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LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 401k Plan overview

Plan NameLIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN
Plan identification number 001

LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LIFE CARE CENTERS OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIFE CARE CENTERS OF AMERICA, INC.
Employer identification number (EIN):620963862
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about LIFE CARE CENTERS OF AMERICA, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1985-05-01
Company Identification Number: 0007371306
Legal Registered Office Address: 3001 KEITH ST NW

CLEVELAND
United States of America (USA)
37312

More information about LIFE CARE CENTERS OF AMERICA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01STEVE ZIEGLER STEVE ZIEGLER2019-06-25
0012017-01-01STEVE ZIEGLER
0012016-01-01STEVE ZIEGLER
0012015-01-01STEVE ZIEGLER
0012014-01-01STEVE ZIEGLER
0012013-01-01STEVE ZIEGLER
0012012-01-01STEVE ZIEGLER
0012011-01-01STEVE ZIEGLER
0012010-01-01STEVE ZIEGLER
0012009-01-01STEVE ZIEGLER

Plan Statistics for LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN

401k plan membership statisitcs for LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN

Measure Date Value
2022: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0124,013
Total number of active participants reported on line 7a of the Form 55002022-01-0121,848
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-011,472
Total of all active and inactive participants2022-01-0123,321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0123,321
Number of participants with account balances2022-01-015,221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0126,253
Total number of active participants reported on line 7a of the Form 55002021-01-0122,566
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-011,433
Total of all active and inactive participants2021-01-0124,001
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0124,001
Number of participants with account balances2021-01-015,395
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0130,448
Total number of active participants reported on line 7a of the Form 55002020-01-0124,862
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-011,376
Total of all active and inactive participants2020-01-0126,240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0126,240
Number of participants with account balances2020-01-015,572
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-017
2019: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0131,492
Total number of active participants reported on line 7a of the Form 55002019-01-0129,190
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-011,221
Total of all active and inactive participants2019-01-0130,413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0130,413
Number of participants with account balances2019-01-015,918
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0123
2018: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0132,739
Total number of active participants reported on line 7a of the Form 55002018-01-0130,269
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-011,174
Total of all active and inactive participants2018-01-0131,445
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0131,445
Number of participants with account balances2018-01-016,086
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0138
2017: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0132,421
Total number of active participants reported on line 7a of the Form 55002017-01-0131,269
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-011,468
Total of all active and inactive participants2017-01-0132,738
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0132,738
Number of participants with account balances2017-01-016,574
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-01255
2016: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0132,822
Total number of active participants reported on line 7a of the Form 55002016-01-0131,169
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-011,108
Total of all active and inactive participants2016-01-0132,278
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0132,278
Number of participants with account balances2016-01-016,368
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0153
2015: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0134,570
Total number of active participants reported on line 7a of the Form 55002015-01-0131,650
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011,129
Total of all active and inactive participants2015-01-0132,779
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0132,779
Number of participants with account balances2015-01-016,661
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0172
2014: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0135,358
Total number of active participants reported on line 7a of the Form 55002014-01-0133,468
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011,058
Total of all active and inactive participants2014-01-0134,526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0134,526
Number of participants with account balances2014-01-016,923
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01169
2013: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0135,490
Total number of active participants reported on line 7a of the Form 55002013-01-0134,341
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01965
Total of all active and inactive participants2013-01-0135,306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0135,306
Number of participants with account balances2013-01-017,215
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-01182
2012: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0134,598
Total number of active participants reported on line 7a of the Form 55002012-01-0134,588
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01900
Total of all active and inactive participants2012-01-0135,488
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0135,488
Number of participants with account balances2012-01-017,531
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-01272
2011: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0134,659
Total number of active participants reported on line 7a of the Form 55002011-01-0133,727
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01842
Total of all active and inactive participants2011-01-0134,569
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0134,569
Number of participants with account balances2011-01-017,947
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-01402
2010: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0134,972
Total number of active participants reported on line 7a of the Form 55002010-01-0133,783
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01848
Total of all active and inactive participants2010-01-0134,631
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0134,631
Number of participants with account balances2010-01-017,772
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-01363
2009: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0133,982
Total number of active participants reported on line 7a of the Form 55002009-01-0134,109
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01824
Total of all active and inactive participants2009-01-0134,933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-0134,935
Number of participants with account balances2009-01-017,696
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-01378

