401k Plan data: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN plan

KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN
Plan identification number	502

KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

KEYOT, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: KEYOT, L.L.C.

Employer identification number (EIN): 262736483

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01
502 2021-01-01 MICHELLE KERR STENZEL
502 2020-01-01
502 2019-01-01
502 2017-12-01 DIANE BRASS, CONTROLLER DIANE BRASS, CONTROLLER 2018-06-19
502 2016-12-01 DIANE BRASS, CONTROLLER DIANE BRASS, CONTROLLER 2018-06-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2021-01-01
502	2021-01-01	MICHELLE KERR STENZEL
502	2020-01-01
502	2019-01-01
502	2017-12-01	DIANE BRASS, CONTROLLER	DIANE BRASS, CONTROLLER	2018-06-19
502	2016-12-01	DIANE BRASS, CONTROLLER	DIANE BRASS, CONTROLLER	2018-06-19

Plan Statistics for KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN

Measure Date Value
2021: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 199
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 0
Total of all active and inactive participants 2021-01-01 199
2020: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 129
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 146
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 0
Total of all active and inactive participants 2020-01-01 146
2019: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 129
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 0
Total of all active and inactive participants 2019-01-01 129
2017: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-12-01 86
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 86
Number of retired or separated participants receiving benefits 2017-12-01 0
Number of other retired or separated participants entitled to future benefits 2017-12-01 0
Total of all active and inactive participants 2017-12-01 86
2016: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-12-01 72
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 86
Number of retired or separated participants receiving benefits 2016-12-01 0
Number of other retired or separated participants entitled to future benefits 2016-12-01 0
Total of all active and inactive participants 2016-12-01 86

Measure	Date	Value
2021: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	199
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	0
Total of all active and inactive participants	2021-01-01	199
2020: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	129
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	146
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	0
Total of all active and inactive participants	2020-01-01	146
2019: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	129
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	0
Total of all active and inactive participants	2019-01-01	129
2017: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-12-01	86
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	86
Number of retired or separated participants receiving benefits	2017-12-01	0
Number of other retired or separated participants entitled to future benefits	2017-12-01	0
Total of all active and inactive participants	2017-12-01	86
2016: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-12-01	72
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	86
Number of retired or separated participants receiving benefits	2016-12-01	0
Number of other retired or separated participants entitled to future benefits	2016-12-01	0
Total of all active and inactive participants	2016-12-01	86

Form 5500 Responses for KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN

2021: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT 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	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2017: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes
2016: KEYOT, LLC SELECTACCOUNT FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	First time form 5500 has been submitted	Yes
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	1
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	2
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	1
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	2
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number	27307
Policy instance	1
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	2
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number	27307
Policy instance	1
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number	27307
Policy instance	2

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Company Name:	KEYOT, L.L.C.
Employer identification number (EIN):	262736483
NAIC Classification:	541600