 0 0 200306895 205597321 2169630 2382183 174071 22960 202650596 208002464 557920 509362 179613864 183563698 11862556 11783563 0 0 0 8102295 7247821 200136635 203104444 2513961 4898020 114660592 118270386 21821982 28440935 92838610 89829451 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 183563698 205597321 DENTAL BENEFITS FOR 608,875 MEMBERS UNDER 294,800 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. 8091199 0 OPERATIONS EXPENSE INCURRED TO ADMINISTER THE PAYMENT OF DENTAL BENEFITS. 509362 509362 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, to support critical oral health needs across the state. 192164259 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 18 0 true 56 true false false false false false 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 John T Ruggieri Chair 1.0 1.0 X X 12850 0 0 Joseph J MarcAurele Vice Chair 1.0 1.0 X X 11650 0 0 Julie G Duffy Director 1.0 1.0 X 6600 0 0 Dr Thomas Enright Director 1.0 1.0 X 4200 0 0 Francis J Flynn Director 1.0 1.0 X 7200 0 0 William G Foulkes Director 1.0 1.0 X 7300 0 0 Jonathan W Hall Director 1.0 1.0 X 8800 0 0 Almon Hall Director (thru 04/17) 1.0 1.0 X 5500 0 0 Edward O Handy III Director 1.0 1.0 X 10150 0 0 Steven J Issa Director (thru 04/17) 1.0 1.0 X 10900 0 0 Linda R McGoldrick Director 1.0 1.0 X 8200 0 0 James F McManus Director (thru 04/17) 1.0 1.0 X 4500 0 0 Marc A Paulhus Director 1.0 1.0 X 9400 0 0 Cynthia S Reed Director 1.0 1.0 X 9400 0 0 James V Rosati Director 1.0 1.0 X 9900 0 0 Edwin J Santos Director 1.0 1.0 X 5400 0 0 Mark Shaw Director 1.0 1.0 X 4200 0 0 Vanessa Toledo-Vickers Director 1.0 1.0 X 8300 0 0 JOSEPH NAGLE President & CEO 40.0 1.0 X 1018622 0 67238 RICHARD FRITZ VP Finance & CFO 40.0 1.0 X 373030 0 49344 KERRIE BENNETT VP Marketing & Sec (thru 2/17) 40.0 1.0 X 207206 0 10914 GEORGE BEDARD Controller 40.0 1.0 X 146673 0 31486 MELISSA GENNARI Director Compliance 40.0 1.0 X 117476 0 13277 WILLIAM LANDRY SECRETARY 1.0 0.0 X 0 0 0 THOMAS CHASE VP & COO 40.0 1.0 X 0 415542 48447 JOSEPH PERRONI VP Bus Rel & Chief Sales Off 40.0 1.0 X 361889 0 49019 BLAINE CARROLL VP Strategic Initiatives 40.0 1.0 X 300561 0 50838 CYNTHIA WARD-VIEIRA VP Market&Ex Aff (AS OF 5/17) 40.0 1.0 X 195798 0 2800 ANGELO PEZZULO Director Major Accounts 40.0 1.0 X 188280 0 34986 ELLEN HENDRIX AVP Underwriting 40.0 1.0 X 164782 0 35849 TIMOTHY FITZGIBBONS Sr. Director Actuarial 40.0 1.0 X 168114 0 32972 DUANE EASTER Director of Corp Reporting 40.0 1.0 X 140615 0 30391 SHAUNA FONTAINE Director of Sales 40.0 1.0 X 149178 0 27860 3676674 415542 485421 14 false true false DUFFY SHANLEY INC 10 CHARLES STREET PROVIDENCE RI 02904 MARKETING SERVICES 391232 EDGEWATER TECHNOLOGY INC PO BOX 845183 BOSTON MA 022845183 PRODUCT DEVELOPMENT 341707 GRANT THORNTON LLP 124 HEBRON AVENUE SUITE 200 GLASTONBURY CT 060332063 AUDIT/TAX SERVICES 340226 NETCENERGY LLC 231 ELM STREET WARWICK RI 02888 IT CONSULTING 302923 CATHEDRAL CORPORATION GRIFFIN TECHNOLOGY PARK