2025-11-13T16:55:42+00:00 2024-12-31 331498605 Plante & Moran PLLC 1111 MICHIGAN AVE SUITE 100 EAST LANSING MI 48823 990 2024-01-01 351545647 DELTA DENTAL PLAN OF INDIANA INC DELT 5173496000 PO BOX 30416 LANSING MI 489097916 GORAN JURKOVIC PRESIDENT & CEO 2025-11-13 true true DAVID LOWENTHAL CPA P00378651 5173326200 2025-11-07 2024 2025-03-06 01:10:19Z GORAN JURKOVIC PO BOX 30416 LANSING MI 489097916 204381238 false X WWW.DELTADENTALIN.COM X 1982 IN DELTA DENTAL OF INDIANA'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. 4 0 0 0 3882208 11281 0 0 150467799 167138379 3094592 7128911 1125 1920 153563516 174269210 606707 622027 0 0 0 0 0 0 0 152523392 168362755 153130099 168984782 433417 5284428 136567253 145008241 15946951 12064684 120620302 132943557 DELTA DENTAL OF INDIANA'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. DELTA DENTAL OF INDIANA IS CONTROLLED BY DELTA DENTAL PLAN OF MICHIGAN, INC. AND ITS OFFICERS. DELTA DENTAL OF MICHIGAN, IS GOVERNED BY A BOARD OF DIRECTORS CONTROLLED BY INDEPENDENT MEMBERS OF THE COMMUNITY AND IT OFFERS ENROLLMENT IN ORAL HEALTH PLANS TO A BROAD BASE OF THE COMMUNITY THROUGH A VARIETY OF PAYMENT MODELS. false false 159646092 622027 163258091 Promoting Dental Care Delta Dental Plan of Indiana, Inc. is a leading dental benefits provider. The purpose of the organization is to advance and promote the improvement of oral health. This is done by offering innovative, cost-effective products that meet the needs of customers. This was demonstrated in 2024 by paying out over $137 million for dental care, by providing dental benefits for the public and advancing the science of dentistry. In addition, over 1.8 million claims were processed for over 1 million members. Cost Saving Strategies Delta Dental benefit plans are committed to saving groups and subscribers money. The Delta Difference is an integration of activities; such as cost management policies, fee reduction agreements with dentists, and an anti-fraud hotline, all of which ensure quality, cost-effective dental benefit delivery. Commitment to the Community Delta Dental Plan of Indiana, Inc. believes advances in dental research and enhanced educational opportunities for dentists go a long way toward improving oral health. The company is a key player in groundbreaking research on trends in oral health in the insured population. The Delta Dental Fund, the company's philanthropic affiliate, encourages advances in dentistry and supports dental education and research. The Delta Dental Fund's total grants have now exceeded $68 million since its inception. This funding has improved oral and overall health and health equity, helped students achieve their goals, and improved the well-being of millions of children and adults in Michigan, Ohio, Indiana and North Carolina. Empowered people and communities are critical to making creative solutions to systemic challenges possible-and that means supporting work by and for the communities being served. The DDF is committed to continuing and establishing strong two-way relationships with the people and organizations aligned with its aims. In 2024, the DDF committed nearly $6.1 million in grants, scholarships, and educational resources, impacting more than 4.3 million lives in Michigan, Ohio, Indiana North Carolina and beyond. More than 354,000 educational brochures, flyers and posters, along with 351 miles of floss and 282,554 toothbrushes were donated to nonprofit organizations to disseminate in their communities. Delta Dental Plan of Indiana is also committed to building healthy, smart, vibrant communities. Delta Dental has always been keenly aware of its civic and social responsibility. Delta Dental