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| Plan Name | KEYSTONE MANAGEMENT LIFE PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KEYSTONE MANAGEMENT |
| Employer identification number (EIN): | 020379699 |
| NAIC Classification: | 531310 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2022-12-01 | NANCY GAUTHIER | 2024-06-26 | ||
| 503 | 2022-06-01 | VALERIE A. SOUCY CARVER | 2023-05-05 | ||
| 503 | 2021-06-01 | SANDY QUINT | 2022-10-11 | ||
| 503 | 2020-06-01 | SANDY QUINT | 2022-03-08 | ||
| 503 | 2019-06-01 | SANDY J QUINT | 2020-10-01 |
| 2022: KEYSTONE MANAGEMENT LIFE PLAN 2022 form 5500 responses | ||
|---|---|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | Plan funding arrangement – Insurance | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-06-01 | Type of plan entity | Single employer plan |
| 2022-06-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2022-06-01 | Plan funding arrangement – Insurance | Yes |
| 2022-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: KEYSTONE MANAGEMENT LIFE PLAN 2021 form 5500 responses | ||
| 2021-06-01 | Type of plan entity | Single employer plan |
| 2021-06-01 | Plan funding arrangement – Insurance | Yes |
| 2021-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: KEYSTONE MANAGEMENT LIFE PLAN 2020 form 5500 responses | ||
| 2020-06-01 | Type of plan entity | Single employer plan |
| 2020-06-01 | Plan funding arrangement – Insurance | Yes |
| 2020-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: KEYSTONE MANAGEMENT LIFE PLAN 2019 form 5500 responses | ||
| 2019-06-01 | Type of plan entity | Single employer plan |
| 2019-06-01 | First time form 5500 has been submitted | Yes |
| 2019-06-01 | Plan funding arrangement – Insurance | Yes |
| 2019-06-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 26979 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||
| Policy contract number | 26979 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||
| Policy contract number | CL2053 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||
| Policy contract number | CL2053 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |||||||||||||||||||||||
| Policy contract number | CL2053 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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