2025-09-26T09:47:44+00:00 2024-12-31 331498605 Plante & Moran PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2024-01-01 834416613 DELTA DENTAL OF COLORADO DELT 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT & CEO 2025-09-26 true DORI J EGGETT P00645252 3037409400 2025-09-16 2024 2025-03-06 01:10:19Z HELEN W DREXLER 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 680981087 false X WWW.DELTADENTALCO.COM X 2019 CO TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. 13 11 277 0 132825 24528 0 0 551765964 678515247 -626054 2357207 32290 26136 551172200 680898590 928218 2853633 483723637 602296817 28398841 30245898 0 0 0 41864713 43098224 554915409 678494572 -3743209 2404018 100016619 106632580 40279633 42846810 59736986 63785770 DELTA DENTAL OF COLORADO (DDCO) WAS FORMED AS A 501(C)(4) ORGANIZATION IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES IT SERVES. BECAUSE PEOPLE WITH DENTAL INSURANCE OVER TIME HAVE BETTER ORAL HEALTH OUTCOMES, DELTA DENTAL OF COLORADO DEVOTES ITSELF TO PROVIDING HIGH QUALITY AFFORDABLE DENTAL INSURANCE TO AS MANY COLORADANS AS POSSIBLE. false false 670609793 0 678382422 PROVISION OF RISK AND SELF-FUNDED PLANS TO SUBSCRIBERS DELTA DENTAL OF COLORADO DEVOTES ITSELF TO ITS MISSION OF IMPROVING THE ORAL HEALTH OF COLORADO'S PEOPLE. BECAUSE PEOPLE WITH DENTAL INSURANCE ARE OVER TWICE AS LIKELY TO VISIT A DENTIST REGULARLY, DENTAL OF COLORADO WORKS HARD TO MAKE DENTAL INSURANCE AS AFFORDABLE AND ACCESSIBLE AS POSSIBLE, AND TO THAT END, INSURES OVER 1,150,000 PEOPLE IN COLORADO AND 600,000 IN OTHER VARIOUS STATES. THE REVENUE GENERATED IS USED TO FUND THE COMMUNITY BENEFIT EFFORTS DESCRIBED IN LINE 4B. 2853633 2853633 0 COMMUNITY BENEFIT PROGRAMS AS A NONPROFIT, DELTA DENTAL OF COLORADO DEVOTES SIGNIFICANT RESOURCES TO FULFILLING OUR MISSION OF IMPROVING THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. DELTA DENTAL OF COLORADO PROVIDES DENTAL BENEFITS AND ORAL HEALTH INFORMATION AND SERVICES TO AS MANY PEOPLE AS POSSIBLE. OVER THE PAST 19 YEARS, DELTA DENTAL OF COLORADO HAS DEVOTED A SUBSTANTIAL AMOUNT OF ITS ADJUSTED NET GAIN TO ITS COMMUNITY IMPACT INITIATIVES. THESE ACTIVITIES INCLUDE DONATIONS, IN-KIND ORAL HEALTH SUPPLY PROGRAMS, AND CORPORATE SPONSORSHIPS WITH MANY ORGANIZATIONS INCLUDING HABITAT FOR HUMANITY, METRO CARING, VOLUNTEERS FOR OUTDOOR COLORADO, COLORADO GIVES FOUNDATION, COLORADO MISSION OF MERCY, AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 75,000 ORAL HEALTH ITEMS REACHING MORE THAN 60,000 PEOPLE THROUGHOUT COLORADO. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 205 OF ITS 235 EMPLOYEES CONTRIBUTING THEIR TIME IN 2024. 673463426 false false false false false false false false false false true true false true true true false true false false false false false false false false false true false true false false false false false false false false false true false false false false false true true true false false true 46269 0 true 277 true true true false false false false false false false true false X 13 11 false false false false true true false true true false false false true true true true true true true true false false X X MICHAEL R THORNLEY 3038898634 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 Helen W Drexler President and Chief Executive Officer 28.0 17.0 X X 732900 394639 110398 James L Cousin II Chair 4.0 2.0 X X 68951 0 0 Leo Tokar Vice-Chair 4.0 2.0 X X 38907 13500 0 Ned Calonge MD MPH Secretary 4.0 0.0 X X 42776 0 0 Andrea Young Trustee 2.0 4.0 X 37901 10000 0 Ann Block Trustee 4.0 2.0 X 51839 8500 0 Ann Somers DDS Trustee 2.0 0.0 X 44601 0 0 Don Ortega Trustee 4.0 0.0 X 42000 3000 0 Joseph Garcia Trustee 4.0 0.0 X 46000 0 0 Kim Kretsch DDS MBA Trustee 2.0 3.0 X 47250 0 0 Mark Goodman Trustee 4.0 0.0 X 49565 3000 0 Richard Call DMD Trustee 4.0 2.0 X 44367 0 0 Tamanna Tiwari MPH MDS BDS Trustee 4.0 3.0 X 61300 0 0 Gregory Vochis Chief Financial Officer and Treasurer 37.0 8.0 X 349165 79748 45610 Brad T Guyton DDS MBA MPH Chief Dental Officer 21.0 2.0 X 323793 24372 43947 Kelli C Ogunsanya Chief Operating Officer 42.0 3.0 X 498981 37558 60483 Robert M Thompson Chief Growth Officer 31.0 14.0 X 336857 144367 59458 Stacy L Abel Chief People Officer 41.0 4.0 X 382441 42493 69379 Allison Melun Sr. Director - Marketing & Communications 31.0 14.0 X 178338 76430 46987 Devin W Farrell Sr. Director - Growth Strategy 38.0 7.0 X 270818 47791 57543 Michael R Thornley Sr. Director - Corporate Controller 30.0 15.0 X 189227 101891 36263 Patrick A Cordova Director - IT Infrastructure & Data Systems 38.0 7.0 X 191723 33834 45451 Stephanie Rauzi Senior Sales Executive 45.0 0.0 X 243283 0 45304 Adeeb A Khan Former Chief Impact Officer 0.0 0.0 X 82418 123627 0 4355401 1144750 620823 73 true true false NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 IT SUPPORT & CLAIMS PROCESSING 8672551 WYSSTA SERVICES INC PO BOX 86 STEVENS POINT WI 54481 3RD PARTY INSURANCE PROCESSING 4787342 FISERV 600 VEL R PHILLIPS AVE MILWAUKEE WI 53203 FINANCIAL CONSULTANT 1720000 NPN360 INC 2801 LAKESIDE DRIVE BANNOCKBURN IL 60015 PRINTING AND MAILING SERVICES 1430526 ENCARA INC 4818 STARKEY ROAD ROANOKE VA 24018 SALES AND MARKETING SERVICES 1424293 37 0 SELF FUNDED PLAN PREMIUMS 524114 419084027 419084027 RISK PLAN PREMIUMS 524114 235752134 235752134 ADMIN - SELF FUND PLAN 524298 23546261 23546261 ADMIN - VISION REVENUE 524298 132825 132825 0 0 0 0 678515247 2439704 2439704 0 0 71112 11385 -71112 -11385 -82497 -82497 0 MISCELLANEOUS REVENUE 900099 26136 26136 0 0 0 0 26136 680898590 678382422 132825 2383343 2853633 2853633 0 0 0 0 602296817 602296817 4120952 4038533 82419 0 0 0 0 0 19077209 18695665 381544 0 1576577 1545045 31532 0 3958428 3879259 79169 0 1512732 1482477 30255 0 775353 620282 155071 0 1449716 1159773 289943 0 148428 118742 29686 0 0 0 0 0 0 0 143202 0 143202 0 303863 212704 91159 0 2151664 2151664 0 0 228673 160071 68602 0 948054 758443 189611 0 0 0 0 0 1766799 1413439 353360 0 290384 58077 232307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2076808 1142244 934564 0 378828 303062 75766 0 DATA PROCESSING 12620884 12620884 0 0 COMMISSIONS 10500495 10500495 0 0 OUTSOURCING/CONSULTING 5306048 4244838 1061210 0 INCOME TAX EXPENSE 294 294 0 4008731 3206985 801746 0 678494572 673463426 5031146 0 0 0 0 0 2571903 21618 4446549 668552 19152066 27202003 0 0 0 0 1725783 1812577 16505067 7826965 10634781 8678102 10333591 12158002 39018180 44662752 0 12133766 11428974 100016619 106632580 4424540 3491309 3238673 3345841 0 0 32616420 36009660 40279633 42846810 X 59736986 63785770 59736986 63785770 100016619 106632580 2404018 1644358 408 0 X false true true false 5253098 2073985 3179113 9854008 5047221 4806787 1397961 705759 692202 8678102 Closely-held equity interests Financial derivatives BONDS 44662752 F 44662752 ACCRUED INTEREST 291666 RIGHT-OF-USE ASSETS 9816004 INTERCOMPANY RECEIVABLE 256680 FUNDS HELD OR DEPOSITED WITH REINSURED COMPANIES 1064624 11428974 Federal Income Taxes PROVISION FOR UNPAID CLAIMS 9567351 ACCRUED EMPLOYEE BENEFITS 6448805 DEPOSITS 