ROME NY 13441 PRINTING AND MAIL 293786 23 0 PREMIUMS 524114 205597321 205597321 205597321 1899293 1899293 0 0 0 0 0 17514292 17031402 482890 482890 482890 0 0 0 0 0 0 0 0 0 INCOME FROM SUBSIDIARIES 900099 18347 18347 OTHER INCOME 900099 4613 4613 22960 208002464 205597321 2405143 509362 509362 0 0 183563698 183563698 3140621 762306 2378315 0 7151610 4018637 3132973 385353 216538 168815 389269 218738 170531 716710 349633 367077 0 134823 134823 308883 308883 63000 63000 0 655275 655275 1146249 329554 816695 498417 498417 749956 526375 223581 0 0 835603 432106 403497 108782 6211 102571 0 11556 11556 0 0 563930 563930 177724 177724 EQUIPMENT RENTAL & MAINT 1157884 1157884 0 BOARD & ASSOCIATION FEES 474584 8462 466122 0 FACILITIES EXPENSES 113952 113952 0 LICENSES & FEES 25500 25500 0 221703 1755 219948 203104444 192164259 10940185 0 250 250 7733838 13185150 0 0 10456635 12077362 0 0 0 0 0 0 0 0 2344899 2942034 11836585 11221909 929800 614676 81864937 77810966 10694024 11064664 0 0 0 0 636209 575284 114660592 118270386 14845989 21166777 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6975993 7274158 21821982 28440935 X 0 0 0 0 92838610 89829451 92838610 89829451 114660592 118270386 X 4898020 1653359 -9560538 X false true X true false 2699551 2672168 27383 6108900 5616186 492714 3028134 2933555 94579 614676 SUBSIDIARIES 7965026 C INVESTMENT-OTHER 3099638 F 11064664 0 CLAIMED INCURRED BUT UNPAID 4342000 ADVANCED SUBSCRIBER PREMIUMS 2164909 ACCRUED CLAIMS ADJUSTMENT EXPENSE 403303 ADVANCED DEPOSITS 363946 7274158 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, 2017 AND 2016, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS. true AMOS HOUSE 415 FRIENDSHIP STREET PROVIDENCE RI 02907 050387218 501(C)(3) 6750 PROGRAM SUPPORT BRYANT UNIVERSITY 1150 DOUGLAS TURNPIKE SMITHFIELD RI 02908 050258810 501(C)(3) 6750 PROGRAM SUPPORT CITY YEAR INC 275 WESTMINSTER STREET SUITE 500 PROVIDENCE RI 02903 222882549 501(C)(3) 10000 PROGRAM SUPPORT COMMUNITY PREPARATORY SCHOOL 135 PRAIRIE AVE PROVIDENCE RI 02905 222485332 501(C)(3) 7280 PROGRAM SUPPORT CROSSROADS RHODE ISLAND 160 BROAD STREET PROVIDENCE RI 02903 050259094 501(C)(3) 15150 PROGRAM SUPPORT CVS CHARITY CLASSIC INC ONE CVS DRIVE WOONSOCKET RI 02895 050508742 501(C)(3) 26500 PROGRAM SUPPORT FAMILY SERVICE OF RHODE ISLAND 134 THURBERS AVENUE PO BOX 6688 PROVIDENCE RI 02940 050258858 501(C)(3) 26500 PROGRAM SUPPORT JEFFREY OSBORNE CELEBRITY CLASSIC P 0 BOX 27815 PROVIDENCE RI 02907 050510492 501(C)(3) 7500 PROGRAM SUPPORT JOHNSON & WALES UNIVERSITY 8 ABBOT PARK PLACE PROVIDENCE RI 02903 050306206 501(C)(3) 15000 PROGRAM SUPPORT JUNIOR ACHIEVEMENT 57 GREENE STREET WARWICK RI 02886 050263443 501(C)(3) 7500 PROGRAM SUPPORT LA SALLE ACADEMY 612 ACADEMY AVE PROVIDENCE RI 02908 050258897 501(C)(3) 7550 PROGRAM SUPPORT LEARNING COMMUNITY 21 LINCOLN AVE CENTRAL CENTRAL FALL RI 02863 470942849 501(C)(3) 10000 PROGRAM SUPPORT MAKE A WISH MASSACHUSETT AND RHODE ISLAND 20 HEMINGWAY