401k Plan data: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN plan

DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 401k Plan overview

Plan Name	DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN
Plan identification number	003

DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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.
Participant-directed brokerage accounts provided as an investment option under the plan.
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.
Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: DELTA DENTAL PLAN OF MICHIGAN, INC.

Employer identification number (EIN): 381791480

NAIC Classification: 524290

Additional information about DELTA DENTAL PLAN OF MICHIGAN, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2003-10-03

Company Identification Number: 0800254463

Legal Registered Office Address: PO BOX 30416

LANSING
United States of America (USA)
48909

More information about DELTA DENTAL PLAN OF MICHIGAN, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2022-01-01
003 2021-01-01
003 2020-01-01
003 2019-01-01
003 2018-01-01
003 2017-01-01 AMY BASEL
003 2016-01-01 AMY BASEL
003 2015-01-01 GORAN JURKOVIC
003 2014-01-01 GORAN JURKOVIC
003 2013-01-01 GORAN JURKOVIC
003 2012-01-01 GORAN JURKOVIC
003 2011-01-01 GORAN JURKOVIC
003 2009-01-01 GORAN JURKOVIC

Plan Statistics for DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN

401k plan membership statisitcs for DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN

Measure Date Value
2022: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,211
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,128
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 159
Total of all active and inactive participants 2022-01-01 1,287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,287
Number of participants with account balances 2022-01-01 1,200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 1
2021: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,144
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,045
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 154
Total of all active and inactive participants 2021-01-01 1,199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,199
Number of participants with account balances 2021-01-01 1,105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,158
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 997
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 145
Total of all active and inactive participants 2020-01-01 1,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 2
Total participants 2020-01-01 1,144
Number of participants with account balances 2020-01-01 1,049
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,000
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 927
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 220
Total of all active and inactive participants 2019-01-01 1,147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1,147
Number of participants with account balances 2019-01-01 1,036
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 934
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 844
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 171
Total of all active and inactive participants 2018-01-01 1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 1,015
Number of participants with account balances 2018-01-01 888
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 855
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 751
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 159
Total of all active and inactive participants 2017-01-01 910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 910
Number of participants with account balances 2017-01-01 808
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 811
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 709
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 140
Total of all active and inactive participants 2016-01-01 849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 849
Number of participants with account balances 2016-01-01 757
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 766
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 696
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 115
Total of all active and inactive participants 2015-01-01 811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 811
Number of participants with account balances 2015-01-01 704
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 758
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 645
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 119
Total of all active and inactive participants 2014-01-01 766
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 766
Number of participants with account balances 2014-01-01 664
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 765
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 643
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 112
Total of all active and inactive participants 2013-01-01 758
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 758
Number of participants with account balances 2013-01-01 665
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 521
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 663
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 96
Total of all active and inactive participants 2012-01-01 763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 2
Total participants 2012-01-01 765
Number of participants with account balances 2012-01-01 682
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 567
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 454
Number of retired or separated participants receiving benefits 2011-01-01 2
Number of other retired or separated participants entitled to future benefits 2011-01-01 65
Total of all active and inactive participants 2011-01-01 521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 521
Number of participants with account balances 2011-01-01 439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 516
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 391
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 90
Total of all active and inactive participants 2009-01-01 483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 484
Number of participants with account balances 2009-01-01 437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,211
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,128
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	159
Total of all active and inactive participants	2022-01-01	1,287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,287
Number of participants with account balances	2022-01-01	1,200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	1
2021: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,144
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,045
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	154
Total of all active and inactive participants	2021-01-01	1,199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,199
Number of participants with account balances	2021-01-01	1,105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,158
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	997
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	145
Total of all active and inactive participants	2020-01-01	1,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	2
Total participants	2020-01-01	1,144
Number of participants with account balances	2020-01-01	1,049
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,000
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	927
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	220
Total of all active and inactive participants	2019-01-01	1,147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1,147
Number of participants with account balances	2019-01-01	1,036
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	934
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	844
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	171
Total of all active and inactive participants	2018-01-01	1,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	1,015
Number of participants with account balances	2018-01-01	888
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	855
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	751
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	159
Total of all active and inactive participants	2017-01-01	910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	910
Number of participants with account balances	2017-01-01	808
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	811
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	709
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	140
Total of all active and inactive participants	2016-01-01	849
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	849
Number of participants with account balances	2016-01-01	757
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	766
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	696
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	115
Total of all active and inactive participants	2015-01-01	811
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	811
Number of participants with account balances	2015-01-01	704
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	758
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	645
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	119
Total of all active and inactive participants	2014-01-01	766
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	766
Number of participants with account balances	2014-01-01	664
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	765
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	643
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	112
Total of all active and inactive participants	2013-01-01	758
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	758
Number of participants with account balances	2013-01-01	665
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	521
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	663
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	96
Total of all active and inactive participants	2012-01-01	763
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	2
Total participants	2012-01-01	765
Number of participants with account balances	2012-01-01	682
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	567
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	454
Number of retired or separated participants receiving benefits	2011-01-01	2
Number of other retired or separated participants entitled to future benefits	2011-01-01	65
Total of all active and inactive participants	2011-01-01	521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	521
Number of participants with account balances	2011-01-01	439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	516
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	391
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	90
Total of all active and inactive participants	2009-01-01	483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	484
Number of participants with account balances	2009-01-01	437
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN

Measure	Date	Value
2022 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
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	$-6,315,372
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$11,009,330
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$10,981,854
Value of total corrective distributions	2022-12-31	$3,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$8,852,044
Value of total assets at end of year	2022-12-31	$79,290,655
Value of total assets at beginning of year	2022-12-31	$96,615,357
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$23,976
Total interest from all sources	2022-12-31	$37,260
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$1,913,516
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	$1,913,516
Administrative expenses professional fees incurred	2022-12-31	$23,976
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
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	$6,553,444
Participant contributions at end of year	2022-12-31	$970,364
Participant contributions at beginning of year	2022-12-31	$972,791
Participant contributions at end of year	2022-12-31	$162,679
Participant contributions at beginning of year	2022-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$2,182,242
Total non interest bearing cash at end of year	2022-12-31	$358
Total non interest bearing cash at beginning of year	2022-12-31	$303
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	$-17,324,702
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$79,290,655
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$96,615,357
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	$70,455,113
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$91,260,965
Value of interest in pooled separate accounts at end of year	2022-12-31	$7,693,343
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$0
Interest on participant loans	2022-12-31	$37,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$4,381,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$4,381,298
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$189
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-17,118,192
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	$116,358
Employer contributions (assets) at end of year	2022-12-31	$8,798
Employer contributions (assets) at beginning of year	2022-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$10,981,854
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2022-12-31	381357951
2021 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
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	$19,733,129
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$3,394,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$3,346,543
Expenses. Certain deemed distributions of participant loans	2021-12-31	$23,275
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$7,712,127
Value of total assets at end of year	2021-12-31	$96,615,357
Value of total assets at beginning of year	2021-12-31	$80,277,109
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$25,063
Total interest from all sources	2021-12-31	$46,845
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$2,499,737
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	$2,499,737
Administrative expenses professional fees incurred	2021-12-31	$25,063
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
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	$5,696,199
Participant contributions at end of year	2021-12-31	$972,791
Participant contributions at beginning of year	2021-12-31	$961,646
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$2,008,919
Total non interest bearing cash at end of year	2021-12-31	$303
Total non interest bearing cash at beginning of year	2021-12-31	$137,176
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	$16,338,248
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$96,615,357
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$80,277,109
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	$91,260,965
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$75,468,925
Interest on participant loans	2021-12-31	$43,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$4,381,298
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$3,709,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$3,709,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$3,471
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$9,474,420
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	$7,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$3,346,543
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2021-12-31	381357951
2020 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
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	$15,648,218
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$6,095,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$6,055,075
Expenses. Certain deemed distributions of participant loans	2020-12-31	$17,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,868,194
Value of total assets at end of year	2020-12-31	$80,277,109
Value of total assets at beginning of year	2020-12-31	$70,724,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$23,047
Total interest from all sources	2020-12-31	$67,927
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$1,771,960
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	$1,771,960
Administrative expenses professional fees incurred	2020-12-31	$23,047
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
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
Contributions received from participants	2020-12-31	$4,999,974
Participant contributions at end of year	2020-12-31	$961,646
Participant contributions at beginning of year	2020-12-31	$1,135,321
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$802,912
Total non interest bearing cash at end of year	2020-12-31	$137,176
Total non interest bearing cash at beginning of year	2020-12-31	$1,426
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	$9,552,408
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$80,277,109
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$70,724,701
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
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$75,468,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$66,635,931
Interest on participant loans	2020-12-31	$51,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$3,709,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$2,952,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$2,952,023
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$16,441
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$7,940,137
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	$65,308
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$6,055,075
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
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	PLANTE & MORAN, PLLC
Accountancy firm EIN	2020-12-31	381357951
2019 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
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
Total income from all sources (including contributions)	2019-12-31	$17,009,499
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$4,875,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$4,853,600
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,015,735
Value of total assets at end of year	2019-12-31	$70,724,701
Value of total assets at beginning of year	2019-12-31	$58,590,256
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$21,454
