Form 5500 · Employee benefit plan · CLEVELAND, TN
LEGACY SENIOR LIVING LLC
LEGACY SENIOR LIVING LLC of CLEVELAND, TN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is COLE HARRIS. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 6 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-5770211 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health, Vision | 230 | November | $59,568 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 334 | November | $29,022 |
| DELTA DENTAL OF TENNESSEE | Dental | 364 | November | $11,887 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 192 | November | $9,114 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 85 | November | $4,600 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 541 | November | $4,255 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 129 | November | $2,444 |
Questions
Who is LEGACY SENIOR LIVING LLC's benefits broker?
Per its most recent Form 5500 Schedule A, LEGACY SENIOR LIVING LLC's broker of record is COLE HARRIS.
What insurance carrier does LEGACY SENIOR LIVING LLC use?
LEGACY SENIOR LIVING LLC's benefit plan is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC., among 7 disclosed carriers.
When does LEGACY SENIOR LIVING LLC's group plan renew?
The most recent Schedule A policy period for LEGACY SENIOR LIVING LLC ended in November. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LEGACY SENIOR LIVING LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.