DRIVE EAST PROVIDENCE RI 02915 222867371 501(C)(3) 15500 PROGRAM SUPPORT MCAULEY MINISTRIES 622 ELMWOOD AVE PROVIDENCE RI 02907 050440470 501(C)(3) 7000 PROGRAM SUPPORT OCEAN STATE JOB LOT CHARITABLE 375 COMMERCE PARK RD N KINGSTOWN RI 02852 200959438 501(C)(3) 6000 PROGRAM SUPPORT PROVIDENCE COLLEGE 1 CUNNING SQUARE PROVIDENCE RI 02908 050258932 501(C)(3) 10900 PROGRAM SUPPORT RHODE ISLAND FOUNDATION ONE UNION STATION PROVIDENCE RI 02914 222604963 501(C)(3) 40000 PROGRAM SUPPORT RHODE ISLAND NGA 2017 INC ONE PARK ROW STH FLOOR PROVIDENCE RI 02903 813811966 501(C)(3) 10000 PROGRAM SUPPORT RI COMMUNITY FOOD BANK 200 NIANTIC AVE PROVIDENCE RI 02907 050395601 501(C)(3) 15000 PROGRAM SUPPORT RI PHILHARMONIC 667 WATERMAN AVE EAST PROVIDENCE RI 02914 050267451 501(C)(3) 10000 PROGRAM SUPPORT SALVE REGINA UNIVERSITY 100 OCHRE POINT AVE NEWPORT RI 02840 050259080 501(C)(3) 16000 PROGRAM SUPPORT SAN MIGUEL SCHOOL 52S BRANCH AVENUE PROVIDENCE RI 02904 223232973 501(C)(3) 35900 PROGRAM SUPPORT SPECIAL OLYMPICS RHODE ISLAND 370 GEORGE WASHINGTON HIGHWAY SMITHFIELD RI 02917 050377867 501(C)(3) 11831 PROGRAM SUPPORT UNITED WAY OF RI 50 VALLEY STREET PROVIDENCE RI 02909 050276059 501(C)(3) 41460 PROGRAM SUPPORT WHEELER SCHOOL 216 HOPE STREET PROVIDENCE RI 02906 050259101 501(C)(3) 10000 PROGRAM SUPPORT 13 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 President & CEO 638499 0 216531 0 163592 0 53600 0 13638 0 1085860 0 0 0 RICHARD FRITZ VP Finance & CFO 306777 0 61497 0 4756 0 35706 0 13638 0 422374 0 0 0 KERRIE BENNETT VP Marketing & Sec (thru 2/17) 54361 0 37281 0 115564 0 9766 0 1148 0 218120 0 0 0 GEORGE BEDARD Controller 133889 0 10961 0 1823 0 16851 0 14635 0 178159 0 0 0 THOMAS CHASE VP & COO 0 338859 0 73284 0 3399 0 35859 0 12588 0 463989 0 0 JOSEPH PERRONI VP Bus Rel & Chief Sales Off 277693 0 76710 0 7486 0 35381 0 13638 0 410908 0 0 0 BLAINE CARROLL VP Strategic Initiatives 245902 0 52130 0 2529 0 35250 0 15588 0 351399 0 0 0 ANGELO PEZZULO Director Major Accounts 153417 0 26720 0 8143 0 20351 0 14635 0 223266 0 0 0 ELLEN HENDRIX AVP Underwriting 147899 0 16164 0 719 0 19610 0 16239 0 200631 0 0 0 TIMOTHY FITZGIBBONS Sr. Director Actuarial 156336 0 11022 0 756 0 16733 0 16239 0 201086 0 0 0 DUANE EASTER Director of Corp Reporting 124868 0 15152 0 595 0 15756 0 14635 0 171006 0 0 0 SHAUNA FONTAINE Director of Sales 112697 0 31194 0 5287 0 13225 0 14635 0 177038 0 0 0 CYNTHIA WARD-VIEIRA VP Market&Ex Aff (AS OF 5/17) 160000 0 0 0 35798 0 2800 0 0 0 198598 0 0 0 Gross-Up Payments Schedule J, Part I, Line 1a THE CEO'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, AND PENSION AND RETIREMENT BENEFITS 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 CEO is a member 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. Supplemental nonqualified retirement plan SCHEDULE J, PART I, LINE 4A THE VP OF MARKETING & SECRETARY RECEIVED A SEVERANCE PAYMENT OF $46,253 IN 2017. THIS IS REPORTED AS TAXABLE COMPENSATION