401k Plan data: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN plan

HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN
Plan identification number	501

HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HORIZON MEDIA HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: HORIZON MEDIA HOLDINGS, LLC

Employer identification number (EIN): 843202624

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 VINCENT O'TOOLE 2023-07-27
501 2021-01-01 VINCENT O'TOOLE 2022-07-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	VINCENT O'TOOLE	2023-07-27
501	2021-01-01	VINCENT O'TOOLE	2022-07-25

Plan Statistics for HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 2,121
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 2,364
Number of retired or separated participants receiving benefits 2022-01-01 12
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 2,376
Number of employers contributing to the scheme 2022-01-01 0
2021: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,910
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 2,121
Number of retired or separated participants receiving benefits 2021-01-01 7
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 2,128
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2022: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	2,121
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	2,364
Number of retired or separated participants receiving benefits	2022-01-01	12
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	2,376
Number of employers contributing to the scheme	2022-01-01	0
2021: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,910
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	2,121
Number of retired or separated participants receiving benefits	2021-01-01	7
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	2,128
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN

2022: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: HORIZON MEDIA HOLDINGS LLC EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

140656

Policy instance

Insurance contract or identification number	140656
Number of Individuals Covered	162
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $4,001
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $24,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,846
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

512325

Policy instance

Insurance contract or identification number	512325
Number of Individuals Covered	2258
Insurance policy start date	2021-07-01
Insurance policy end date	2022-06-30
Total amount of commissions paid to insurance broker	USD $153,983
Total amount of fees paid to insurance company	USD $23,508
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $2,087,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $123,020
Amount paid for insurance broker fees	23508
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

140656

Policy instance

Insurance contract or identification number	140656
Number of Individuals Covered	143
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,027
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $25,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,033
Amount paid for insurance broker fees	0
Insurance broker organization code?	4

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

512325

Policy instance

Insurance contract or identification number	512325
Number of Individuals Covered	1999
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $183,676
Total amount of fees paid to insurance company	USD $16,125
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $1,123,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $183,676
Amount paid for insurance broker fees	16125
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

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Company Name:	HORIZON MEDIA HOLDINGS, LLC
Employer identification number (EIN):	843202624
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services