Total interest from all sources	2019-12-31	$97,824
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,724,548
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	$1,724,548
Administrative expenses professional fees incurred	2019-12-31	$21,454
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
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
Contributions received from participants	2019-12-31	$4,475,611
Participant contributions at end of year	2019-12-31	$1,135,321
Participant contributions at beginning of year	2019-12-31	$1,118,748
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$490,308
Other income not declared elsewhere	2019-12-31	$746
Total non interest bearing cash at end of year	2019-12-31	$1,426
Total non interest bearing cash at beginning of year	2019-12-31	$594
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
Value of net income/loss	2019-12-31	$12,134,445
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$70,724,701
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$58,590,256
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
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$66,635,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$54,805,410
Interest on participant loans	2019-12-31	$60,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$2,952,023
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$2,665,504
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$2,665,504
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$37,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$10,170,646
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	$49,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$4,853,600
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
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2019-12-31	381357951
2018 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	$0
Total income from all sources (including contributions)	2018-12-31	$1,194,254
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$6,886,916
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$6,868,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,552,970
Value of total assets at end of year	2018-12-31	$58,590,256
Value of total assets at beginning of year	2018-12-31	$64,282,918
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$18,830
Total interest from all sources	2018-12-31	$47,700
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$1,768,246
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	$1,768,246
Administrative expenses professional fees incurred	2018-12-31	$18,830
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
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	$4,081,889
Participant contributions at end of year	2018-12-31	$1,118,748
Participant contributions at beginning of year	2018-12-31	$924,364
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$467,835
Other income not declared elsewhere	2018-12-31	$1,549
Total non interest bearing cash at end of year	2018-12-31	$594
Total non interest bearing cash at beginning of year	2018-12-31	$8,742
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	$-5,692,662
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$58,590,256
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$64,282,918
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	$54,805,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$60,449,674
Interest on participant loans	2018-12-31	$47,700
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$2,665,504
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$2,900,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$2,900,138
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-5,176,211
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	$3,246
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$6,868,086
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	PLANTE & MORAN
Accountancy firm EIN	2018-12-31	381357951
2017 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$12,550,307
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$4,099,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$4,089,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$4,474,173
Value of total assets at end of year	2017-12-31	$64,282,918
Value of total assets at beginning of year	2017-12-31	$55,832,478
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$10,429
Total interest from all sources	2017-12-31	$58,441
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$1,616,849
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	$1,616,849
Administrative expenses professional fees incurred	2017-12-31	$10,429
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
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	$3,821,032
Participant contributions at end of year	2017-12-31	$924,364
Participant contributions at beginning of year	2017-12-31	$1,049,657
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$653,141
Other income not declared elsewhere	2017-12-31	$1,352
Total non interest bearing cash at end of year	2017-12-31	$8,742
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	$8,450,440
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$64,282,918
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$55,832,478
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	$60,449,674
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$51,861,680
Interest on participant loans	2017-12-31	$41,606
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$2,900,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$2,921,141
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$2,921,141
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$16,835
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$6,399,492
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$4,089,438
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	PLANTE & MORAN
Accountancy firm EIN	2017-12-31	381357951
2016 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$8,717,228
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$3,390,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,380,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,325,775
Value of total assets at end of year	2016-12-31	$55,832,478
Value of total assets at beginning of year	2016-12-31	$50,505,581
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$9,698
Total interest from all sources	2016-12-31	$44,477
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$1,349,719
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	$1,349,719
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
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	$3,663,564
Participant contributions at end of year	2016-12-31	$1,049,657
Participant contributions at beginning of year	2016-12-31	$921,978
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$8,305
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$662,211
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	$5,326,897
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$55,832,478
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$50,505,581
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	$51,861,680
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$47,822,294
Interest on participant loans	2016-12-31	$38,165
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$962,566
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,921,141