1751368 UNCLAIMED PROPERTY 1043195 RIGHT-OF-USE LEASE LIABILITIES 13131314 REINSURANCE PAYABLE 4067627 36009660 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. true AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE SUITE 1150 CHICAGO IL 75078 131632524 501(C)(3) 5200 Funding to Support Local Charitable Organization AMERICAN ONLINE GIVING FOUNDATION INC 40 E MAIN ST STE 887 NEWARK DE 19711 810739440 501(C)(3) 17137 Funding to Support Local Charitable Organization AMERICAN RED CROSS 444 SHERMAN ST DENVER CO 80204 530196605 501(C)(3) 20000 Funding to Support Local Charitable Organization BCIVIC 789 SHERMAN STREET SUITE 260 DENVER CO 80204 465262657 501(C)(3) 15000 Funding to Support Local Charitable Organization BOYS AND GIRLS CLUBS OF METRO DENVER INC 2017 W 9TH AVE DENVER CO 80204 840510404 501(C)(3) 6000 Funding to Support Local Charitable Organization CHILDRENS MUSEUM OF DENVER INC 2121 CHILDRENS MUSEUM DRIVE DENVER CO 80217 840658142 501(C)(3) 25000 Funding to Support Local Charitable Organization CIRCLE 3455 RINGSBY CT STE 130 DENVER CO 80216 472199655 501(C)(3) 10000 Funding to Support Local Charitable Organization CIVIC CENTER CONSERVANCY 1410 GRANT ST STE C205 DENVER CO 80203 202214279 501(C)(3) 25000 Funding to Support Local Charitable Organization CLEO PARKER ROBINSON DANCE 119 PARK AVE WEST DENVER CO 80205 840632111 501(C)(3) 6000 Funding to Support Local Charitable Organization COLORADO COMPRESSIONS 7118 S LAFAYETTE WAY CENTENNIAL CO 80122 824634041 501(C)(3) 13005 Funding to Support Local Charitable Organization COLORADO GIVES FOUNDATION 5855 WADSWORTH BYPASS UNIT A ARVADA CO 80003 510157964 501(C)(3) 50000 Funding to Support Local Charitable Organization COLORADO MISSION OF MERCY 1910 56TH AVE GREELEY CO 80634 271586585 501(C)(3) 20000 Funding to Support Local Charitable Organization COLORADO WOMEN'S CHAMBER OF COMMERCE 865 ALBION ST STE 250 DENVER CO 80220 841145793 501(C)(3) 15000 Funding to Support Local Charitable Organization CRAIG HOSPITAL FOUNDATION 3425 S CLARKSON STREET ENGLEWOOD CO 80202 237352287 501(C)(3) 6000 Funding to Support Local Charitable Organization DELTA DENTAL PLAN OF COLORADO FOUNDATION 6465 GREENWOOD PLAZA BLVD CENTENNIAL CO 80111 841389431 501(C)(3) 2000000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DELTA DENTAL PLANS ASSOCIATION 222 W MERCHANDISE MART PLAZA STE CHICAGO IL 60654 362551984 501(C)(3) 20496 Funding to Support Local Charitable Organization DENTAL LIFELINE NETWORK 1800 15TH STREET SUITE 100 DENVER CO 80202 840900619 501(C)(3) 10000 Funding to Support Local Charitable Organization DENVER BOTANIC GARDENS INC 909 YORK ST DENVER CO 80206 840440359 501(C)(3) 40000 Funding to Support Local Charitable Organization DENVER DUMB FRIENDS LEAGUE 2080 S QUEBEC ST DENVER CO 80239 840405254 501(C)(3) 20000 Funding to Support Local Charitable Organization DENVER PUBLIC SCHOOLS FOUNDATN 1860 LINCOLN ST 10TH FLOOR DENVER CO 80204 841224325 501(C)(3) 20000 Funding to Support Local Charitable Organization DENVER URBAN GARDENS 1031 33RD ST STE 100 DENVER CO 80205 742374848 501(C)(3) 20000 Funding to Support Local Charitable Organization DENVER ZOOLOGICAL FOUNDATION 2300 STEELE ST DENVER CO 80205 840502539 501(C)(3) 80000 Funding to Support Local Charitable Organization ENVIRONMENTAL LEARNING FOR KIDS PO BOX 21679 DENVER CO 80231 841436605 501(C)(3) 11000 Funding to Support Local Charitable Organization EXECUTIVES PARTNERING TO INVEST IN CHILDREN 711 PARK AVE WEST DENVER CO 80209 473951585 501(C)(3) 20000 Funding to Support Local Charitable Organization FOCUS POINTS FAMILY RESOURCE CENTER 2501 E 48TH AVE DENVER CO 80216 841353944 501(C)(3) 30090 Funding to Support Local Charitable Organization GIRL SCOUTS OF COLORADO 1485 S COLORADO BLVD STE 210 DENVER CO 80222 840410630 501(C)(3) 20000 Funding to Support Local Charitable Organization GIRLS INCORPORATED OF METRO DENVER 1499 JULIAN ST DENVER CO 80204 742277668 501(C)(3) 20000 Funding to Support Local Charitable Organization HABITAT FOR HUMANITYOF METRO DENVER INC 430 S NAVAJO ST DENVER CO 80223 742050021 501(C)(3) 20000 Funding to Support Local Charitable Organization HEALING DENVER 300 CENTER DR STE G 362 SUPERIOR CO 80027 992971532 501(C)(3) 20000 Funding to Support Local Charitable Organization KIDS IN NEED OF DENTISTRY 2465 S DOWNING SUITE 210 DENVER CO 80210 846038681 501(C)(3) 6000 Funding to Support Local Charitable Organization LIFESPAN LOCAL INC 4407 MORRISON RD DENVER CO 80219 873136973 501(C)(3) 10000 Funding to Support Local Charitable Organization MILE HIGH UNITED WAY PO BOX 5547 DENVER CO 80217 840404235 501(C)(3) 19250 Funding to Support Local Charitable Organization NABIP COLORADO 4687 W 18TH ST GREELEY CO 80634 841191319 501(C)(3) 5310 Funding to Support Local Charitable Organization NATIONAL KIDNEY FOUNDATION INC 1391 SPEER BLVD SUITE 250 DENVER CO 80204 131673104 501(C)(3) 7500 Funding to Support Local Charitable Organization SPECIAL OLYMPICS COLORADO 12450 E ARAPAHOE RD SUITE C CENTENNIAL CO 80112 840713739 501(C)(3) 20000 Funding to Support Local Charitable Organization THE CENTER ON COLFAX 1301 E COLFAX AVE DENVER CO 80218 840738879 501(C)(3) 10000 Funding to Support Local Charitable Organization VOLUNTEERS FOR OUTDOOR COLORADO PO Box 100577 DENVER CO 80250 742357211 501(C)(3) 21250 Funding to Support Local Charitable Organization VOLUNTEERS OF AMERICA OF COLORADO 2660 LARIMER ST DENVER CO 80205 841590666 501(C)(3) 20000 Funding to Support Local Charitable Organization WARREN VILLAGE INC 1323 GILPIN ST DENVER CO 80218 840644270 501(C)(3) 10000 Funding to Support Local Charitable Organization WEECYCLE 5590 JOLIET ST DENVER CO 80239 823096264 501(C)(3) 20000 Funding to Support Local Charitable Organization YMCA OF METROPOLITAN DENVER 2625 S COLORADO BLVD DENVER CO 80222 840402696 501(C)(3) 25000 Funding to Support Local Charitable Organization YOURCAUSE HOLDINGS LLC 6111 WEST PLANO PKWY SUITE 1000YC PLANO TX 75093 260638742 10261 Funding to Support Local Charitable Organization 41 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501(C)(3) OR OTHER CHARITABLE ORGANIZATIONS AND ARE PROPERLY APPROVED BY MANAGEMENT. ADDITIONALLY, THE ORGANIZATION REQUIRES PERIODIC REPORTS TO ASCERTAIN THAT SUBSTANTIAL GRANTS ARE USED FOR THEIR PROPER INTENDED PURPOSE. X X X X true false false true false true false false false Helen W Drexler President and Chief Executive Officer 460200 247800 258823 139366 13877 7472 61578 33157 10181 5482 804659 433277 0 0 Gregory Vochis Chief Financial Officer and Treasurer 190551 43521 151401 34579 7213 1647 27346 6246 9784 2235 386295 88228 0 0 Adeeb A Khan Former Chief Impact Officer 54590 81885 27828 41742 0 0 0 0 0 0 82418 123627 0 0 Brad T Guyton DDS MBA MPH Chief Dental Officer 200994 15129 114042 8584 8757 659 26943 2028 13928 1048 364664 27448 0 0 Robert M Thompson Chief Growth Officer 221812 95062 100015 42864 15030 6442 29202 12515 12419 5322 378478 162205 0 0 Kelli C Ogunsanya Chief Operating Officer 345079 25974 137149 10323 16753 1261 40830 3073 15419 1161 555230 41792 0 0 Stacy L Abel