Financial Data on LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN

Measure Date Value
2022 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$324,221
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$267,297
Total income from all sources (including contributions)2022-12-31$-25,243,211
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$30,250,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$29,603,029
Expenses. Certain deemed distributions of participant loans2022-12-31$27,648
Value of total corrective distributions2022-12-31$324,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$17,522,478
Value of total assets at end of year2022-12-31$257,585,776
Value of total assets at beginning of year2022-12-31$313,022,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$295,347
Total interest from all sources2022-12-31$865,073
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$19,400
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$16,589,120
Participant contributions at end of year2022-12-31$3,914,407
Participant contributions at beginning of year2022-12-31$4,246,748
Participant contributions at end of year2022-12-31$590,869
Participant contributions at beginning of year2022-12-31$565,040
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$933,358
Other income not declared elsewhere2022-12-31$193,370
Administrative expenses (other) incurred2022-12-31$174,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-55,493,456
Value of net assets at end of year (total assets less liabilities)2022-12-31$257,261,555
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$312,755,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$10,000
Value of interest in pooled separate accounts at end of year2022-12-31$204,975,794
Value of interest in pooled separate accounts at beginning of year2022-12-31$261,184,561
Interest on participant loans2022-12-31$191,869
Interest earned on other investments2022-12-31$673,204
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$48,104,706
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$47,025,959
Net investment gain/loss from pooled separate accounts2022-12-31$-43,824,132
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$29,603,029
Contract administrator fees2022-12-31$91,340
Liabilities. Value of benefit claims payable at end of year2022-12-31$324,221
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$267,297
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ELLIOTT DAVIS, LLC
Accountancy firm EIN2022-12-31570381582
2021 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$267,297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$331,309
Total income from all sources (including contributions)2021-12-31$57,857,197
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$35,140,517
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$34,559,653
Expenses. Certain deemed distributions of participant loans2021-12-31$26,380
Value of total corrective distributions2021-12-31$267,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$17,493,306
Value of total assets at end of year2021-12-31$313,022,308
Value of total assets at beginning of year2021-12-31$290,369,640
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$287,187
Total interest from all sources2021-12-31$905,517
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$16,187,720
Participant contributions at end of year2021-12-31$4,246,748
Participant contributions at beginning of year2021-12-31$5,022,556
Participant contributions at end of year2021-12-31$565,040
Participant contributions at beginning of year2021-12-31$539,492
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,305,586
Other income not declared elsewhere2021-12-31$173,696
Administrative expenses (other) incurred2021-12-31$287,187
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$22,716,680
Value of net assets at end of year (total assets less liabilities)2021-12-31$312,755,011
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$290,038,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$261,184,561
Value of interest in pooled separate accounts at beginning of year2021-12-31$238,536,470
Interest on participant loans2021-12-31$232,388
Interest earned on other investments2021-12-31$673,129
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$47,025,959
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$46,271,122
Net investment gain/loss from pooled separate accounts2021-12-31$39,284,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$34,559,653
Liabilities. Value of benefit claims payable at end of year2021-12-31$267,297
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$331,309
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ELLIOTT DAVIS, LLC
Accountancy firm EIN2021-12-31570381582
2020 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$331,309
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$413,556
Total income from all sources (including contributions)2020-12-31$57,925,180
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$33,955,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$33,332,363
Expenses. Certain deemed distributions of participant loans2020-12-31$44,439
Value of total corrective distributions2020-12-31$331,309
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$16,839,957
Value of total assets at end of year2020-12-31$290,369,640
Value of total assets at beginning of year2020-12-31$266,482,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$247,757
Total interest from all sources2020-12-31$1,069,675
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$15,739,749
Participant contributions at end of year2020-12-31$5,022,556
Participant contributions at beginning of year2020-12-31$5,781,736
Participant contributions at end of year2020-12-31$539,492
Participant contributions at beginning of year2020-12-31$406,669
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$1,100,208
Other income not declared elsewhere2020-12-31$157,669
Administrative expenses (other) incurred2020-12-31$247,757
Total non interest bearing cash at beginning of year2020-12-31$965
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$23,969,312
Value of net assets at end of year (total assets less liabilities)2020-12-31$290,038,331
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$266,069,019
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$238,536,470
Value of interest in pooled separate accounts at beginning of year2020-12-31$217,065,290
Interest on participant loans2020-12-31$284,508
Interest earned on other investments2020-12-31$785,167
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$46,271,122
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$43,227,915
Net investment gain/loss from pooled separate accounts2020-12-31$39,857,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$33,332,363
Liabilities. Value of benefit claims payable at end of year2020-12-31$331,309
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$413,556