ON SCHEDULE J PART II COLUMN B(iii). Schedule J, Part I, Line 4b The CEO participates in a 457(F) deferred compensation plan but has not met the vesting criteria in 2016 and began receiving payments last year (as disclosed on the prior year Form 990). In 2017, the CEO received plan Contributions totaling $72,188; these payments have been reported on schedule J, part II column B(iii). EAST BAY DENTAL ASSOCIATES ENRIGHT-BOARD MEMBER 544684 PAYMENT FOR DENTAL SERVICES false Blish Cavanagh Landry-Secretary 118473 PAYMENT FOR LEGAL 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 (1) has a controlling interest. The transactions are entered into in the ordinary course of business and at fair market value. Transactions with this entity are 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 (2), has a controlling interest. This transaction is entered into in the ordinary course of business and at fair market value. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 77 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, 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 DIRECTOR OF COMPLIANCE AND 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 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 DIRECTOR OF COMPLIANCE, THE VP-CFO, AND THE 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 INCLUDES AN ADJUSTMENT OF $400,298 FOR OVERACCRUED EXPENSES RELATED TO A JOINT VENTURE WITH OTHER DELTA DENTAL PLANS AND AN ADJUSTMENT OF $39,164 FOR A BOND IMPAIRMENT WRITE DOWN. DELTA DENTAL RECORDED A RECONCILIATION TO ITS STATUTORY RESERVES THAT RESULTED IN A ($10,000,000) RESERVE TRANSFER TO THE ALTUS GROUP, INC. (A RELATED PARTY). TOTAL OTHER CHANGES IN NET ASSETS EQUAL ($9,560,538). Altus Realty Inc 10 Charles Street Providence RI 02903 030396397 Holding Co. RI 501(c)(2) N/A DDRI true The Altus Group Inc 10 Charles Street Providence RI 029042208 050502610 Holding Company RI DDRI C Corp 0 55751197 1.00000 true Altus Dental Inc 10 Charles Street Providence RI 029042208 050502612 DENTAL NETWORK MA Altus Group C Corp 0 0 1.00000 true Altus Ventures Inc 10 Charles Street Providence RI 029042208 465627174 INVESTMENT MGMT RI Altus Group C Corp 0 0 1.00000 true Altus Dental Insurance Co Inc 10 Charles Street Providence RI 029042208 050513223 Insurance RI Altus Group C Corp 0 0 1.00000 true Atlus SystemsInc 10 Charles Street Providence RI 029042208 050502611 CLAIMS PROCESSING RI Altus Group C Corp 0 0 1.00000 true First Circle Inc 10 Charles Street Providence RI 02904 814567207 Software PLATFORM RI Altus Group C Corp 0 0 1.00000 true true false false false false false false false false false true true true true true false false true true Altus Dental Insurance CoInc N 248394 FMV Altus DentalInc A(i) 99113 FMV Altus RealtyInc A(i) 51454 FMV Altus RealtyInc d 2033155 FMV Altus RealtyInc k 835603 FMV Altus SystemsInc l 5532566 FMV Altus Dental Insurance Co Inc m 1038737 FMV Altus Dental Insurance Co Inc o 970993 FMV