DELTA DENTAL PLAN OF TENNESSEE

Aggregated across all Schedule C name variants below. DOL truncates provider names to 35 chars, so the same legal entity is filed under multiple spellings.

Plans served

Active participants

376

Total plan assets

Filings (rows)

Direct comp

$18K

Indirect comp

Other variants under "DELTA DENTAL"

DELTA DENTAL430 DELTA DENTAL OF WISCONSIN302 DELTA DENTAL OF MISSOURI151 DELTA DENTAL OF PENNSYLVANIA141 DELTA DENTAL OF OHIO111 DELTA DENTAL OF MICHIGAN110 DELTA DENTAL OF VIRGINIA99

SERVICES PROVIDED

TPA / Administrator1

Plans served

All 1 plans

Sponsor / Plan	Location	Services	Participants	Assets	Direct comp	Indirect comp
MONOGRAM REFRIGERATION, LLC MONOGRAM REFRIGERATION, LLC EMPLOYEE BENEFIT PLAN	SELMER, TN	TPA / Administrator	376	—	$18K	$0