2011-11-10T07:16:55-05:00 2010-12-31 CBIZ MHM LLC 3625 Cumberland Blvd SE Suite 800 Atlanta GA 30339 990 2010-01-01 521479587 Delta Dental of the District of Columbia DELT 7177668500 One Delta Drive Mechanicsburg PA 17055 Jeanne Foster 2011-11-04 7708584500 2010 2016-02-24 21:20:13Z 2927926 false X www.deltadentalins.com X 1985 DC TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 8 8 0 0 0 0 2698410 2927921 988 5 0 0 2699398 2927926 10000 10000 0 0 2400 2400 0 0 0 2686010 2915521 2698410 2927921 988 5 4123410 3715162 4019351 3611098 104059 104064 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. false false 2729098 2927921 The organization is the general agent for dental insurance contracts providing coverage for 370,344 beneficiaries in 2010 primarily through contracts with independent dentists serving 101 purchasing groups. 10000 10000 The organization made grants during 2010 to foster improved access to dental health care treatment, to support professional dental education and to provide oral health instruction for patients. 2739098 false false false false false false false false false false false false false true true true false false false false false false false false false false true false true false false false false false false false false false false false false false true true false false true 18571 0 true 0 false false false false false false X 8 8 false false false false true true true true true false false false true true true true false true true false X JEANNE FOSTER VP FINANCE 7177668500 ONE DELTA DRIVE Mechanicsburg PA 17055 X Alecia Brown 1.0 X 400 Donald Clark 1.0 X 400 Adolph W Johnson DDS 1.0 X 400 Balfour D Mattox DDS 1.0 X 400 Ottho Milbourne CEBS 1.0 X 400 John H Palmer DDS 1.0 X 400 Alan Singer DDS 1.0 X 400 Christina Kreutziger 1.0 X 400 Gary D Radine 1.0 X 2551699 1224420 Anthony S Barth 1.0 X 1135404 826283 Roy M Hilliard 1.0 X 359869 40819 Renee A Fisher 1.0 X 273114 41184 Philip N Engle 1.0 X 261948 41190 Michael J Castro 1.0 X 803300 533238 Jeanne M Foster 1.0 X 283226 40113 Cheryl A Lerner DMD 1.0 X 198073 33545 Richard C Graybill 1.0 X 240481 30739 Charles Lamont Esq 1.0 X 653956 1513529 Karen L Robinson 1.0 X 111377 25899 Whitney H Sherbocker 1.0 X 160504 32108 Alicia F Weber 1.0 X 480957 61373 3200 7513908 4444440 0 false true false 0 0 COMMISSIONS EARNED 1821637 1821637 ADMINISTRATIVE FEE INCOME 1106284 1106284 2927921 5 5 0 0 0 0 0 0 0 2927926 2927926 10000 10000 0 0 0 2400 2400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BANK SERVICE CHARGES 24557 22784 1773 COMMISSIONS 333479 333479 ADMINISTRATIVE FEES 2422883 2247951 174932 LICENSES, PERMITS, FEES 46543 43183 3360 OTHER EXPENSES 88059 81701 6358 2927921 2739098 188823 0 434608 596918 2769363 2163404 919439 954840 4123410 3715162 920722 1193876 130986 63818 2967643 2353404 4019351 3611098 X 104059 104064 104059 104064 4123410 3715162 5 X false true true X false 0 FUNDS HELD FOR THE ACCOUNT OF 2163404 PREFUNDED DEPOSITS 190000 2353404 2927926 2927921 5 5 2927926 2927926 2927926 2927921 2927921 2927921 FIN 48 Footnote 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 evaluated the impact of the accounting pronouncement and determined that it had no impact on the Company's financial statements. true Howard University & Hospital System 600 W Street NW Washington DC 20059 530204707 10000 To provide dental education and improved access to dental health care treatment. 1 Grant Approval Part I, Line 2 The organization awards grants for programs that foster dental health and education. Through these grants we help finance health, educational and research projects in dentistry, health and human services and civic and community affairs. The two grants are: (1)the Dental Health and Education Contribution, which supports dental health and awareness programs; and (2) the Standard Dental Research Grant, which supports professional research related to dental health. Grants are awarded to groups who: (1) provide dentistry for indigents; (2) provide dentistry for groups that are dentally underserved; (3) provide education to advance the awareness or the science of dentistry; (4) promote public dental health; and (5) are involved with community activities related to dental care. Grant Guidelines: Priority will go to projects that focus on issues related to the delivery of oral health care, including those with significant potential for improving oral health and reducing treatment costs. Priority consideration will go to researchers from the dental schools in the enterprise, but will not be limited to these institutions. Priority will go to two types of studies: (1) Pilot or feasibility studies likely to enhance the investigator's chance for long-term funding from other sources; and (2) complete projects considered to be of interest to the health, education and research fund, for which other sources of funds are traditionally not available or sufficient. Priority will go to studies that evaluate the outcome of preventative and treatment procedures. Retrospective studies or those involving analysis of existing data should be considered, rather than long-term follow-up studies, in order to reduce the years required to obtain data. Overhead charges within each eligible grant will be limited to eight percent. The fund will normally make one to two standard research grants per year. Individual grants will generally not exceed $40,000. 