# LIFE CARE CENTERS OF AMERICA, INC. WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **LIFE CARE CENTERS OF AMERICA, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LIFE CARE CENTERS OF AMERICA, INC. |
| EIN | 620963862 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | CLEVELAND, TN |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $21.2M |
| Participants | 22,086 |
| Persons covered | 22,086 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HARTFORD LIFE AND ACCIDENT | STD, LTD |
| DELTA DENTAL OF TENNESSEE | Dental |
| DEARBORN LIFE INSURANCE COMPANY | Life, Other |
| GERBER LIFE INSURANCE COMPANY | Other |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Rx, HMO |
| BLUE CROSS BLUE SHIELD | Vision |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health |
| KAISER PERMANENTE | Health, HMO |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | HARTFORD LIFE AND ACCIDENT |
| HOUCHENS INSURANCE GROUP INC | DELTA DENTAL OF TENNESSEE |
| MCGRIFF INSURANCE SERVICES INC | DEARBORN LIFE INSURANCE COMPANY |
| BILL BEELER | GERBER LIFE INSURANCE COMPANY |
| LUCENT HEALTH SOLUTIONS | GERBER LIFE INSURANCE COMPANY |
| DAVID MANZI | HEALTH PLAN OF NEVADA |
| PRISCILLA MCLAUGHLIN | BLUE CROSS BLUE SHIELD |
| BROWN & BROWN INSURANCE SERVICES | KAISER FOUNDATION HEALTH PLAN, INC. |

## 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/620963862-503
- Cite as: PlanOptica, https://planoptica.com/welfare/620963862-503
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