Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Governing Body and Management | Part VI, SECTION A | Lines 6-7: The organization has two classes of members, Corporate Members and Dentist Members. The Corporate Members vote on persons nominated as directors and Corporate Members for endorsement to the organization's parent holding company, Dentegra Group, Inc., which elects the directors and Corporate Members. The Corporate Members also must approve any proposed merger or dissolution of the organization and any changes to specified Bylaws provisions. The Dentist Members have a right to vote only upon proposed changes to the Bylaws provisions that specify the proportion of dentists and lay persons serving as directors and Corporate Members. |
| Policies | Part VI, SECTION B | Line 11: The organization's CFO and legal counsel oversee the completion of the Form 990, and review it with the President/CEO and with the Board of Directors' Audit and Finance Committees prior to filing. 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. 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. Lines 15a and b: Compensation paid to the CEO, executive vice presidents and senior vice presidents is approved by the Executive Committee of the organization's Board of Directors. The committee approves compensation for the ensuing year after reviewing comparability data presented by an independent 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. 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. |
| Transactions with Interested Persons | Schedule L, Part IV | During the report year, organization director David Walker was President of Allied Administrators. |
| Delta Dental Enterprise | Form 990, Part VII; Schedule J; Schedule R | The organization, regulated by the California Department of Managed Health Care, 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 approximately 75% of total enterprise revenues. |
| Other Changes in Net Assets | Part XI, Line 5 | Pension liability and post-retirement adjustments $( 3,962,679) Net unrealized gains (losses) on investments 10,351,437 ------------ Total other changes in Net Assets $ 6,388,758 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY D. RADINE TITLE:PRESIDENT/CEO HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANTHONY S. BARTH TITLE:EVP/COO HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL J. CASTRO TITLE:EVP/CFO HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PATRICK S. STEELE TITLE:EVP/CIO HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES LAMONT TITLE:EVP/CLO HOURS:8 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALICIA WEBER TITLE:SVP/Controller HOURS:7 |
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