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. A screening committee reviews all applications, with final grant decisions made by the fund's administrative committee. X X X true true X X X X X false true false false false false false true false Gary D Radine 1200000 960000 391699 1207332 17088 3776119 Anthony S Barth 750192 350000 35212 802636 23647 1961687 Roy M Hilliard 217398 86250 56221 40819 400688 Renee A Fisher 210783 55000 7331 41184 314298 Philip N Engle 214950 41500 5498 41190 303138 Michael J Castro 500096 250000 53204 509591 23647 1336538 Jeanne M Foster 229275 46900 7051 40113 323339 Cheryl A Lerner DMD 173516 18030 6527 33545 231618 Richard C Graybill 194856 38000 7625 30739 271220 Charles Lamont Esq 389404 220000 44552 1496441 17088 2167485 Whitney H Sherbocker 148609 15265 -3370 32108 192612 Alicia F Weber 357903 100000 23054 40781 20592 542330 Expense Reimbursement Part I, Line 1A First-Class travel--First class business travel is reimbursed to the Executive Vice Presidents. First class business travel for Senior Vice Presidents and Group Vice Presidents is reimbursed only when approval is received from their Executive Vice President. First class business travel is not treated as taxable compensation. Health or social club dues--The President and Executive Vice Presidents may be reimbursed for one health or social club upon approval by the President. Two senior executives received this benefit in 2010. The cost of this benefit is included in taxable compensation. Personal Services--Financial and tax planning expenses are reimbursed to employees who are at the Director or above level of management. There is a company policy outlining the maximum reimbursement allowed for each management level. These reimbursements are included in taxable compensation of the reimbursed employees. Non-Fixed Compensation Paid Part I, Line 7 The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. These amounts are included in taxable compensation. Supplemental Non-Qualified Retirement Plan Part I, Line 4B Executives paid by related organizations participate in a supplemental nonqualified retirement program provided by those organizations. Deferred compensation attributable to such programs is included in Part II, Column (C). Compensation Paid by Related Organization Part II, Line (ii) The organization's officers are paid by a related organization. Accordingly, their compensation is reported in Line (ii). Members and Stockholders Part VI, Sec A, Lines 6-7 The organization has one class of members, designated Corporate Members, who are directors of Dentegra Group, Inc., the organization's parent holding company. The organization's directors vote on persons nominated as directors for endorsement to the Corporate Members, who elect the directors. The Corporate Members also must approve any changes to specified Bylaws provisions. Process used to review Form 990 Part VI, Sec B, Line 11 The organization's CFO and legal counsel oversee the completion of the Form 990, and review it prior to filing with the President/CEO and with the Delta Dental of Pennsylvania Audit Committee to which such duties have been delegated. Compliance with conflict of interest policy Part VI, Sec 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. Written documentation and destruction policy Part VI, Sec B, Line 14 A draft document retention and destruction policy is under consideration pending the testing of associated software being installed for management of electronic records. Process for determining compensation Part VI, Sec B, Lines 15a and b Compensation paid to the CEO, who is an employee of Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. Executive vice presidents' compensation is either approved by the President or in accordance with the procedure of Delta Dental of California (by whom they are employed). All compensation for the ensuing year is only approved after reviewing comparability data presented by an outside compensation consultant, an assessment of each officer's performance over the preceding year and the organization's program accomplishments for the year. This process was followed for 2010 compensation. Process for making documents available to the public Part VI, Sec