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ELLIOTT DAVIS, LLC/PLLC
Accountancy firm EIN2020-12-31570381582
2019 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$413,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$265,928
Total income from all sources (including contributions)2019-12-31$66,994,566
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$26,911,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$26,251,955
Expenses. Certain deemed distributions of participant loans2019-12-31$10,955
Value of total corrective distributions2019-12-31$413,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$18,461,295
Value of total assets at end of year2019-12-31$266,482,575
Value of total assets at beginning of year2019-12-31$226,252,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$235,490
Total interest from all sources2019-12-31$1,201,570
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$16,973,537
Participant contributions at end of year2019-12-31$5,781,736
Participant contributions at beginning of year2019-12-31$6,295,380
Participant contributions at end of year2019-12-31$406,669
Participant contributions at beginning of year2019-12-31$653,501
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$1,487,758
Other income not declared elsewhere2019-12-31$15,616
Administrative expenses (other) incurred2019-12-31$235,490
Total non interest bearing cash at end of year2019-12-31$965
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$40,082,610
Value of net assets at end of year (total assets less liabilities)2019-12-31$266,069,019
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$225,986,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$217,065,290
Value of interest in pooled separate accounts at beginning of year2019-12-31$177,433,862
Interest on participant loans2019-12-31$327,824
Interest earned on other investments2019-12-31$873,746
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$43,227,915
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$41,869,594
Net investment gain/loss from pooled separate accounts2019-12-31$47,316,085
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$26,251,955
Liabilities. Value of benefit claims payable at end of year2019-12-31$413,556
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$265,928
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ELLIOTT DAVIS, LLC/PLLC
Accountancy firm EIN2019-12-31570381582
2018 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$265,928
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$417,157
Total income from all sources (including contributions)2018-12-31$3,068,229
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$26,685,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$26,096,907
Expenses. Certain deemed distributions of participant loans2018-12-31$33,270
Value of total corrective distributions2018-12-31$265,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$17,732,758
Value of total assets at end of year2018-12-31$226,252,337
Value of total assets at beginning of year2018-12-31$250,021,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$289,865
Total interest from all sources2018-12-31$1,048,570
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$16,629,323
Participant contributions at end of year2018-12-31$6,295,380
Participant contributions at beginning of year2018-12-31$6,707,413
Participant contributions at end of year2018-12-31$653,501
Participant contributions at beginning of year2018-12-31$603,266
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,103,435
Other income not declared elsewhere2018-12-31$244,857
Administrative expenses (other) incurred2018-12-31$289,865
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-23,617,741
Value of net assets at end of year (total assets less liabilities)2018-12-31$225,986,409
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$249,604,150
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$177,433,862
Value of interest in pooled separate accounts at beginning of year2018-12-31$201,933,756
Interest on participant loans2018-12-31$307,955
Interest earned on other investments2018-12-31$740,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$41,869,594
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$40,776,872
Net investment gain/loss from pooled separate accounts2018-12-31$-15,957,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$26,096,907
Liabilities. Value of benefit claims payable at end of year2018-12-31$265,928
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$417,157
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ELLIOTT DAVIS, LLC/PLLC
Accountancy firm EIN2018-12-31570381582
2017 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$417,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$214,917
Total income from all sources (including contributions)2017-12-31$53,058,844
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$28,703,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$27,938,405
Expenses. Certain deemed distributions of participant loans2017-12-31$39,014
Value of total corrective distributions2017-12-31$417,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$17,824,037
Value of total assets at end of year2017-12-31$250,021,307
Value of total assets at beginning of year2017-12-31$225,464,007
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$309,208
Total interest from all sources2017-12-31$918,175
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$457,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$457,343
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$16,498,570
Participant contributions at end of year2017-12-31$6,707,413
Participant contributions at beginning of year2017-12-31$6,557,195
Participant contributions at end of year2017-12-31$603,266
Participant contributions at beginning of year2017-12-31$599,686
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,325,467
Other income not declared elsewhere2017-12-31$198,550
Administrative expenses (other) incurred2017-12-31$309,208
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$35
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$24,355,060
Value of net assets at end of year (total assets less liabilities)2017-12-31$249,604,150
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$225,249,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$23,321,258
Value of interest in pooled separate accounts at end of year2017-12-31$201,933,756
Value of interest in pooled separate accounts at beginning of year2017-12-31$152,817,267
Interest on participant loans2017-12-31$284,899
Interest earned on other investments2017-12-31$633,276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$40,776,872
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$42,168,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,869,500
Net investment gain/loss from pooled separate accounts2017-12-31$31,791,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$27,938,405
Liabilities. Value of benefit claims payable at end of year2017-12-31$417,157
