Skip to content
Nonprofiteer
← DELTA DENTAL PLAN OF VERMONT INC

Form 990 for tax year 2024

Filed by DELTA DENTAL PLAN OF VERMONT INC.

Totals

Total revenue
$115,997,067
Total expenses
$114,547,606
Contributions and grants received
$0
Grants paid
$646,762
Program service revenue
$113,018,450
Investment income
$2,978,617
Other revenue
$0
Total assets, end of year
$43,989,635
Total liabilities, end of year
$5,566,348
Net assets or fund balances, end of year
$38,423,287
Program services expenses (Part IX)
$106,227,012
Management and general expenses
$8,320,594
Fundraising expenses
$0
Program service expenses (Part III)
$106,227,012

Program services were 92.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Admin Service Contract Fees

    total $59,340,447 · related or exempt $59,340,447

  • 2b · Program service revenue: Premium Revenue

    total $53,578,003 · related or exempt $53,578,003

  • 2c · Program service revenue: Management fee - CSLLC

    total $100,000 · unrelated business $100,000

  • 3 · Investment income

    total $1,128,961 · excluded $1,128,961

  • 7a · Gross sales of assets other than inventory

    securities $12,749,018

  • 7b · Less cost or other basis and sales expenses

    securities $10,899,362

  • 7c · Gain or loss

    securities $1,849,656

  • 7d · Net gain or loss

    total $1,849,656 · excluded $1,849,656

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $243,310 · program services $243,310

  • 2 · Grants to domestic individuals

    total $403,452 · program services $403,452

  • 4 · Benefits paid to or for members

    total $99,117,338 · program services $99,117,338

  • 5 · Compensation of officers, directors and key employees

    total $174,443 · management and general $174,443

  • 7 · Other salaries and wages

    total $569,351 · management and general $569,351

  • 8 · Pension plan contributions

    total $36,122 · management and general $36,122

  • 9 · Other employee benefits

    total $112,858 · management and general $112,858

  • 10 · Payroll taxes

    total $42,483 · management and general $42,483

  • 11b · Fees: legal

    total $159,885 · management and general $159,885

  • 11c · Fees: accounting

    total $39,065 · management and general $39,065

  • 11f · Fees: investment management

    total $113,627 · management and general $113,627

  • 11g · Fees: other

    total $42,000 · management and general $42,000

  • 12 · Advertising and promotion

    total $374,283 · management and general $374,283

  • 13 · Office expenses

    total $39,936 · management and general $39,936

  • 16 · Occupancy

    total $55,985 · management and general $55,985

  • 17 · Travel

    total $13,279 · management and general $13,279

  • 19 · Conferences, conventions and meetings

    total $88,480 · management and general $88,480

  • 22 · Depreciation, depletion and amortization

    total $618 · management and general $618

  • 23 · Insurance

    total $25,695 · management and general $25,695

  • 24a · Other expenses: Administration - DDPNH

    total $8,425,966 · program services $4,521,453 · management and general $3,904,513

  • 24b · Other expenses: Brokers' commissions

    total $2,154,863 · management and general $2,154,863

  • 24c · Other expenses: VT claims assessments

    total $332,900 · program services $332,900

  • 24d · Other expenses: Marketing related

    total $102,639 · management and general $102,639

  • 24e · All other expenses

    total $1,879,028 · program services $1,608,559 · management and general $270,469

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,693,970 · end of year $5,420,532

  • 2 · Savings and temporary cash investments

    beginning of year $2,241,605 · end of year $960,911

  • 4 · Accounts receivable

    beginning of year $2,554,012 · end of year $2,514,115

  • 9 · Prepaid expenses and deferred charges

    beginning of year $19,738 · end of year $18,048

  • 10a · Land, buildings and equipment: cost or other basis

    $80,041

  • 10b · Land, buildings and equipment: accumulated depreciation

    $69,037

  • 10c · Land, buildings and equipment, net

    beginning of year $39 · end of year $11,004

  • 11 · Investments: publicly traded securities

    beginning of year $27,842,796 · end of year $31,059,065

  • 12 · Investments: other securities

    beginning of year $25,502 · end of year $14,561

  • 13 · Investments: program-related

    beginning of year $3,407,431 · end of year $3,817,683

  • 15 · Other assets

    beginning of year $154,541 · end of year $173,716

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,759,806 · end of year $3,090,614

  • 18 · Grants payable

    beginning of year $210,800 · end of year $161,000

  • 25 · Other liabilities

    beginning of year $1,660,055 · end of year $2,314,734

  • 27 · Net assets without donor restrictions

    beginning of year $37,308,973 · end of year $38,423,287

Mission and programs · 2024

Mission

It is our mission to advance the oral health and overall wellness of our customers and the general public by providing innovative benefits and professional partnerships through diversified strategic business and philanthropic initiatives.

Activities or mission (Part I)

Provide programs of dental care

  • Delta Dental Plan of Vermont advances and promotes the improvement of oral health by offering innovative, cost effective dental benefits plans that meet the needs of our customers by integrating activities such as cost management policies, fee reduction agreements with dentists, ensuring quality and cost effective dental benefit delivery, and accurate and timely claims payment. We are recognized for our expertise in the dental benefits industry, the vibrancy of our participating dentist network, and our strong brand. Program services include the processing and payment of claims for dental benefits for various large and small groups, as well as individuals and families. Delta Dental Plan of Vermont processed approximately 496,100 claims in 2024. There are approximately 248,200 members in Vermont included in the various plans. Customers' expectations for quality standards are extremely rigorous and we provide a guarantee of service called GOSE, or Guarantee of Service Excellence, which guarantees seven key service claims: (1) smooth implementation to Northeast Delta Dental; (2)exceptional customer service; (3) quick processing of claims; (4) no inappropriate billing by participating dentists; (5) accurate and quick turnaround of identification cards; (6) timely employee booklets; and (7) marketing service contracts. In the event one or more of these service guarantees are not met, a cash reimbursement is provided.

    Expenses $105,580,250 · Revenue $112,918,450

  • Delta Dental Plan of Vermont is one of three members of the Northeast Delta Dental Foundation. The company contributes .075% of annual budgeted revenue, as well as 10% of annual revenue in excess of expenses, to the Northeast Delta Dental Foundation. The Northeast Delta Dental Foundation's purpose is to improve the access to, and the quality of, oral health care and education for the public and dental communities in Maine, New Hampshire, and Vermont. The Northeast Delta Dental Foundation awards numerous grants to community organizations and programs.

    Expenses $243,310 · Grants $243,310

  • Delta Dental Plan of Vermont (DDPVT) participated in Northeast Delta Dental's initiative to attract more dentists to Northern New England. Through this program, DDPVT contributed to a shared pool of funds administered by the Recruitment Center at Bi-State Primary Care Association (Bi-State). These funds support dental student loan repayment and forgiveness plans, and help to retain qualified dental health professionals in the New England region. During this tax year, DDPVT provided over $400,000 in grants to 10 recipients within this initiative, bolstering New England's professional dental care workforce and capacity and improving access to dental care in Vermont.

    Expenses $403,452 · Grants $403,452

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Brian Townsend

    Trustee & Chair

    Total calculated
    $37,436
    From this org
    $37,436
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Rachel Rivard DDS

    Trustee & Secetary

    Total calculated
    $17,725
    From this org
    $17,725
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • David Solomon DDS

    Trustee & Chair (end 4/2024)

    Total calculated
    $17,143
    From this org
    $17,143
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Nancy Rowden-Brock

    Trustee & Treasurer

    Total calculated
    $17,000
    From this org
    $17,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Jennifer Niles DMD

    Trustee & Vice Chair

    Total calculated
    $15,550
    From this org
    $15,550
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Tyler Aten DMD

    Trustee

    Total calculated
    $10,700
    From this org
    $10,700
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Jill Mazza Olson MPA

    Trustee

    Total calculated
    $9,975
    From this org
    $9,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Riley Baldwin Casella DMD

    Trustee (start 4/2024)

    Total calculated
    $7,800
    From this org
    $7,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Wanda Heading-Grant EdD

    Trustee

    Total calculated
    $7,250
    From this org
    $7,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Jason W Williams

    Trustee

    Total calculated
    $7,075
    From this org
    $7,075
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Katherine Meyers CPA

    Trustee

    Total calculated
    $6,525
    From this org
    $6,525
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Adam Fasoli DMD

    Trustee (end 4/2024)

    Total calculated
    $5,800
    From this org
    $5,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Robert Boyd DDS

    Trustee (start 4/2024)

    Total calculated
    $5,075
    From this org
    $5,075
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Elicia Nicole Thompson DDS

    Trustee (start 4/2024)

    Total calculated
    $4,900
    From this org
    $4,900
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Elizabeth Carmack DMD

    Trustee (end 4/2024)

    Total calculated
    $4,489
    From this org
    $4,489
    From related orgs
    $0
    Other
    $0
    Hours/week
    3
  • Thomas Raffio

    DDPNH President & CEO

    Total calculated
    $1,185,129
    From this org
    $1,112,510
    From related orgs
    $0
    Other
    $72,619
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $655,793
    Bonus
    $434,301
    Other
    $22,416
    Deferred
    $33,811
    Nontaxable benefits
    $38,808
    Filer's total
    $1,185,129
  • William H Lambrukos

    DDPNH Sr. Vice President

    Total calculated
    $416,088
    From this org
    $352,772
    From related orgs
    $0
    Other
    $63,316
    Hours/week
    10

    Schedule J breakdown matched by us

    Base
    $268,663
    Bonus
    $75,275
    Other
    $8,834
    Deferred
    $33,811
    Nontaxable benefits
    $29,505
    Filer's total
    $416,088

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part II:
Thomas Raffio, CEO, and William Lambrukos, Senior Vice President, received all of their compensation from Delta Dental Plan of New Hampshire, which is an unrelated organization per IRS definitions; while definitionally unrelated, Delta Dental Plan of New Hampshire does coordinate and work closely with the Delta Dental Plan of Vermont to fulfill their respective exempt missions. In accordance with the IRS Instructions for the Form 990, compensation or payments from an unrelated organization to an individual for services rendered to the filing organization in that person's capacity as an officer, director, trustee, or employee of the filing organization, then the filing organization must report such amounts as compensation from the filing organization. Therefore, the compensation paid to these individuals has been reported on this Form 990, Schedule J, Part II, Payments Made by the Filing Organization, though Delta Dental Plan of Vermont did not, in fact, directly pay or compensate these individuals; these individuals were paid by Delta Dental Plan of New Hampshire in part for services rendered for the benefit and on behalf of Delta Dental Vermont. Additionally, due to the close working relationship between the two organizations, neither the filing organization nor Delta Dental Plan of New Hampshire is able to make a determination of how much of each named individuals' compensation relates to time and resources expended on either the filing organization or Delta Dental Plan of New Hampshire. For this reason and to promote transparency and compliance with this tax return, the filing organization has elected to report 100% of the named individuals' applicable calendar year compensation as received by the Delta Dental Plan of New Hampshire on this Form 990, Part VII, and Schedule J, in accordance with the definitions and calculations as detailed in the IRS Form 990 Instructions.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Provenance

Return type
form_990
Tax year
2024
Filed
20 October 2025
IRS schema version
2024v5.2
Source object
202522949349301712

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.