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$790,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$790,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$6,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$2,997,257
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,380,633
Contract administrator fees	2016-12-31	$9,698
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	PLANTE & MORAN
Accountancy firm EIN	2016-12-31	381357951
2015 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	$0
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	$4,315,302
Total loss/gain on sale of assets	2015-12-31	$-34,426
Total of all expenses incurred	2015-12-31	$7,054,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$7,049,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,878,008
Value of total assets at end of year	2015-12-31	$50,505,581
Value of total assets at beginning of year	2015-12-31	$53,245,232
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$5,479
Total interest from all sources	2015-12-31	$43,882
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,824,465
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	$1,821,540
Administrative expenses professional fees incurred	2015-12-31	$5,479
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	Yes
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	No
Contributions received from participants	2015-12-31	$3,309,705
Participant contributions at end of year	2015-12-31	$921,978
Participant contributions at beginning of year	2015-12-31	$1,090,407
Participant contributions at end of year	2015-12-31	$8,305
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$568,303
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$85
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	$-2,739,651
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$50,505,581
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$53,245,232
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	$47,822,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$46,504,046
Interest on participant loans	2015-12-31	$43,882
Value of interest in common/collective trusts at end of year	2015-12-31	$962,566
Value of interest in common/collective trusts at beginning of year	2015-12-31	$2,640,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$790,438
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$2,656,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$2,656,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-1,412,886
Net investment gain or loss from common/collective trusts	2015-12-31	$16,259
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
Income. Dividends from common stock	2015-12-31	$2,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$7,049,474
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	2015-12-31	Yes
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$353,214
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
Aggregate proceeds on sale of assets	2015-12-31	$717,967
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$752,393
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	PLANTE & MORAN
Accountancy firm EIN	2015-12-31	381357951
2014 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$-21,542
Total unrealized appreciation/depreciation of assets	2014-12-31	$-21,542
Total transfer of assets to this plan	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
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$6,234,701
Total loss/gain on sale of assets	2014-12-31	$-20,345
Total of all expenses incurred	2014-12-31	$3,748,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,733,513
Expenses. Certain deemed distributions of participant loans	2014-12-31	$9,947
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,541,522
Value of total assets at end of year	2014-12-31	$53,245,232
Value of total assets at beginning of year	2014-12-31	$50,759,286
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$5,295
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$45,442
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$3,464,669
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	$3,459,798
Assets. Real estate other than employer real property at end of year	2014-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$3,144,065
Participant contributions at end of year	2014-12-31	$1,090,407
Participant contributions at beginning of year	2014-12-31	$1,068,614
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$384,408
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Assets. Loans (other than to participants) at end of year	2014-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$5,295
Liabilities. Value of operating payables at end of year	2014-12-31	$0
Liabilities. Value of operating payables at beginning of year	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$85
Total non interest bearing cash at beginning of year	2014-12-31	$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	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$2,485,946
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$53,245,232
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$50,759,286
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
Assets. partnership/joint venture interests at end of year	2014-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$46,504,046
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$43,376,082
Value of interest in pooled separate accounts at end of year	2014-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$45,148
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$0
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in master investment trust accounts at end of year	2014-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$2,640,549
Value of interest in common/collective trusts at beginning of year	2014-12-31	$2,797,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$2,656,931
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,199,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,199,548
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$294
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Asset value of US Government securities at end of year	2014-12-31	$0
Asset value of US Government securities at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-797,762
Net investment gain/loss from pooled separate accounts	2014-12-31	$0
Net investment gain or loss from common/collective trusts	2014-12-31	$22,717
Net gain/loss from 103.12 investment entities	2014-12-31	$0
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
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Assets. Value of employer real property at end of year	2014-12-31	$0
Assets. Value of employer real property at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$13,049
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$4,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,733,513
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$0
Contract administrator fees	2014-12-31	$0
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	2014-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$353,214
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$317,721
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$0
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
Aggregate proceeds on sale of assets	2014-12-31	$994,481
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$1,014,826
Liabilities. Value of acquisition indebtedness at end of year	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$0
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	PLANTE & MORAN
