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KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameKEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN
Plan identification number 501

KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

KEYSTONE SERVICE SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name:KEYSTONE SERVICE SYSTEMS, INC.
Employer identification number (EIN):231915567
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-07-01
5012018-07-01
5012017-07-01CHARLES SWEEDER CHARLES SWEEDER2019-01-18
5012016-07-01CHARLES SWEEDER CHARLES SWEEDER2017-12-15
5012015-07-01CHARLES SWEEDER CHARLES SWEEDER2016-12-15
5012014-07-01CHARLES SWEEDER CHARLES SWEEDER2015-11-11
5012013-07-01CHARLES SWEEDER CHARLES SWEEDER2014-09-23
5012012-07-01CHARLES SWEEDER CHARLES SWEEDER2014-01-06
5012011-07-01CHARLES SWEEDER CHARLES SWEEDER2013-01-02
5012009-07-01 CHARLES SWEEDER2011-01-03
5012009-07-01CHARLES SWEEDER CHARLES SWEEDER2011-01-03

Plan Statistics for KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN

401k plan membership statisitcs for KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN

Measure Date Value
2019: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-011,864
Total number of active participants reported on line 7a of the Form 55002019-07-010
Total of all active and inactive participants2019-07-010
2018: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-011,648
Total number of active participants reported on line 7a of the Form 55002018-07-011,864
Total of all active and inactive participants2018-07-011,864
2017: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-011,632
Total number of active participants reported on line 7a of the Form 55002017-07-011,648
Total of all active and inactive participants2017-07-011,648
2016: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-011,759
Number of retired or separated participants receiving benefits2016-07-011,632
Total of all active and inactive participants2016-07-011,632
2015: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-011,846
Total number of active participants reported on line 7a of the Form 55002015-07-011,759
Total of all active and inactive participants2015-07-011,759
2014: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-011,772
Total number of active participants reported on line 7a of the Form 55002014-07-011,846
Total of all active and inactive participants2014-07-011,846
2013: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-011,762
Number of other retired or separated participants entitled to future benefits2013-07-011,772
Total of all active and inactive participants2013-07-011,772
2012: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-011,356
Total number of active participants reported on line 7a of the Form 55002012-07-011,762
Total of all active and inactive participants2012-07-011,762
2011: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-011,330
Total number of active participants reported on line 7a of the Form 55002011-07-011,356
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-011,356
2009: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-011,196
Total number of active participants reported on line 7a of the Form 55002009-07-011,270
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-011,270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-011,270

Form 5500 Responses for KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN

2019: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingYes
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: KEYSTONE SERVICE SYSTEMS, INC. ACCIDENTAL DEATH AND DISMEMBERMENT LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417446
Policy instance 3
Insurance contract or identification number417446
Number of Individuals Covered0
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418338
Policy instance 2
Insurance contract or identification number418338
Number of Individuals Covered0
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418109
Policy instance 1
Insurance contract or identification number418109
Number of Individuals Covered0
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417446
Policy instance 3
Insurance contract or identification number417446
Number of Individuals Covered1864
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $44,025
Total amount of fees paid to insurance companyUSD $7,877
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $190,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,025
Amount paid for insurance broker fees7877
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418109
Policy instance 1
Insurance contract or identification number418109
Number of Individuals Covered439
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $9,741
Total amount of fees paid to insurance companyUSD $1,299
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,741
Amount paid for insurance broker fees1299
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418338
Policy instance 2
Insurance contract or identification number418338
Number of Individuals Covered267
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,888
Total amount of fees paid to insurance companyUSD $2,355
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $117,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,888
Amount paid for insurance broker fees2355
Additional information about fees paid to insurance brokerADDITIONAL COMP
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417446
Policy instance 3
Insurance contract or identification number417446
Number of Individuals Covered1648
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $47,716
Total amount of fees paid to insurance companyUSD $8,518
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $459,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,716
Amount paid for insurance broker fees8518
Additional information about fees paid to insurance brokerADDITIONAL COMP
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418338
Policy instance 2
Insurance contract or identification number418338
Number of Individuals Covered303
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $5,238
Total amount of fees paid to insurance companyUSD $2,095
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,238
Amount paid for insurance broker fees2095
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number418109
Policy instance 1
Insurance contract or identification number418109
Number of Individuals Covered448
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $9,067
Total amount of fees paid to insurance companyUSD $1,209
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,067
Amount paid for insurance broker fees1209
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417446
Policy instance 1
Insurance contract or identification number417446
Number of Individuals Covered1759
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $36,329
Total amount of fees paid to insurance companyUSD $6,391
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $319,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,329
Amount paid for insurance broker fees6391
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number417446
Policy instance 1
Insurance contract or identification number417446
Number of Individuals Covered1846
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $42,053
Total amount of fees paid to insurance companyUSD $18,464
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $369,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,053
Amount paid for insurance broker fees18464
Additional information about fees paid to insurance brokerADDITIONAL COMP
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43975
Policy instance 1
Insurance contract or identification number43975
Number of Individuals Covered1772
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $51,208
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $389,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,332
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43975
Policy instance 1
Insurance contract or identification number43975
Number of Individuals Covered1762
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $49,662
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $753,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,878
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SERVICES, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43975
Policy instance 1
Insurance contract or identification number43975
Number of Individuals Covered1356
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $35,879
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $287,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43975
Policy instance 1
Insurance contract or identification number43975
Number of Individuals Covered1330
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $33,314
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $283,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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