Form 5500 · Employee benefit plan · PROVIDENCE, RI
DELTA DENTAL OF RHODE ISLAND
DELTA DENTAL OF RHODE ISLAND of PROVIDENCE, RI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SRVCS INC. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 15 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 05-0296998 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 117 | December | $24,266 |
| BLUE CROSS BLUE SHIELD OF RHODE ISLAND | Health | 211 | June | $10,000 |
| JOHN HANCOCK LIFE AND HEALTH INSURANCE COMPANY | — | 50 | December | $1,527 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 78 | December | $807 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 65 | December | $698 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 18 | December | $211 |
| DELTA DENTAL OF RHODE ISLAND | Vision | 3 | December | $44 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 74 | December | $0 |
| ALTUS DENTAL INSURANCE COMPANY, INC | Dental | 7 | December | $0 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 19 | December | $0 |
| ALTUS DENTAL INSURANCE COMPANY | Dental | 3 | December | $0 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 43 | December | $0 |
| DELTA DENTAL OF RHODE ISLAND | Dental | 8 | December | $0 |
| ALTUS DENTAL INSURANCE CO., INC. | Dental | 21 | December | $0 |
| ALTUS DENTAL INSURANCE CO., INC. | Dental | 1 | December | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 77 | December | $0 |
Questions
Who is DELTA DENTAL OF RHODE ISLAND's benefits broker?
Per its most recent Form 5500 Schedule A, DELTA DENTAL OF RHODE ISLAND's broker of record is GALLAGHER BENEFIT SRVCS INC.
What insurance carrier does DELTA DENTAL OF RHODE ISLAND use?
DELTA DENTAL OF RHODE ISLAND's benefit plan is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA, among 16 disclosed carriers.
When does DELTA DENTAL OF RHODE ISLAND's group plan renew?
The most recent Schedule A policy period for DELTA DENTAL OF RHODE ISLAND ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DELTA DENTAL OF RHODE ISLAND's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.