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| Plan Name | KEYSTONE INSURERS GROUP, INC. DENTAL PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | KEYSTONE INSURERS GROUP, INC. |
| Employer identification number (EIN): | 232263940 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2016-01-01 | ||||
| 505 | 2015-01-01 | ||||
| 505 | 2014-01-01 | ||||
| 505 | 2013-03-01 |
| Measure | Date | Value |
|---|---|---|
| 2016: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 1,401 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 0 |
| 2015: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 1,229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,401 |
| Total of all active and inactive participants | 2015-01-01 | 1,401 |
| Total participants | 2015-01-01 | 1,401 |
| 2014: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 1,185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,229 |
| Total of all active and inactive participants | 2014-01-01 | 1,229 |
| Total participants | 2014-01-01 | 1,229 |
| 2013: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-03-01 | 1,185 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-01 | 1,185 |
| Total of all active and inactive participants | 2013-03-01 | 1,185 |
| Total participants | 2013-03-01 | 1,185 |
| 2016: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: KEYSTONE INSURERS GROUP, INC. DENTAL PLAN 2013 form 5500 responses | ||
| 2013-03-01 | Type of plan entity | Single employer plan |
| 2013-03-01 | First time form 5500 has been submitted | Yes |
| 2013-03-01 | Plan funding arrangement – Insurance | Yes |
| 2013-03-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||
| Policy contract number | KM05998437 | ||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||
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