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$214,917
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ELLIOTT DAVIS ,LLC/PLLC
Accountancy firm EIN2017-12-31570381582
2016 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$214,917
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$243,969
Total income from all sources (including contributions)2016-12-31$31,508,851
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$25,148,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$24,502,260
Expenses. Certain deemed distributions of participant loans2016-12-31$35,754
Value of total corrective distributions2016-12-31$214,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$17,400,128
Value of total assets at end of year2016-12-31$225,464,007
Value of total assets at beginning of year2016-12-31$219,132,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$395,312
Total interest from all sources2016-12-31$895,997
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$671,020
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$671,020
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$16,415,153
Participant contributions at end of year2016-12-31$6,557,195
Participant contributions at beginning of year2016-12-31$6,543,563
Participant contributions at end of year2016-12-31$599,686
Participant contributions at beginning of year2016-12-31$608,499
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$984,975
Other income not declared elsewhere2016-12-31$252,567
Administrative expenses (other) incurred2016-12-31$395,312
Total non interest bearing cash at end of year2016-12-31$35
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$6,360,608
Value of net assets at end of year (total assets less liabilities)2016-12-31$225,249,090
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$218,888,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$23,321,258
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$22,802,110
Value of interest in pooled separate accounts at end of year2016-12-31$152,817,267
Value of interest in pooled separate accounts at beginning of year2016-12-31$147,526,395
Interest on participant loans2016-12-31$271,398
Interest earned on other investments2016-12-31$624,599
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$42,168,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$41,651,884
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,622,932
Net investment gain/loss from pooled separate accounts2016-12-31$10,666,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$24,502,260
Liabilities. Value of benefit claims payable at end of year2016-12-31$214,917
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$243,969
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ELLIOTT DAVIS DECOSIMO, LLC
Accountancy firm EIN2016-12-31570381582
2015 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$243,969
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$203,689
Total income from all sources (including contributions)2015-12-31$21,512,570
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$30,237,487
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$29,675,459
Expenses. Certain deemed distributions of participant loans2015-12-31$62,900
Value of total corrective distributions2015-12-31$243,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$19,801,591
Value of total assets at end of year2015-12-31$219,132,451
Value of total assets at beginning of year2015-12-31$227,817,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$255,159
Total interest from all sources2015-12-31$951,429
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$688,931
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$688,931
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$18,364,110
Participant contributions at end of year2015-12-31$6,543,563
Participant contributions at beginning of year2015-12-31$7,001,817
Participant contributions at end of year2015-12-31$608,499
Participant contributions at beginning of year2015-12-31$504,846
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,433,389
Other income not declared elsewhere2015-12-31$194,257
Administrative expenses (other) incurred2015-12-31$255,159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-8,724,917
Value of net assets at end of year (total assets less liabilities)2015-12-31$218,888,482
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$227,613,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$22,802,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$24,079,351
Value of interest in pooled separate accounts at end of year2015-12-31$147,526,395
Value of interest in pooled separate accounts at beginning of year2015-12-31$152,925,966
Interest on participant loans2015-12-31$277,128
Interest earned on other investments2015-12-31$674,301
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$41,651,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$43,305,108
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,086,678
Net investment gain/loss from pooled separate accounts2015-12-31$963,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$4,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$29,675,459
Liabilities. Value of benefit claims payable at end of year2015-12-31$243,969
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$203,689
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ELLIOTT DAVIS DECOSIMO , LLC
Accountancy firm EIN2015-12-31570381582
2014 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$203,689
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$187,123
Total income from all sources (including contributions)2014-12-31$33,266,976
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$27,261,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$26,638,354
Expenses. Certain deemed distributions of participant loans2014-12-31$56,349
Value of total corrective distributions2014-12-31$203,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$19,747,333
Value of total assets at end of year2014-12-31$227,817,088
Value of total assets at beginning of year2014-12-31$221,795,290
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$363,352
Total interest from all sources2014-12-31$1,012,322
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$680,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$680,830
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$18,684,208
Participant contributions at end of year2014-12-31$7,001,817
Participant contributions at beginning of year2014-12-31$6,778,544
Participant contributions at end of year2014-12-31$504,846
Participant contributions at beginning of year2014-12-31$465,823
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,063,125
Other income not declared elsewhere2014-12-31$245,068
Administrative expenses (other) incurred2014-12-31$363,352
Total non interest bearing cash at beginning of year2014-12-31$440
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$6,005,232
Value of net assets at end of year (total assets less liabilities)2014-12-31$227,613,399
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$221,608,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$24,079,351
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$22,896,897
Value of interest in pooled separate accounts at end of year2014-12-31$152,925,966
Value of interest in pooled separate accounts at beginning of year2014-12-31$148,106,124
Interest on participant loans2014-12-31$283,563
Interest earned on other investments2014-12-31$728,759
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$43,305,108
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$43,547,462
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,050,439
Net investment gain/loss from pooled separate accounts2014-12-31$10,530,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$26,638,354
Liabilities. Value of benefit claims payable at end of year2014-12-31$203,689
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$187,123
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ELLIOTT DAVIS DECOSIMO, LLC
Accountancy firm EIN2014-12-31570381582
2013 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$187,123
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$221,402
Total income from all sources (including contributions)2013-12-31$55,459,868
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$21,863,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$21,400,758
Expenses. Certain deemed distributions of participant loans2013-12-31$48,195
Value of total corrective distributions2013-12-31$187,123
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$19,513,579
Value of total assets at end of year2013-12-31$221,795,290
Value of total assets at beginning of year2013-12-31$188,233,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$227,453
Total interest from all sources2013-12-31$1,060,562
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$692,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$692,621
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$19,033,943
Participant contributions at end of year2013-12-31$6,778,544
Participant contributions at beginning of year2013-12-31$6,687,526
Participant contributions at end of year2013-12-31$465,823
Participant contributions at beginning of year2013-12-31$688,748
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$479,381
Other income not declared elsewhere2013-12-31$240,136
Administrative expenses (other) incurred2013-12-31$227,453
Total non interest bearing cash at end of year2013-12-31$440
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$33,596,339
Value of net assets at end of year (total assets less liabilities)2013-12-31$221,608,167
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$188,011,828
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$22,896,897
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$19,145,222
Value of interest in pooled separate accounts at end of year2013-12-31$148,106,124
Value of interest in pooled separate accounts at beginning of year2013-12-31$119,226,335
Interest on participant loans2013-12-31$278,809
Interest earned on other investments2013-12-31$781,753
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$43,547,462
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$42,485,399
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,908,221
Net investment gain/loss from pooled separate accounts2013-12-31$31,044,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$21,400,758
Liabilities. Value of benefit claims payable at end of year2013-12-31$187,123
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$221,402
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31JOSEPH DECOSIMO AND COMPANY, PLLC
Accountancy firm EIN2013-12-31620852719
2012 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$221,402
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$450,902
Total income from all sources (including contributions)2012-12-31$40,901,261
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$21,483,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$21,189,066
Expenses. Certain deemed distributions of participant loans2012-12-31$7,640
Value of total corrective distributions2012-12-31$221,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$21,540,136
Value of total assets at end of year2012-12-31$188,233,230
Value of total assets at beginning of year2012-12-31$169,044,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$64,951
Total interest from all sources2012-12-31$1,164,388
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$685,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$685,010
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$20,018,214
Participant contributions at end of year2012-12-31$6,687,526
Participant contributions at beginning of year2012-12-31$6,357,924
Participant contributions at end of year2012-12-31$688,748
Participant contributions at beginning of year2012-12-31$663,345
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,521,922
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$322
Administrative expenses (other) incurred2012-12-31$64,951
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$19,418,202
Value of net assets at end of year (total assets less liabilities)2012-12-31$188,011,828
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$168,593,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$19,145,222
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$17,608,039
Value of interest in pooled separate accounts at end of year2012-12-31$119,226,335
Value of interest in pooled separate accounts at beginning of year2012-12-31$103,704,312
Interest on participant loans2012-12-31$274,538
Interest earned on other investments2012-12-31$889,850
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$42,485,399
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$40,710,671
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,397,935
Net investment gain/loss from pooled separate accounts2012-12-31$16,113,792
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$21,189,066
Liabilities. Value of benefit claims payable at end of year2012-12-31$221,402
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$450,580
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31JOSEPH DECOSIMO AND COMPANY, PLLC
Accountancy firm EIN2012-12-31620852719
2011 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$450,902
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$427,379
Total income from all sources (including contributions)2011-12-31$23,524,105
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$17,994,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$17,491,985
Expenses. Certain deemed distributions of participant loans2011-12-31$18,778
Value of total corrective distributions2011-12-31$450,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$26,554,553
Value of total assets at end of year2011-12-31$169,044,528
Value of total assets at beginning of year2011-12-31$163,491,193