Accountancy firm EIN	2014-12-31	381357951
2013 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$34,162
Total unrealized appreciation/depreciation of assets	2013-12-31	$34,162
Total transfer of assets to this plan	2013-12-31	$10,774
Total transfer of assets from this plan	2013-12-31	$7,772
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	$0
Expenses. Interest paid	2013-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$11,288,766
Total loss/gain on sale of assets	2013-12-31	$-101
Total of all expenses incurred	2013-12-31	$3,521,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$3,496,130
Expenses. Certain deemed distributions of participant loans	2013-12-31	$8,419
Value of total corrective distributions	2013-12-31	$11,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$3,181,678
Value of total assets at end of year	2013-12-31	$50,759,286
Value of total assets at beginning of year	2013-12-31	$42,989,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$5,155
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$53,286
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$1,393,373
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	$1,389,648
Assets. Real estate other than employer real property at end of year	2013-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$3,109,902
Participant contributions at end of year	2013-12-31	$1,068,614
Participant contributions at beginning of year	2013-12-31	$1,194,403
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$71,776
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Assets. Loans (other than to participants) at end of year	2013-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$0
Administrative expenses (other) incurred	2013-12-31	$5,155
Liabilities. Value of operating payables at end of year	2013-12-31	$0
Liabilities. Value of operating payables at beginning of year	2013-12-31	$0
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$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	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$7,767,102
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$50,759,286
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$42,989,182
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
Assets. partnership/joint venture interests at end of year	2013-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2013-12-31	$0
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$43,376,082
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$36,057,003
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$53,005
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$0
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Value of interest in master investment trust accounts at end of year	2013-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$2,797,321
Value of interest in common/collective trusts at beginning of year	2013-12-31	$2,688,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,199,548
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,698,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,698,550
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$281
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Asset value of US Government securities at end of year	2013-12-31	$0
Asset value of US Government securities at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$6,635,039
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$-8,671
Net gain/loss from 103.12 investment entities	2013-12-31	$0
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
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Assets. Value of employer real property at end of year	2013-12-31	$0
Assets. Value of employer real property at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$0
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$3,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$3,496,130
Asset. Corporate debt instrument preferred debt at end of year	2013-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$0
Contract administrator fees	2013-12-31	$0
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	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$317,721
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$350,741
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$0
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
Aggregate proceeds on sale of assets	2013-12-31	$1,413,123
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$1,413,224
Liabilities. Value of acquisition indebtedness at end of year	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-12-31	$0
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	PLANTE & MORAN
Accountancy firm EIN	2013-12-31	381357951
2012 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$-20,993
Total unrealized appreciation/depreciation of assets	2012-12-31	$-20,993
Total transfer of assets to this plan	2012-12-31	$10,339,132
Total transfer of assets from this plan	2012-12-31	$181,003
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
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	$7,078,253
Total loss/gain on sale of assets	2012-12-31	$5,424
Total of all expenses incurred	2012-12-31	$3,421,324
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$3,426,613
Expenses. Certain deemed distributions of participant loans	2012-12-31	$-9,886
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$3,268,830
Value of total assets at end of year	2012-12-31	$42,989,182
Value of total assets at beginning of year	2012-12-31	$29,174,124
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$4,597
Total interest from all sources	2012-12-31	$50,632
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$1,187,017
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	$1,183,658
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
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	$2,752,134
Participant contributions at end of year	2012-12-31	$1,194,403
Participant contributions at beginning of year	2012-12-31	$590,479
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$516,696
Administrative expenses (other) incurred	2012-12-31	$4,597
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$661
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	$3,656,929
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$42,989,182
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$29,174,124
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	$36,057,003
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$25,521,560
Interest on participant loans	2012-12-31	$50,004
Value of interest in common/collective trusts at end of year	2012-12-31	$2,688,485
Value of interest in common/collective trusts at beginning of year	2012-12-31	$353,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,698,550
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$2,383,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$2,383,852
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$628
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$2,495,505
Net investment gain or loss from common/collective trusts	2012-12-31	$91,838
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
Income. Dividends from common stock	2012-12-31	$3,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$3,426,613
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	2012-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$350,741
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$324,102
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
