Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $390,199

• 3 · Investment income

  total $588,474 · excluded $588,474

• 7a · Gross sales of assets other than inventory

  securities $6,597,960

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

  securities $5,827,785

• 7c · Gain or loss

  securities $770,175

• 7d · Net gain or loss

  total $770,175 · excluded $770,175

Functional expenses

Part IX, the statement of functional expenses.

• 11b · Fees: legal

  total $6,198 · management and general $6,198

• 11c · Fees: accounting

  total $107,860 · management and general $107,860

• 11f · Fees: investment management

  total $36,184 · management and general $36,184

• 11g · Fees: other

  total $9,905 · management and general $9,905

• 13 · Office expenses

  total $2,366 · management and general $2,366

• 14 · Information technology

  total $11,054 · management and general $11,054

• 17 · Travel

  total $549 · management and general $549

• 23 · Insurance

  total $5,308 · management and general $5,308

• 24a · Other expenses: RESEARCH & DEVELOPMENT

  total $388,550 · program services $388,550

• 24b · Other expenses: REGULATORY FEES

  total $11,839 · management and general $11,839

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $641,300 · end of year $402,904

• 2 · Savings and temporary cash investments

  beginning of year $2,913,882 · end of year $3,477,462

• 9 · Prepaid expenses and deferred charges

  beginning of year $114,247 · end of year $95,916

• 11 · Investments: publicly traded securities

  beginning of year $18,788,051 · end of year $15,944,694

• 12 · Investments: other securities

  beginning of year $127,500 · end of year $127,500

• 15 · Other assets

  beginning of year $127,488 · end of year $132,297

• 17 · Accounts payable and accrued expenses

  beginning of year $112,496 · end of year $49,363

• 25 · Other liabilities

  beginning of year $123,264 · end of year $104,443

• 27 · Net assets without donor restrictions

  beginning of year $22,476,708 · end of year $20,026,967

The filer's explanations (Part III)

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.

PART I, LINE 4B

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 A SENIOR 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 2022, GORAN JURKOVIC, AMY BASEL, SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. GORAN JURKOVIC AND AMY BASEL BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2022. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFERRED ON PRIOR FORM 990S.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• RED CEDAR INVESTMENT MANAGEMENT LLC

  CAPITAL MANAGEMENT · MI

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• RENAISSANCE HOLDING COMPANY

  C · HOLDING COMPANY · MI · 100% owned · share of income -$2,511,040 · share of assets $95,656,875 · controlled entity

  Directly controlled by DELTA DENTAL OF MICHIGAN

• RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA

  C · INSURANCE · IN · 100% owned · share of income -$4,001,635 · share of assets $139,452,905 · controlled entity

  Directly controlled by RENAISSANCE HOLDING COMPANY

• RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK

  C · INSURANCE · NY · 100% owned · share of income $1,170,334 · share of assets $15,832,432 · controlled entity

  Directly controlled by RENAISSANCE HOLDING COMPANY

• FORE HOLDING CORPORATION

  C · HOLDING COMPANY · TN · 100% owned · share of income -$39,481 · share of assets $16,548,043 · controlled entity

  Directly controlled by DELTA DENTAL OF TENNESSEE

• DENTAL CHOICE INC

  C · PROVDE DENTAL SERVICE PLANS · KY · 100% owned · share of income -$3,121,209 · share of assets $8,093,567 · controlled entity

  Directly controlled by DELTA DENTAL OF KENTUCKY

• DENTAL CHOICE AGENCY INC

  C · PRIMARY GENERAL AGENCY FOR DELTA DENTAL OF KENTUCKY AND DENTAL CHOICE. · KY · 100% owned · share of income -$600 · controlled entity

  Directly controlled by DELTA DENTAL OF KENTUCKY

• OMEGA ADMINISTRATORS INC

  C · PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES · AR · 100% owned · controlled entity

  Directly controlled by DELTA DENTAL OF ARKANSAS

• THE 4100 GROUP

  C · INVESTMENT IN SUBSIDIARIES · MI · 100% owned · share of income -$4,100,389 · share of assets $133,084,216 · controlled entity

  Directly controlled by DELTA DENTAL OF MICHIGAN

• DEWPOINT INC

  C · IT CONSULTING · MI · 100% owned · share of income $1,924,288 · share of assets $42,327,537 · controlled entity

  Directly controlled by THE 4100 GROUP

• DENTAL CHOICE ANCILLARY INC

  C · PROVIDE DENTAL SERVICE PLANS · KY · 100% owned

  Directly controlled by DENTAL CHOICE INC

• ANCILLARY CHOICE LIFE INC

  C · INSURANCE · KY · 100% owned

  Directly controlled by DENTAL CHOICE INC