C, Line 19 The organization annually includes major portions of its financial statement in a published annual report that is made available to persons or entities known to have an interest in the organization, and is available to the larger public upon request. The organization does not make its governing documents or conflict of interest policy available to the public. Delta Dental Enterprise Form 990, Part VII; Schedule J; Schedule R The organization, regulated by the District of Columbia Department of Insurance, Securities and Banking, 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 one of the nation's largest dental benefits delivery systems covering 24.2 million enrollees and handling 36 million claims. Total revenue for the enterprise exceeded $6.3 billion in 2010. The organization represents less than 1% of total enterprise revenues. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary D. Radine TITLE:President HOURS:59 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Anthony S. Barth TITLE:Chief Operating Officer HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roy M. Hilliard TITLE:VP, Sales HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Renee A. Fisher TITLE:VP, Quality Assurance & Train HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Philip N. Engle TITLE:V.P., Information Technology HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael J. Castro TITLE:Chief Financial Officer HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jeanne M. Foster TITLE:Vice President, Finance HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Cheryl A. Lerner, DMD TITLE:V.P., Professional Relations HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard C. Graybill TITLE:V.P., Underwriting & Actuarial HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Charles Lamont, Esq. TITLE:Chief Legal Officer HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Karen L. Robinson TITLE:Assistant Secretary HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Whitney H. Sherbocker TITLE:Assistant Secretary HOURS:49 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Alicia F. Weber TITLE:Sr. VP, Controller HOURS:49 F Gene Dixon Foundation 100 First Street San Francisco CA 94105 371570764 Charitable CA 501(c)(3) PF Dentegra Gro Delta Dental of Pennsylvania One Delta Drive Mechanicsburg PA 17055 231667011 Dental Ins PA 501(c)(4) Dentegra Gro Delta Dental of Delaware Inc One Delta Drive Mechanicsburg PA 17055 510228088 Dental Ins DE 501(c)(4) Dentegra Gro Delta Dental of West Virginia Inc One Delta Drive Mechanicsburg PA 17055 550523124 Dental Ins WV 501(c)(4) Dentegra Gro Delta Dental of California 100 First Street San Francisco CA 94105 941461312 Dental Ins CA 501(c)(4) Dentegra Gro PACA Management LLC One Delta Drive Mechanicsburg PA 17055 943277375 Ins. Mgmt DE Delta Dental of Dentegra Group Inc 100 First Street San Francisco CA 94105 943386049 Holding Compa DE N/A C Corp Dentegra Insurance Company 100 First Street San Francisco CA 94105 751233841 Insurance Com DE Delta Dental of C Corp Dentegra Insurance Comp of New England 100 First Street San Francisco CA 94105 042890218 Insurance Com MA Delta Dental of C Corp Delta Dental Insurance Company 100 First Street San Francisco CA 94105 942761537 Insurance Com DE Delta Dental of C Corp Alpha Dental of Nevada Inc 100 First Street San Francisco CA 94105 880244893 Insurance Com NV Delta Dental of C Corp Alpha Dental of Utah Inc 100 First Street San Francisco CA 94105 860672505 Insurance Com UT Delta Dental of C Corp Alpha Dental Programs Inc 100 First Street San Francisco CA 94105 742447512 Insurance Com TX Delta Dental of C Corp Alpha Dental of Alabama Inc 100 First Street San Francisco CA 94105 630796079 Insurance Com AL Delta Dental of C Corp Alpha Dental of New Mexico Inc 100 First Street San Francisco CA 94105 330279230 Insurance Com NM Delta Dental of C Corp Alpha Dental of Arizona Inc 100 First Street San Francisco CA 94105 930939835 Insurance Com AZ Delta Dental of C Corp Dentegra Seguro Dentales SA de CV Insurgentes Sur 826 Piso 15 FCDF03 Col del Valle MX Insurance Com MX Dentegra Insura C Corp Delta Reinsurance Corporation CGI Tower 2nd Floor Warrens St. Michael BB 980096711 Reinsurance BB Delta Dental of C Corp Delta Dental of Puerto Rico 14 Calle 2 Suite 200 Guaynabo RQ 00968 660436769 Insurance Com RQ Delta Dental of C Corp Servicios Dentales Dentegra SA de CV Insurgentes Sur 826 Piso 15 Col del Valle MX Ins. Mgmt. MX Dentegra Insura C Corp false false false false false false false false false false false true false false true false true true Delta Dental of California o 1887425 Delta Dental Insurance Company l 492876 Delta Dental Insurance Company r 27510 PACA Management LLC l 1698252 Delta Reinsurance Corporation r 7431749 Delta Reinsurance Corporation q 6382559