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$32,950
Total interest from all sources2011-12-31$1,197,694
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$662,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$662,601
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$21,354,914
Participant contributions at end of year2011-12-31$6,357,924
Participant contributions at beginning of year2011-12-31$5,713,945
Participant contributions at end of year2011-12-31$663,345
Participant contributions at beginning of year2011-12-31$516,112
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,189,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$32,950
Total non interest bearing cash at end of year2011-12-31$237
Total non interest bearing cash at beginning of year2011-12-31$491
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$5,529,812
Value of net assets at end of year (total assets less liabilities)2011-12-31$168,593,626
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$163,063,814
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$17,608,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$16,718,686
Value of interest in pooled separate accounts at end of year2011-12-31$103,704,312
Value of interest in pooled separate accounts at beginning of year2011-12-31$103,404,117
Interest on participant loans2011-12-31$276,406
Interest earned on other investments2011-12-31$921,288
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$40,710,671
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$37,020,314
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$298,516
Net investment gain/loss from pooled separate accounts2011-12-31$-5,189,259
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,009,848
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$117,528
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$17,491,985
Liabilities. Value of benefit claims payable at end of year2011-12-31$450,580
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$427,379
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31JOSEPH DECOSIMO AND COMPANY, PLLC
Accountancy firm EIN2011-12-31620852719
2010 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$427,379
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$432,473
Total income from all sources (including contributions)2010-12-31$39,216,069
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$15,802,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$15,342,390
Value of total corrective distributions2010-12-31$427,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$25,805,713
Value of total assets at end of year2010-12-31$163,491,193
Value of total assets at beginning of year2010-12-31$140,082,437
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$32,450
Total interest from all sources2010-12-31$1,216,568
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$632,313
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$632,313
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$20,338,311
Participant contributions at end of year2010-12-31$5,713,945
Participant contributions at beginning of year2010-12-31$5,208,517
Participant contributions at end of year2010-12-31$516,112
Participant contributions at beginning of year2010-12-31$374,843
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$1,409,056
Administrative expenses (other) incurred2010-12-31$32,450
Total non interest bearing cash at end of year2010-12-31$491
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$23,413,850
Value of net assets at end of year (total assets less liabilities)2010-12-31$163,063,814
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$139,649,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$16,718,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$14,765,366
Value of interest in pooled separate accounts at end of year2010-12-31$103,404,117
Value of interest in pooled separate accounts at beginning of year2010-12-31$85,900,850
Interest on participant loans2010-12-31$280,479
Interest earned on other investments2010-12-31$936,089
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$37,020,314
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$33,750,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,135,764
Net investment gain/loss from pooled separate accounts2010-12-31$10,425,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,058,346
Employer contributions (assets) at end of year2010-12-31$117,528
Employer contributions (assets) at beginning of year2010-12-31$82,392
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$15,342,390
Liabilities. Value of benefit claims payable at end of year2010-12-31$427,379
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$432,473
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31JOSEPH DECOSIMO AND COMPANY, PLLC
Accountancy firm EIN2010-12-31620852719
2009 : LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN

2022: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LIFE CARE CENTERS OF AMERICA, INC. 401(K) SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered23321
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered24001
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered26240
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered30413
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered31445
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered32738
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered32779
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number039573
Policy instance 1
Insurance contract or identification number039573
Number of Individuals Covered34526
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007881
Policy instance 1
Insurance contract or identification number007881
Number of Individuals Covered35306
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $88,170
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees88170
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameM HOLDINGS SECURITIES, INC
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007881
Policy instance 1
Insurance contract or identification number007881
Number of Individuals Covered35488
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $77,827
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees77827
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameM HOLDINGS SECURITIES, INC
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007881
Policy instance 1
Insurance contract or identification number007881
Number of Individuals Covered34569
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $72,049
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007881
Policy instance 1
Insurance contract or identification number007881
Number of Individuals Covered34631
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $63,487
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees63487
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameM HOLDINGS SECURITIES, INC

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