Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| 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 with the President/CEO and with the Board of Director's Audit Committee prior to filing. |
| 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 document retention 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, which is paid through a contractual agreement with Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. 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. Statutory financial statements are included in quarterly and annual returns to state Departments of Insurance regulating the organization which returns are available to the public. 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 Joseph P. Beck was an officer of Sovereign/Santander Bank. |
| Delta Dental Enterprise | Form 990, Part VII; Schedule J; Schedule R | The organization, regulated by the Pennsylvania Insurance Department, 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 9% of total enterprise revenues. |
| Other Changes in Net Assets | Part XI, Line 5 | Net unrealized gains (losses) on investments $ 892,038 Forgiveness by affiliate of intercompany payable 2,173,291 ---------- Total other changes in net assets $3,065,329 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Gary D. Radine TITLE:President HOURS:55 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Anthony S. Barth, Sr. TITLE:Chief Operating Officer HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Roy M. Hilliard, Sr. TITLE:Vice President, Sales HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Renee A. Fisher TITLE:VP, Quality Assurance & Traini HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Philip N. Engle TITLE:VP, Information Technology HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael J. Castro TITLE:Chief Financial Officer HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jeanne M. Foster TITLE:Vice President, Finance HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Richard C. Graybill TITLE:VP, Underwriting and Actuarial HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Charles Lamont, Esq. TITLE:Chief Legal Officer HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Karen L. Robinson TITLE:Assistant Secretary HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Whitney H. Sherbocker TITLE:Assistant Secretary HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Alicia F. Weber TITLE:Senior VP/Controller HOURS:46 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Patrick S. Steele TITLE:Chief Information Officer HOURS:46 |
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