Plans are proud to share, through direct financial contributions, with hundreds of community agencies and groups. In addition, employees log countless hours of their own time as volunteers. Community support generally falls under the broad categories that provide support to agencies and institutions serving children, seniors, low-income individuals, minorities, and the disabled and at-risk individuals, to organizations that promote education, arts and recreation and community development, and to charitable projects or programs recommended by employees, customers, participating dentists and other key groups. We continued our role as strong advocates for sound oral health policy at the state and federal levels. Unequaled Access to Dentists For five decades, Delta Dental has helped promote oral health by designing and administering innovative, cost-effective dental benefit programs. Experts at plan design, Delta Dental has created dental benefit programs that meet customer cost-objectives while helping to improve and maintain oral health. Our long standing relationships with providers in the communities we serve allows us to maintain large networks, allowing broad access for members and cost-effective care. Delta Dental's group members are afforded added protection because they guarantee that participating dentists will accept their payment for covered services and no charge, other than co-payments and deductibles are billed back to the member. This lowers claim costs for customers and reduces out-of-pocket costs for subscribers. With two networks of full-time participating dentists in one integrated claims system, Delta Dental can deliver to customers and group members broad access to care. 159646092 false false true false false false false false false false false true false false true false false true 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 false false true true true false false true 27692 0 true 0 true true false false false false false false false X 4 0 false false false false true true true true true false false false true true true true true true false false true true X AMY BASEL CHIEF FINANCIAL OFFICER 5173496000 4100 OKEMOS ROAD OKEMOS MI 48864 AMY L BASEL CPA EVP/CFO & CRO/TREASURER 1.0 49.0 X X 0 2481908 688090 GORAN M JURKOVIC CPA PRESIDENT & CEO 2.0 48.0 X X 0 9457582 2715780 SUE ELLEN JENKINS EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY 2.0 48.0 X X 0 2838668 452377 JEREMY J NELSON DIRECTOR 50.0 0.0 X 0 462461 62910 ANTHONY D ROBINSON EVP, CMO & CRO 2.0 48.0 X 0 2839357 788064 JEFFREY W JOHNSTON DDS MS SR VP & CHIEF SCIENCE OFFICER 2.0 48.0 X 0 517662 119099 0 18597638 4826320 0 false true false LOCASCIO HADDEN DENNIS LLC 3859 PRIORITY WAY SOUTH DR 101 INDIANAPOLIS IN 46240 COMMISSIONS 770788 BENEFITSTORE INC 100 BENEFOCUS WAY CHARLESTON SC 29492 COMMISSIONS 703343 MERCER HEALTH & BENEFITS LLC 4565 PAYSPHERE CIRCLE CHICAGO IL 60674 COMMISSIONS 541586 BROWN & BROWN OF INDIANA LLC 11555 N MERIDIAN ST CARAMEL IN 46032 COMMISSIONS 536704 APEX BENEFITS GROUP 9400 PRIORITY WAY WEST DR INDIANAPOLIS IN 46240 COMMISSIONS 532369 18 0 DENTAL CARE REVENUE 624100 163256171 163256171 VISION CARE REVENUE 524298 3882208 3882208 0 0 0 0 167138379 4171438 4171438 0 0 33069501 30112028 2957473 0 2957473 2957473 MISCELLANEOUS INCOME 900099 1920 1920 0 0 0 0 1920 174269210 163258091 3882208 7128911 X 622027 622027 32281 32281 72683 72683 389454 389454 137870169 137686902 183267 0 248690 248690 420 420 103473 103473 6847 6847 ADMIN/OH 20749310 13035831 7713479 COMMISSIONS 7917265 7917265 MEMBERSHIP DUES 516870 516870 FEDERAL TAX EXPENSE 1659 1659 453634 384067 69567 0 168984782 159646092 9338690 0 2210407 3142615 