Chief People Officer 276920 30769 84147 9350 21374 2375 35637 3960 26804 2978 444882 49432 0 0 Devin W Farrell Sr. Director - Growth Strategy 177386 31303 90518 15974 2914 514 26216 4626 22695 4005 319729 56422 0 0 Michael R Thornley Sr. Director - Corporate Controller 161533 86979 23869 12853 3825 2060 17239 9283 6331 3409 212797 114584 0 0 Allison Melun Sr. Director - Marketing & Communications 159210 54952 15602 19967 3526 1511 14820 6352 18070 7744 211228 90526 0 0 Stephanie Rauzi Senior Sales Executive 109172 0 131239 0 2872 0 21923 0 23381 0 288587 0 0 0 Patrick A Cordova Director - IT Infrastructure & Data Systems 165874 29272 23215 4097 2634 465 15974 2819 22659 3999 230356 40652 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment ADEEB KHAN, FORMER CHIEF IMPACT OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $82,418. THE 2024 PAYMENTS COMPLETED THE OBLIGATION TO THE FORMER EMPLOYEE. Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS, INCLUDING A MINIMUM NET GAIN GOAL. CERTAIN ACTIVE FULL-TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS. THE COMPANY ALSO HAS A LONG-TERM INCENTIVE PROGRAM FOR EXECUTIVES, WHICH IS BASED ON MEMBERSHIP GROWTH, RETURN ON REVENUE, STAKEHOLDER EXPERIENCE, GROUP RETENTION, AND OTHER FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2024 THE PLAN YEAR ENDING DECEMBER 31, 2023 WAS PAID. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization SEE NARRATIVE FOR LINE 5A ABOVE. Poulos & Somers PC Ann Somers, Trustee 240213 Claims Paid false Schedule L, Part IV, Column (d) Poulos & Somers, PC Description of Transaction: Claims paid for dental services provided. Schedule L, Part IV, Column (a) Poulos & Somers, PC Claims paid to Poulos & Somers, PC are made under a standard provider agreement Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION HAS ONE VOTING MEMBER, WHICH IS ENSEMBLE INNOVATION VENTURES, A COLORADO NONPROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ENSEMBLE INNOVATION VENTURES HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body WE ENGAGE AN INDEPENDENT CPA TAX PROFESSIONAL TO PREPARE OUR FORM 990, AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE AUDIT, INVESTMENT AND FINANCE COMMITTEE'S ROLE THEN IS TO EVALUATE THE FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THOSE STEPS WITH OUR AUDIT, INVESTMENT, AND FINANCE COMMITTEE. THE AUDIT, INVESTMENT, AND FINANCE COMMITTEE AND THE BOARD OF DIRECTORS BOTH REVIEW AND APPROVE FORM 990 PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ON AN ANNUAL BASIS, BOARD DIRECTORS ARE REQUIRED TO COMPLETE AN ELECTRONIC CONFLICT OF INTEREST SURVEY AND AN INDEPENDENT/DEPENDENT DIRECTOR SURVEY. COMPLETED SURVEYS ARE REVIEWED BY BOARD COUNSEL. ANY POTENTIAL OR PERCEIVED CONFLICT OR DEPENDENCY ISSUES ARE REPORTED TO AND ADDRESSED BY THE BOARD GOVERNANCE COMMITTEE. IF NECESSARY, THE IMPACTED DIRECTOR IS REMOVED FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. COMPLIANCE PRESENTS EACH QUARTER TO THE BOARD GOVERNANCE COMMITTEE, AND EACH SUCH PRESENTATION INCLUDES TRAINING MATERIALS ON THE BOARD'S RESPONSIBILITIES FOR COMPLIANCE OVERSIGHT AND MONITORING OF THE HEALTHCARE AND CORPORATE COMPLIANCE LANDSCAPE. THE GOVERNANCE CHAIR IS RESPONSIBLE FOR SHARING PERTINENT CONTENTS WITH THE ENTIRE BOARD AT EACH BOARD MEETING. DDCO CONDUCTS AN ANNUAL COMPLIANCE TRAINING, WHICH IS MANDATORY FOR ALL EMPLOYEES TO ATTEND. THE CONFLICT OF INTEREST POLICY IS DISCUSSED AT THIS TRAINING. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND SUBMIT ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. RECEIPT OF ALL SIGNED AND COMPLETED FORMS ARE TRACKED; ORIGINAL FORMS ARE KEPT IN THE PERSONNEL FILE IN THE HUMAN RESOURCES OFFICE. ANY REPORTED POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST ARE REVIEWED AND, IF NECESSARY, EMPLOYEES AND THEIR MANAGER ARE ADVISED TO REMOVE THEMSELVES FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. ADDITIONALLY, ALL NEW EMPLOYEES RECEIVE COMPLIANCE TRAINING AND ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EMPLOYEES ARE INSTRUCTED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT DURING THE COURSE OF THE YEAR, SHOULD THEIR SITUATION CHANGE. THE CONFLICT OF INTEREST POLICY AND STATEMENT FORMS ARE POSTED ON THE COMPANY INTRANET. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO ON AN ANNUAL BASIS. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPROPRIATEFOR THE DUITIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE OTHER MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. THE CEO AND PRESIDENT OF THE CORPORATION IS RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING EXECUTIVES OF THE ORGANIZATION. THE ORGANIZATION ENGAGES A THIRD PARTY TO PROVIDE RANGES OF ACCEPTABLE INCREASES AND COMPENSATION LEVELS OF AVERAGE SALARIES BY SALARY GRADE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO ON AN ANNUAL BASIS. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPROPRIATE FOR THE DUITIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE OTHER MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. THE CEO AND PRESIDENT OF THE CORPORATION IS RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING EXECUTIVES OF THE ORGANIZATION. THE ORGANIZATION ENGAGES A THIRD PARTY TO PROVIDE RANGES OF ACCEPTABLE INCREASES AND COMPENSATION LEVELS OF AVERAGE SALARIES BY SALARY GRADE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAINTAINS COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THAT ARE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION HAS A STATEMENT ON ITS WEBSITE, WWW.DELTADENTALCO.COM, THAT INFORMS THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE HEADQUARTERS. THE ORGANIZATION'S ANNUAL REPORT IS ALSO POSTED ON ITS WEBSITE, WHICH STATES THAT "COMPLETE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AT OUR CORPORATE OFFICES UPON REQUEST". DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). DELTA DENTAL PLAN OF COLORADO FOUNDATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841389431 DENTAL HEALTH AND EDUCATION CO 501(c)(3) Type I DELTA DENTAL OF COLORADO true ENSEMBLE INNOVATION VENTURES 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 834432148 INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH CO 501(c)(4) NA false BETA HEALTH ASSOCIATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841146388 PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL CO NA C Corporation false EMBER ASSURANCE 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 874622205 MARKET AND ADMINISTER VISION INSURANCE PRODUCTS CO NA C Corporation false false true false false false false false false false true false false false false true false true false false DELTA DENTAL PLAN OF COLORADO FOUNDATION J 72000 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION O 408860 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION B 2000000 FMV Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: NAME OF RELATED ORGANIZATION: BETA HEALTH ASSOCIATION PRIMARY ACTIVITY: PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS