401k Plan data: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN plan

DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 401k Plan overview

Plan Name	DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN
Plan identification number	002

DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

DELTA DENTAL OF WISCONSIN, INC. has sponsored the creation of one or more 401k plans.

Company Name: DELTA DENTAL OF WISCONSIN, INC.

Employer identification number (EIN): 396094742

NAIC Classification: 524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01 SUSAN SHULFER
002 2017-01-01 SUSAN SHULFER
002 2016-01-01 SUSAN SHULFER
002 2015-01-01 SUSAN SHULFER
002 2014-01-01 SUSAN SHULFER
002 2013-01-01 SUSAN SHULFER
002 2012-01-01 SUSAN SHULFER
002 2011-01-01 SUSAN SHULFER
002 2009-01-01 PAMELA GARTMANN

Plan Statistics for DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN

401k plan membership statisitcs for DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN

Measure Date Value
2022: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 308
Number of retired or separated participants receiving benefits 2022-01-01 1
Number of other retired or separated participants entitled to future benefits 2022-01-01 39
Total of all active and inactive participants 2022-01-01 348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 348
Number of participants with account balances 2022-01-01 348
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 16
2021: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 312
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 287
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 36
Total of all active and inactive participants 2021-01-01 324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 324
Number of participants with account balances 2021-01-01 324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 19
2020: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 395
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 277
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 22
Total of all active and inactive participants 2020-01-01 300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 300
Number of participants with account balances 2020-01-01 300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 6
2019: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 373
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 263
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 109
Total of all active and inactive participants 2019-01-01 373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 373
Number of participants with account balances 2019-01-01 371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 47
2018: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 299
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 330
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 25
Total of all active and inactive participants 2018-01-01 355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 355
Number of participants with account balances 2018-01-01 349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 9
2017: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 279
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 20
Total of all active and inactive participants 2017-01-01 299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 299
Number of participants with account balances 2017-01-01 295
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 13
2016: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 261
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 21
Total of all active and inactive participants 2016-01-01 282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 282
Number of participants with account balances 2016-01-01 273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 14
2015: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 222
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 22
Total of all active and inactive participants 2015-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 244
Number of participants with account balances 2015-01-01 238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 12
2014: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 202
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 202
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 16
Total of all active and inactive participants 2014-01-01 218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 218
Number of participants with account balances 2014-01-01 213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 9
2013: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 191
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 11
Total of all active and inactive participants 2013-01-01 202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 202
Number of participants with account balances 2013-01-01 194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 3
2012: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 176
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 11
Total of all active and inactive participants 2012-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 187
Number of participants with account balances 2012-01-01 180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 2
2011: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 151
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 168
Number of participants with account balances 2011-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2
2009: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 144
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 12
Total of all active and inactive participants 2009-01-01 156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 156
Number of participants with account balances 2009-01-01 152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2022: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	308
Number of retired or separated participants receiving benefits	2022-01-01	1
Number of other retired or separated participants entitled to future benefits	2022-01-01	39
Total of all active and inactive participants	2022-01-01	348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	348
Number of participants with account balances	2022-01-01	348
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	16
2021: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	312
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	287
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	36
Total of all active and inactive participants	2021-01-01	324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	324
Number of participants with account balances	2021-01-01	324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	19
2020: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	395
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	277
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	22
Total of all active and inactive participants	2020-01-01	300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	300
Number of participants with account balances	2020-01-01	300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	6
2019: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	373
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	263
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	109
Total of all active and inactive participants	2019-01-01	373
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	373
Number of participants with account balances	2019-01-01	371
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	47
2018: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	299
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	330
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	25
Total of all active and inactive participants	2018-01-01	355
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	355
Number of participants with account balances	2018-01-01	349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	9
2017: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	279
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	20
Total of all active and inactive participants	2017-01-01	299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	299
Number of participants with account balances	2017-01-01	295
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	13
2016: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	261
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	21
Total of all active and inactive participants	2016-01-01	282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	282
Number of participants with account balances	2016-01-01	273
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	14
2015: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	222
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	22
Total of all active and inactive participants	2015-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	244
Number of participants with account balances	2015-01-01	238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	12
2014: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	202
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	202
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	16
Total of all active and inactive participants	2014-01-01	218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	218
Number of participants with account balances	2014-01-01	213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	9
2013: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	191
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	11
Total of all active and inactive participants	2013-01-01	202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	202
Number of participants with account balances	2013-01-01	194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	3
2012: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	176
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	11
Total of all active and inactive participants	2012-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	187
Number of participants with account balances	2012-01-01	180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	2
2011: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	151
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	168
Number of participants with account balances	2011-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2
2009: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	144
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	12
Total of all active and inactive participants	2009-01-01	156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	156
Number of participants with account balances	2009-01-01	152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN

Measure	Date	Value
2022 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$70,369
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-4,978,884
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$4,146,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$4,095,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$5,313,420
Value of total assets at end of year	2022-12-31	$53,101,532
Value of total assets at beginning of year	2022-12-31	$62,297,442
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$51,450
Total interest from all sources	2022-12-31	$14,568
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$473,673
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$473,673
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,126,031
Participant contributions at end of year	2022-12-31	$431,509
Participant contributions at beginning of year	2022-12-31	$318,984
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$645,524
Other income not declared elsewhere	2022-12-31	$311
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-9,125,541
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$53,101,532
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$62,297,442
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$22,718,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$57,564,515
Interest on participant loans	2022-12-31	$14,568
Value of interest in common/collective trusts at end of year	2022-12-31	$29,951,950
Value of interest in common/collective trusts at beginning of year	2022-12-31	$4,413,943
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-8,604,348
Net investment gain or loss from common/collective trusts	2022-12-31	$-2,176,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$2,541,865
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$4,095,207
Contract administrator fees	2022-12-31	$51,450
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	GRANT THORTON LLP
Accountancy firm EIN	2022-12-31	366055558
2021 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$71,734
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$13,544,103
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$2,981,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,921,877
Value of total corrective distributions	2021-12-31	$10,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,765,798
Value of total assets at end of year	2021-12-31	$62,297,442
Value of total assets at beginning of year	2021-12-31	$51,806,314
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$48,664
Total interest from all sources	2021-12-31	$12,244
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,532,217
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,532,217
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$1,990,119
Participant contributions at end of year	2021-12-31	$318,984
Participant contributions at beginning of year	2021-12-31	$308,687
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$487,634
Other income not declared elsewhere	2021-12-31	$620
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$10,562,862
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$62,297,442
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$51,806,314
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$57,564,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$46,435,549
Interest on participant loans	2021-12-31	$12,244
Value of interest in common/collective trusts at end of year	2021-12-31	$4,413,943
Value of interest in common/collective trusts at beginning of year	2021-12-31	$5,062,078
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$7,271,963
Net investment gain or loss from common/collective trusts	2021-12-31	$-38,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$2,288,045
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,921,877
Contract administrator fees	2021-12-31	$48,664
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	GRANT THORTON LLP
Accountancy firm EIN	2021-12-31	366055558
2020 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-12-31	$0
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total transfer of assets to this plan	2020-12-31	$0
Total transfer of assets from this plan	2020-12-31	$17,842,453
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$10,358,195
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$2,467,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$2,421,388
Expenses. Certain deemed distributions of participant loans	2020-12-31	$0
Value of total corrective distributions	2020-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,291,636
Value of total assets at end of year	2020-12-31	$51,806,314
Value of total assets at beginning of year	2020-12-31	$61,758,199
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$46,239
Total income from rents	2020-12-31	$0
Total interest from all sources	2020-12-31	$14,422
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$860,092
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$860,092
Administrative expenses professional fees incurred	2020-12-31	$0
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Amount of non-exempt transactions with any party-in-interest	2020-12-31	$0
Contributions received from participants	2020-12-31	$1,761,769
Participant contributions at end of year	2020-12-31	$308,687
Participant contributions at beginning of year	2020-12-31	$401,192
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$415,111
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$0
Other income not declared elsewhere	2020-12-31	$3,029
Administrative expenses (other) incurred	2020-12-31	$0
Liabilities. Value of operating payables at beginning of year	2020-12-31	$0
Total non interest bearing cash at end of year	2020-12-31	$0
Total non interest bearing cash at beginning of year	2020-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$7,890,568
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$51,806,314
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$61,758,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2020-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2020-12-31	$0
Investment advisory and management fees	2020-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$46,435,549
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$55,918,990
Interest on participant loans	2020-12-31	$14,422
Income. Interest from loans (other than to participants)	2020-12-31	$0
Interest earned on other investments	2020-12-31	$0
Income. Interest from US Government securities	2020-12-31	$0
Income. Interest from corporate debt instruments	2020-12-31	$0
Value of interest in common/collective trusts at end of year	2020-12-31	$5,062,078
Value of interest in common/collective trusts at beginning of year	2020-12-31	$5,438,017
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$4,967,814
Net investment gain/loss from pooled separate accounts	2020-12-31	$0
Net investment gain or loss from common/collective trusts	2020-12-31	$221,202
Net gain/loss from 103.12 investment entities	2020-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$2,114,756
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$0
Income. Dividends from preferred stock	2020-12-31	$0
Income. Dividends from common stock	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$2,421,388
Contract administrator fees	2020-12-31	$46,239
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$0
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Aggregate proceeds on sale of assets	2020-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-12-31	$0
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	STROHM BALLWEG
Accountancy firm EIN	2020-12-31	391969986
2019 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$20,761,863
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Expenses. Interest paid	2019-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$13,541,220
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$2,807,703
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$2,748,744
Expenses. Certain deemed distributions of participant loans	2019-12-31	$0
Value of total corrective distributions	2019-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,545,693
Value of total assets at end of year	2019-12-31	$61,758,199
Value of total assets at beginning of year	2019-12-31	$30,262,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$58,959
Total income from rents	2019-12-31	$0
Total interest from all sources	2019-12-31	$19,540
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$802,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$802,345
Administrative expenses professional fees incurred	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Amount of non-exempt transactions with any party-in-interest	2019-12-31	$0
Contributions received from participants	2019-12-31	$2,161,280
Participant contributions at end of year	2019-12-31	$401,192
Participant contributions at beginning of year	2019-12-31	$365,914
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$788,322
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$4,506
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$-51,736
Administrative expenses (other) incurred	2019-12-31	$0
Liabilities. Value of operating payables at beginning of year	2019-12-31	$0
Total non interest bearing cash at end of year	2019-12-31	$0
Total non interest bearing cash at beginning of year	2019-12-31	$8,189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Income. Non cash contributions	2019-12-31	$0
Value of net income/loss	2019-12-31	$10,733,517
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$61,758,199
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$30,262,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year	2019-12-31	$0
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year	2019-12-31	$0
Investment advisory and management fees	2019-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$55,918,990
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$26,775,542
Interest on participant loans	2019-12-31	$19,540
Income. Interest from loans (other than to participants)	2019-12-31	$0
Interest earned on other investments	2019-12-31	$0
Income. Interest from US Government securities	2019-12-31	$0
Income. Interest from corporate debt instruments	2019-12-31	$0
Value of interest in common/collective trusts at end of year	2019-12-31	$5,438,017
Value of interest in common/collective trusts at beginning of year	2019-12-31	$3,108,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$8,057,206
Net investment gain/loss from pooled separate accounts	2019-12-31	$0
Net investment gain or loss from common/collective trusts	2019-12-31	$168,172
Net gain/loss from 103.12 investment entities	2019-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,596,091
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Income. Dividends from preferred stock	2019-12-31	$0
Income. Dividends from common stock	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,748,744
Contract administrator fees	2019-12-31	$58,959
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$0
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Aggregate proceeds on sale of assets	2019-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	STROHM BALLWEG
Accountancy firm EIN	2019-12-31	391969986
2018 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$69,063
Total income from all sources (including contributions)	2018-12-31	$920,011
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$1,380,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,330,937
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$3,454,588
Value of total assets at end of year	2018-12-31	$30,262,819
Value of total assets at beginning of year	2018-12-31	$30,792,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$49,875
Total interest from all sources	2018-12-31	$15,260
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$466,649
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$466,649
Administrative expenses professional fees incurred	2018-12-31	$49,875
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$2,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$1,919,700
Participant contributions at end of year	2018-12-31	$365,914
Participant contributions at beginning of year	2018-12-31	$300,607
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$49,794
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$683,147
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$4,506
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$3,635
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$69,063
Other income not declared elsewhere	2018-12-31	$4
Total non interest bearing cash at end of year	2018-12-31	$8,189
Total non interest bearing cash at beginning of year	2018-12-31	$2,286
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-460,801
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$30,262,819
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$30,723,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$26,775,542
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$27,382,069
Interest on participant loans	2018-12-31	$15,260
Value of interest in common/collective trusts at end of year	2018-12-31	$3,108,668
Value of interest in common/collective trusts at beginning of year	2018-12-31	$3,041,523
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-3,028,715
Net investment gain or loss from common/collective trusts	2018-12-31	$12,225
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$851,741
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$12,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,330,937
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	STROHM BALLWEG, LLP
Accountancy firm EIN	2018-12-31	391969986
2017 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$69,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$53,992
Total income from all sources (including contributions)	2017-12-31	$7,722,818
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,634,047
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,572,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,997,088
Value of total assets at end of year	2017-12-31	$30,792,683
Value of total assets at beginning of year	2017-12-31	$24,688,841
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$61,050
Total interest from all sources	2017-12-31	$9,553
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$404,824
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$404,824
Administrative expenses professional fees incurred	2017-12-31	$61,050
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,578,073
Participant contributions at end of year	2017-12-31	$300,607
Participant contributions at beginning of year	2017-12-31	$237,504
Participant contributions at end of year	2017-12-31	$49,794
Participant contributions at beginning of year	2017-12-31	$40,463
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$749,530
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$3,635
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$3,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$69,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$53,992
Other income not declared elsewhere	2017-12-31	$1
Total non interest bearing cash at end of year	2017-12-31	$2,286
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$6,088,771
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$30,723,620
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$24,634,849
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$27,382,069
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$21,467,483
Interest on participant loans	2017-12-31	$9,553
Value of interest in common/collective trusts at end of year	2017-12-31	$3,041,523
Value of interest in common/collective trusts at beginning of year	2017-12-31	$2,929,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$4,251,173
Net investment gain or loss from common/collective trusts	2017-12-31	$60,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$669,485
Employer contributions (assets) at end of year	2017-12-31	$12,769
Employer contributions (assets) at beginning of year	2017-12-31	$10,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,572,997
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	STROHM BALLWEG, LLP
Accountancy firm EIN	2017-12-31	391969986
2016 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$53,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$47,803
Total income from all sources (including contributions)	2016-12-31	$3,687,254
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,412,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,360,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,000,325
Value of total assets at end of year	2016-12-31	$24,688,841
Value of total assets at beginning of year	2016-12-31	$22,407,467
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$51,860
Total interest from all sources	2016-12-31	$8,672
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$314,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$314,746
Administrative expenses professional fees incurred	2016-12-31	$51,860
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,416,206
Participant contributions at end of year	2016-12-31	$237,504
Participant contributions at beginning of year	2016-12-31	$214,555
Participant contributions at end of year	2016-12-31	$40,463
Participant contributions at beginning of year	2016-12-31	$36,592
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$10,936
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$3,601
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$3,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$53,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$47,803
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$2,275,185
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$24,634,849
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$22,359,664
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$21,467,483
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$19,521,105
Interest on participant loans	2016-12-31	$8,672
Value of interest in common/collective trusts at end of year	2016-12-31	$2,929,569
Value of interest in common/collective trusts at beginning of year	2016-12-31	$2,623,914
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$1,309,119
Net investment gain or loss from common/collective trusts	2016-12-31	$54,392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$573,183
Employer contributions (assets) at end of year	2016-12-31	$10,221
Employer contributions (assets) at beginning of year	2016-12-31	$8,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,360,209
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2016-12-31	450250958
2015 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$47,803
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$2,065,889