Aggregate proceeds on sale of assets	2012-12-31	$1,631,290
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$1,625,866
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	PLANTE & MORAN
Accountancy firm EIN	2012-12-31	381357951
2011 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-43,784
Total unrealized appreciation/depreciation of assets	2011-12-31	$-43,784
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	$1,558,714
Total loss/gain on sale of assets	2011-12-31	$-20,668
Total of all expenses incurred	2011-12-31	$1,871,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,856,486
Expenses. Certain deemed distributions of participant loans	2011-12-31	$11,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,399,333
Value of total assets at end of year	2011-12-31	$29,174,124
Value of total assets at beginning of year	2011-12-31	$29,486,564
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,014
Total interest from all sources	2011-12-31	$38,338
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$777,038
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$774,118
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
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	$2,348,821
Participant contributions at end of year	2011-12-31	$590,479
Participant contributions at beginning of year	2011-12-31	$529,881
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$50,512
Administrative expenses (other) incurred	2011-12-31	$3,014
Total non interest bearing cash at end of year	2011-12-31	$661
Total non interest bearing cash at beginning of year	2011-12-31	$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	2011-12-31	No
Value of net income/loss	2011-12-31	$-312,440
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$29,174,124
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$29,486,564
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	$25,521,560
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$26,284,614
Interest on participant loans	2011-12-31	$38,086
Value of interest in common/collective trusts at end of year	2011-12-31	$353,470
Value of interest in common/collective trusts at beginning of year	2011-12-31	$557,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$2,383,852
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,925,167
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,925,167
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$252
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-1,602,942
Net investment gain or loss from common/collective trusts	2011-12-31	$11,399
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
Income. Dividends from common stock	2011-12-31	$2,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,856,486
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	2011-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2011-12-31	$324,102
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$189,238
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
Aggregate proceeds on sale of assets	2011-12-31	$2,587,207
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$2,607,875
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2011-12-31	381357951
2010 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$-1,679
Total unrealized appreciation/depreciation of assets	2010-12-31	$-1,679
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	$5,831,352
Total loss/gain on sale of assets	2010-12-31	$-15,397
Total of all expenses incurred	2010-12-31	$1,802,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,799,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,434,909
Value of total assets at end of year	2010-12-31	$29,486,564
Value of total assets at beginning of year	2010-12-31	$25,457,237
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$2,753
Total interest from all sources	2010-12-31	$40,995
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$540,540
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	$538,645
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
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	$2,344,123
Participant contributions at end of year	2010-12-31	$529,881
Participant contributions at beginning of year	2010-12-31	$498,429
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$65,378
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$90,786
Administrative expenses (other) incurred	2010-12-31	$2,753
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	$4,029,327
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$29,486,564
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$25,457,237
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	$26,284,614
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$22,227,618
Interest on participant loans	2010-12-31	$40,578
Value of interest in common/collective trusts at end of year	2010-12-31	$557,664
Value of interest in common/collective trusts at beginning of year	2010-12-31	$487,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,925,167
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,840,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,840,716
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$417
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,811,248
Net investment gain or loss from common/collective trusts	2010-12-31	$20,736
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	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Income. Dividends from common stock	2010-12-31	$1,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,799,272
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	2010-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$189,238
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$337,643
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
Aggregate proceeds on sale of assets	2010-12-31	$3,818,564
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$3,833,961
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	PLANTE & MORAN, PLLC
Accountancy firm EIN	2010-12-31	381357951
2009 : DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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 PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN

2022: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
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	Yes
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 PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
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	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
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	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
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	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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 funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DELTA DENTAL PLAN OF MICHIGAN, INC. EMPLOYEES' 401K 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 funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )

Policy contract number

PSA NO. 25

Policy instance

Insurance contract or identification number	PSA NO. 25
Number of Individuals Covered	1200
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	DELTA DENTAL PLAN OF MICHIGAN, INC.
Employer identification number (EIN):	381791480
NAIC Classification:	524290

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2003-10-03
Company Identification Number:	0800254463
Legal Registered Office Address:	PO BOX 30416 LANSING United States of America (USA) 48909