8412802 4096719 8345559 6576280 0 0 282538 345972 8292 33056 0 0 0 106051989 120255521 10862638 10263831 0 393028 294247 136567253 145008241 4823951 3344381 3844706 3424339 0 7278294 5295964 15946951 12064684 X 14546833 14546833 106073469 118396724 120620302 132943557 136567253 145008241 X 5284428 7605798 -566971 X false true true false 19700 0 0 19700 19700 true VOTECARBAUGHCOM 1118 SKYLINE PASS FORT WAYNE IN 46825 454274386 500 0 MATT LEHMAN FOR STATE REPRESENTATIVE PO BOX 9629 TERRE HAUTE IN 47808 306801250 300 0 FRIENDS OF LIZ BROWN 5701 REED RD FORT WAYNE IN 46835 464018174 300 0 THE FRIENDS OF JUSTIN BUSCH 123 W WAYNE ST FORT WAYNE IN 46716 825179820 300 0 CITIZENS FOR CRIDER 716 N 800 GREENFIELD IN 46140 812940741 300 0 HOUSE REPUBLICAN CAMPAIGN COMMITTEE PO BOX 44054 INDIANAPOLIS IN 46204 351470780 1500 0 INDIANA HOUSE DEMOCRATIC CAUCUS 115 W WASHINGTON INDIANAPOLIS IN 46204 352115773 500 0 SENATE MAJORITY CAMPAIGN COMMITTEE PO BOX 2182 INDIANAPOLIS IN 46206 351519681 1500 0 BARRETT ELECTION COMMITTEE PO BOX 2145 RICHMOND IN 47375 824542878 300 0 INDIANA SENATE DEMOCRATIC CAUCUS 115 W WASHINGTON INDIANAPOLIS IN 46204 352115773 500 0 MIKE GASKILL FOR INDIANA 6828 S 50TH WEST PENDLETON IN 46204 823962166 300 0 WALKER FOR INDIANA 47 PENNSYLVANIA ST STE 201 INDIANAPOLIS IN 46064 853104097 400 0 DONNA SCHAIBLEY FOR STATE REPRESENTATIVE 11492 ST ANDREWS LANE CARMEL IN 46032 472520477 -300 0 SCOTT BALDWIN PO BOX 51 NOBLESVILLE IN 46061 844225254 400 0 SNOW INDIANA REPRESENTATIVE PO BOX 650 WINONA LAKE IN 46590 844504978 300 0 MIKE BRAUN FOR INDIANA INC PO BOX 1126 CARMEL IN 46082 921173922 5000 0 HAMILTON COUNTY GOP PO BOX 928 WESTFIELD IN 46074 351783917 1000 0 THE MAYFIELD CAMPAIGN 50 S MADISON ST MOORESVILLE IN 46158 455562023 300 0 SHACKLEFORD FOR HOUSE 2347 SHOEMAKER CT INDIANAPOLIS IN 46217 454216617 300 0 ALLEN CO REPUBLICAN CENTRAL COMMITTEE PO BOX 11014 FORT WAYNE IN 46855 351273637 1000 0 INDIANA REPUBLICAN STATE COMMITTEE INC 101 W OHIO ST INDIANAPOLIS IN 46204 350411197 5000 0 Schedule C, Part I-A, Line 1 Description of Political Activities MONEY GIVEN TO VARIOUS STATE POLITICAL CAMPAIGN COMMITTEES. Closely-held equity interests Financial derivatives INVESTMENT IN RENAISSANCE HOLDING COMPANY 10263831 F 10263831 Federal Income Taxes CLAIMS RESERVES 3580417 DUE TO RELATED PARTIES 1412350 OPERATING LEASE LIABILITY 303197 5295964 0 0 0 0 0 0 0 0 0 0 0 0 true 500 FESTIVAL INC 21 VIRGINIA AVE INDIANAPOLIS IN 46204 351004320 501(C)(3) 50000 0 N/A N/A CHARITABLE DONATION DELTA DENTAL FOUNDATION 4100 OKEMOS RD OKEMOS MI 48864 382337000 501(C)(3) 500000 0 N/A N/A CHARITABLE DONATION THE CHILDRENS MUSEUM OF INDIANAPOLIS 3000 N MERIDIAN ST INDIANAPOLIS IN 46208 350867985 501(C)(3) 25000 0 N/A N/A CHARITABLE DONATION AMERICAN HEART ASSOCIATION 271 WOODLAND PASS STE 110 EAST LANSING MI 48823 135613797 501(C)(3) 15000 0 N/A N/A CHARITABLE DONATION 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CONTRIBUTIONS ARE MADE AT MANAGEMENT DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF INDIANA'S MISSION. CONTRIBUTIONS MADE TO THE DELTA DENTAL FUND ARE APPROVED BY THE BOARD OF DIRECTORS. IN ORDER FOR FUNDS TO BE DISBURSED, VOUCHER RECORDS MUST PASS THROUGH THE APPROVAL PROCESS, SIMILAR TO ANY OTHER EXPENDITURE MADE BY DELTA DENTAL PLAN OF INDIANA. false true false false false false false false false GORAN M JURKOVIC CPA PRESIDENT & CEO 0 1511908 0 3756580 0 4189094 0 2688539 0 27241 0 12173362 0 4141804 AMY L BASEL CPA EVP/CFO & CRO/TREASURER 0 552581 0 968814 0 960513 0 660849 0 27241 0 3169998 0 921829 SUE ELLEN JENKINS EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY 0 567525 0 1037144 0 1233999 0 447227 0 5150 0 3291045 0 1206808 JEREMY J NELSON DIRECTOR 0 207368 0 252564 0 2529 0 47745 0 15165 0 525371 0 0 ANTHONY D ROBINSON EVP, CMO & CRO 0 652874 0 1038809 0 1147674 0 760823 0 27241 0 3627421 0 1130171 JEFFREY W JOHNSTON DDS MS SR VP & CHIEF SCIENCE OFFICER 0 350158 0 160568 0 6936 0 100022 0 19077 0 636761 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE AN EXECUTIVE VICE PRESIDENT OR HIGHER AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2024, GORAN JURKOVIC, AMY BASEL, ANTHONY ROBINSON, AND SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLANS. GORAN JURKOVIC, AMY BASEL, SUE ELLEN JENKINS, AND ANTHONY ROBINSON BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2024. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S. Schedule J, Part I, Line 3 THE CEO IS A W-2 EMPLOYEE OF A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION IS DETERMINED BY THAT ENTITY. THE DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION COMMITTEE REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. Form 990, Part IV, Line 12a DELTA DENTAL PLAN OF INDIANA RECEIVES AN AUDITED FINANCIAL STATEMENT FROM AN INDEPENDENT ACCOUNTANT BUT THESE STATEMENTS ARE PREPARED ON A STATUTORY BASIS AND NOT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). Form 990, Part VI, Line 15 COMPENSATION OF THE CEO AND OTHER EXECUTIVES IS DETERMINED BY A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING CEO AND CFO. THE RELATED ORGANIZATION CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. COMPENSATION IS SET, BASED ON THE DATA PROVIDED, BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024. Form 990, Part VI, Line 6 Classes of members or stockholders DELTA DENTAL PLAN OF INDIANA HAS A SOLE MEMBER, DELTA DENTAL PLAN OF MICHIGAN, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER HAS VOTING RIGHTS TO ELECT DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER HAS THE RIGHTS THAT ARE PRESCRIBED BY LAW, FOR MEMBERS OF NON-PROFIT CORPORATIONS, INCLUDING THE APPROVAL OF SIGNIFICANT EXPENDITURES AND CEO APPOINTMENT. Form 990, Part VI, Line 11b Review of form 990 by governing body THE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE SENIOR TAX ADMINISTRATOR FOR THE ORGANIZATION. THE CFO REVIEWS THE INFORMATION. ONCE APPROVED THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS PLACED IN A SECURE PORTAL FOR THE BOARD TO REVIEW, PRIOR TO FILING THE 990 WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE COMPANY'S EXECTUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST DISCLOSURE FORMS ARE INITIALLY REVIEWED BY THE EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A VOTE, IN WHICH A MEMBER HAS AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public NO DOCUMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A CERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 202947, Program Service Expense: 162611, Management and General Expenses: 40336, Fundraising Expenses: ; PURCHASED DENTAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; STATE EXAMINATION EXPENSE - Total Expense: 37523, Program Service Expense: , Management and General Expenses: 37523, Fundraising Expenses: ; MANAGEMENT CONSULTING EXPENSE - Total Expense: 105408, Program Service Expense: , Management and General Expenses: 105408, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances LOSS ON INVESTMENT IN SUBSIDIARIES - -566971; Total - -566971; RENAISSANCE HEALTH SERVICE CORPORATION PO BOX 30416 LANSING MI 489097916 381675667 PROMOTING DENTAL CARE MI 501(c)(4) NA false DELTA DENTAL PLAN OF OHIO INC PO BOX 30416 LANSING MI 489097916 310685339 PROVIDE DENTAL SERVICE PLANS OH 501(c)(4) 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