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,924,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,875,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,162,414
Value of total assets at end of year	2015-12-31	$22,407,467
Value of total assets at beginning of year	2015-12-31	$22,217,958
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$49,058
Total interest from all sources	2015-12-31	$7,851
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$272,759
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$272,759
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2015-12-31	$1,435
Contributions received from participants	2015-12-31	$1,368,618
Participant contributions at end of year	2015-12-31	$214,555
Participant contributions at beginning of year	2015-12-31	$236,622
Participant contributions at end of year	2015-12-31	$36,592
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$259,760
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$3,255
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$3,321
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$47,803
Other income not declared elsewhere	2015-12-31	$1,434
Administrative expenses (other) incurred	2015-12-31	$49,058
Total non interest bearing cash at beginning of year	2015-12-31	$51
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$141,706
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$22,359,664
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$22,217,958
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$19,521,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$19,184,675
Interest on participant loans	2015-12-31	$7,851
Value of interest in common/collective trusts at end of year	2015-12-31	$2,623,914
Value of interest in common/collective trusts at beginning of year	2015-12-31	$2,793,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-424,583
Net investment gain or loss from common/collective trusts	2015-12-31	$46,014
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$534,036
Employer contributions (assets) at end of year	2015-12-31	$8,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,875,125
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2015-12-31	450250958
2014 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,383,700
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$758,548
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$707,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,087,855
Value of total assets at end of year	2014-12-31	$22,217,958
Value of total assets at beginning of year	2014-12-31	$19,592,806
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$50,895
Total interest from all sources	2014-12-31	$8,042
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$242,515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$242,515
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2014-12-31	$1,435
Contributions received from participants	2014-12-31	$1,240,594
Participant contributions at end of year	2014-12-31	$236,622
Participant contributions at beginning of year	2014-12-31	$229,626
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$383,418
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$3,321
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$3,059
Other income not declared elsewhere	2014-12-31	$24
Administrative expenses (other) incurred	2014-12-31	$50,895
Total non interest bearing cash at end of year	2014-12-31	$51
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$2,625,152
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$22,217,958
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$19,592,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$19,184,675
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,984,711
Interest on participant loans	2014-12-31	$8,042
Value of interest in common/collective trusts at end of year	2014-12-31	$2,793,289
Value of interest in common/collective trusts at beginning of year	2014-12-31	$6,375,410
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$980,918
Net investment gain or loss from common/collective trusts	2014-12-31	$64,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$463,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$707,653
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2014-12-31	450250958
2013 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$3,936
Total income from all sources (including contributions)	2013-12-31	$5,708,341
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$502,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$456,430
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,856,065
Value of total assets at end of year	2013-12-31	$19,592,806
Value of total assets at beginning of year	2013-12-31	$14,390,725
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$45,894
Total interest from all sources	2013-12-31	$7,297
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$120,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$120,426
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,135,830
Participant contributions at end of year	2013-12-31	$229,626
Participant contributions at beginning of year	2013-12-31	$193,482
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$305,802
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$3,059
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$3,941
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$3,936
Administrative expenses (other) incurred	2013-12-31	$45,894
Total non interest bearing cash at beginning of year	2013-12-31	$345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$5,206,017
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$19,592,806
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,386,789
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,984,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$8,561,271
Interest on participant loans	2013-12-31	$7,297
Value of interest in common/collective trusts at end of year	2013-12-31	$6,375,410
Value of interest in common/collective trusts at beginning of year	2013-12-31	$5,631,686
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$3,119,259
Net investment gain or loss from common/collective trusts	2013-12-31	$605,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$414,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$456,430
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2013-12-31	450250958
2012 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$3,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,303,301
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$1,555,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,535,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,457,896
Value of total assets at end of year	2012-12-31	$14,390,725
Value of total assets at beginning of year	2012-12-31	$12,638,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$19,639
Total interest from all sources	2012-12-31	$6,999
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$103,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$103,734
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,055,454
Participant contributions at end of year	2012-12-31	$193,482
Participant contributions at beginning of year	2012-12-31	$160,875
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$9,155
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$3,941
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$4,198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$3,936
Administrative expenses (other) incurred	2012-12-31	$19,639
Total non interest bearing cash at end of year	2012-12-31	$345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,747,998
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$14,386,789
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$12,638,791
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$8,561,271
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$7,854,443
Interest on participant loans	2012-12-31	$6,999
Value of interest in common/collective trusts at end of year	2012-12-31	$5,631,686
Value of interest in common/collective trusts at beginning of year	2012-12-31	$4,619,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,340,021
Net investment gain or loss from common/collective trusts	2012-12-31	$394,651
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$393,287
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,535,664
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2012-12-31	450250958
2011 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,147,059
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$862,254
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$861,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,453,475
Value of total assets at end of year	2011-12-31	$12,638,791
Value of total assets at beginning of year	2011-12-31	$12,353,986
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$275
Total interest from all sources	2011-12-31	$8,220
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$58,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$971,788
Participant contributions at end of year	2011-12-31	$160,875
Participant contributions at beginning of year	2011-12-31	$184,929
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$148,812
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$4,198
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$4,671
Administrative expenses (other) incurred	2011-12-31	$275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$284,805
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$12,638,791
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$12,353,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$7,854,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$8,194,655
Interest on participant loans	2011-12-31	$8,220
Value of interest in common/collective trusts at end of year	2011-12-31	$4,619,275
Value of interest in common/collective trusts at beginning of year	2011-12-31	$3,969,731
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-401,943
Net investment gain or loss from common/collective trusts	2011-12-31	$28,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$332,875
Income. Dividends from common stock	2011-12-31	$58,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$861,979
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2011-12-31	450250958
2010 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$2,801,143
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$228,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$227,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,244,673
Value of total assets at end of year	2010-12-31	$12,353,986
Value of total assets at beginning of year	2010-12-31	$9,781,150
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$450
Total interest from all sources	2010-12-31	$11,010
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$54,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$54,439
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$934,287
Participant contributions at end of year	2010-12-31	$184,929
Participant contributions at beginning of year	2010-12-31	$213,721
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$8,638
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$4,671
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$3,267
Other income not declared elsewhere	2010-12-31	$627
Administrative expenses (other) incurred	2010-12-31	$450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,572,836
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$12,353,986
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,781,150
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$8,194,655
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$6,499,541
Interest on participant loans	2010-12-31	$11,010
Value of interest in common/collective trusts at end of year	2010-12-31	$3,969,731
Value of interest in common/collective trusts at beginning of year	2010-12-31	$3,064,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,208,585
Net investment gain or loss from common/collective trusts	2010-12-31	$281,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$301,748
Employer contributions (assets) at beginning of year	2010-12-31	$275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$227,857
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	EIDE BAILLY, LLP
Accountancy firm EIN	2010-12-31	450250958
2009 : DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN

2022: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DELTA DENTAL OF WISCONSIN, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	DELTA DENTAL OF WISCONSIN, INC.
Employer identification number (EIN):	396094742
NAIC Classification:	524290