# NATIONAL KEYSTONE PRODUCTS CO., INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **MYCONE DENTAL SUPPLY CO., INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MYCONE DENTAL SUPPLY CO., INC. |
| EIN | 131869682 |
| Plan number | 504 |
| Plan year | 2025 |
| Location | GIBBSTOWN, NJ |
| Industry | Wholesale Trade |
| Funding | fully insured |
| Total premiums | $573K |
| Participants | 299 |
| Persons covered | 461 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SYMETRA LIFE INSURANCE COMPANY | Life, STD, LTD, Indemnity, Other |
| DELTA DENTAL OF NEW JERSEY, INC. | Dental |
| ANTHEM LIFE INSURANCE COMPANY | Health, Rx, PPO |
| DELTA DENTAL OF CALIFORNIA | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| GALLAGHER BENEFIT SERVICES, INC. | SYMETRA LIFE INSURANCE COMPANY |
| GALLAGHER BENEFIT SERVICES, INC. | ANTHEM BLUE CROSS |
| GALLAGHER BENEFIT SERVICES, INC. | DELTA DENTAL OF PENNSYLVANIA |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/131869682-504
- Cite as: PlanOptica, https://planoptica.com/welfare/131869682-504
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers