Form 5500 · Retirement plan · CLEVELAND, TN
LIFE CARE CENTERS OF AMERICA, INC.
The filing calls this plan LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN.
LIFE CARE CENTERS OF AMERICA, INC. of CLEVELAND, TN files a Form 5500 for its retirement plan. Schedule A discloses 1 annuity or guaranteed-interest contract held by the plan, written by EMPOWER ANNUITY INSURANCE COMPANY. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0963862 · plan 001 · plan year 2025, filed Jul 14, 2026
Plan brief
Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with EMPOWER ANNUITY INSURANCE COMPANY.
The contracts held $49,607,615 at the end of the plan year, as reported on Schedule A.
The filing discloses no agent commission on these contracts.
A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.
The contract year ended in December.
Schedule A insurance contracts
| Carrier | Contract type | Covered | Year ends | Contract value | Commission |
|---|---|---|---|---|---|
| EMPOWER ANNUITY INSURANCE COMPANY | Annuity / GIC | 5,833 | December | $49,607,615 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 3,520 employees, 104 recordable cases, 1,337 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
3 establishments filed under this EIN are left out of these figures: the hours and employees they reported could not both be right.
What the plan holds
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
Who runs the plan
From Schedule H of this filing.
We can name the recordkeeper and the auditor for large plans, the ones that file a Schedule C or a Schedule H. Smaller plans do not have to report either, so for most 401(k) plans in the country that information is not public anywhere.
Other plans filed by this employer
More employer plans in Tennessee — largest plans, brokers, carriers and renewal months.