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A m b a r e l l a C o r p o r a t i o n You have certain rights and responsibilities as an employee with access tobenefits. This information is somewhat general and may not include all noticesand content you may be entitled to receive. Your employer, plan sponsor, orcarrier may provide additional information.ANNUAL NOTICESImportant Plan Notices and DocumentsSummary Plan Descriptions A Summary Plan Description (SPD) is the legal document for describing benefits provided under the plan aswell as plan rights and obligations to participants and beneficiaries. Summary of Benefits and Coverage A Summary of Benefits and Coverage (SBC) is a document required by the ACA that presents plan benefitfeatures in a standardized format. Summary of Material Modifications Please note that the details in this Benefit Guide may include changes to benefits for the upcoming plan year.As such, this Guide constitutes a Summary of Material Modification or “SMM” which amends any previous SPDthat you have received. Please keep this Guide with your SPD, and refer to it when it is time to use yourbenefits.

IMPORTANT NOTICE FROM Ambarella Corporation ABOUT YOUR PRESCRIPTION DRUG COVERAGEPlease read this notice carefully and keep it where you can find it. This notice has information about yourcurrent prescription drug coverage with Ambarella Corporation and about your options under Medicare’sprescription drug coverage. This information can help you decide whether or not you want to join a Medicaredrug plan. If you are considering joining, you should compare your current coverage, including which drugs arecovered at what cost, with the coverage and costs of the plan offering Medicare prescription drug coverage inyour area. Information about where you can get help to make decisions about your prescription drug coverageis at the end of this notice.There are two important things you need to know about your current coverage and Medicare’s prescriptiondrug coverage:Medicare prescription drug coverage became available in 2006 to everyone with Medicare. You can getthis coverage if you join a Medicare Prescription Drug Plan or join a Medicare Advantage Plan (like an HMOor PPO) that offers prescription drug coverage. All Medicare drug plans provide at least a standard level ofcoverage set by Medicare. Some plans may offer more coverage for a higher monthly premium.1. Ambarella Corporation has determined that the prescription drug coverage offered by its medical planoptions are, on average, for all plan participants, expected to pay out as much as standard Medicareprescription drug coverage pays and are therefore considered Creditable Coverage. Because your existingcoverage is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) ifyou later decide to join a Medicare drug plan.2.When can You Join a Medicare Drug Plan?You can join a Medicare drug plan when you first become eligible for Medicare and each year from October15th to December 7th.However, if you lose your current creditable prescription drug coverage, through no fault of your own, you willalso be eligible for a two (2) month Special Enrollment Period (SEP) to join a Medicare drug plan.What Happens To Your Current Coverage if You Decide to Join A Medicare Drug Plan?If you decide to join a Medicare drug plan, your Ambarella Corporation coverage will not be affected. Seebelow for more information about what happens to your current coverage if you join a Medicare drug plan.Medicare Part D NoticeA N N U A L N O T I C E S A m b a r e l l a C o r p o r a t i o n

A N N U A L N O T I C E S A m b a r e l l a C o r p o r a t i o nSince the existing prescription drug coverage under Ambarella Corporation is creditable (e.g., as good asMedicare coverage), you can retain your existing prescription drug coverage and choose not to enroll in a PartD plan; or you can enroll in a Part D plan as a supplement to, or in lieu of, your existing prescription drugcoverage.If you do decide to join a Medicare drug plan and drop your current Ambarella Corporation prescription drugcoverage, be aware that you and your dependents can only get this coverage back at open enrollment or if youexperience an event that gives rise to a HIPAA Special Enrollment Right.When Will You Pay a Higher Premium (Penalty) To Join A Medicare Drug Plan?You should also know that if you drop or lose your current coverage with Ambarella Corporation and don’tjoin a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a higherpremium (a penalty) to join a Medicare drug plan later.If you go 63 continuous days or longer without creditable prescription drug coverage, your monthly premiummay go up by at least 1% of the Medicare base beneficiary premium per month for every month that you didnot have that coverage. For example, if you go 19 months without creditable coverage, your premium mayconsistently be at least 19% higher than the Medicare base beneficiary premium. You may have to pay thishigher premium (a penalty) as long as you have Medicare prescription drug coverage. In addition, you mayhave to wait until the following October to join.For More Information About This Notice Or Your Current Prescription Drug Coverage…Contact the person listed below for further information. NOTE: You’ll get this notice each year. You will alsoget it before the next period you can join a Medicare drug plan, and if this coverage through AmbarellaCorporation changes. You also may request a copy of this notice at any time.For More Information About Your Options Under Medicare Prescription Drug Coverage…More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare &You” handbook. You’ll get a copy of the handbook in the mail every year from Medicare. You may also becontacted directly by Medicare plans.For more information about Medicare prescription drug coverage:Visit www.medicare.govCall your State Health Insurance Assistance Program (see the inside back cover of your copy of the“Medicare & You” handbook for their telephone number) for personalized helpCall 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. Medicare Part D Notice

If you have limited income and resources, extra help paying for Medicare prescription drug coverage isavailable. For information about this extra help, visit Social Security on the web at www.socialsecurity.gov, orcall them at 1-800-772-1213 (TTY 1-800-325-0778).Medicare Part D NoticeRemember: Keep this Creditable Coverage notice. If you decide to join one of the Medicare drugplans, you may be required to provide a copy of this notice when you join to show whether or notyou have maintained creditable coverage and, therefore, whether or not you are required to pay ahigher premium (penalty).A N N U A L N O T I C E S A m b a r e l l a C o r p o r a t i o nDate:Name of Entity/Sender:Contact-Position/Office:Address:Phone:January 2025Ambarella CorporationHR Department3101 Jay Street Santa Clara, CA 95054408-234-3054

A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n If you have had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’sHealth and Cancer Rights Act of 1998 (WHCRA). For individuals receiving mastectomy-related benefits,coverage will be provided in a manner determined in consultation with the attending physician and the patientfor:All stages of reconstruction of the breast on which the mastectomy was performed;Surgery and reconstruction of the other breast to produce a symmetrical appearance;Prostheses; andTreatment of physical complications of the mastectomy, including lymphedema.These benefits will be provided subject to the same deductibles and coinsurance applicable to other medicaland surgical benefits provided under the Company’s medical plans. If you would like more information onWHCRA, please contact Ambarella Human Resources.Women’s Health and Cancer Rights ActUnder federal law, group health plans and health insurers offering group health insurance generally may notrestrict benefits for any hospital length of stay in connection with childbirth for the mother or the newbornchild to less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section.However, the plan or issuer may pay for a shorter stay if the attending physician (e.g., your physician, nurse,or midwife or physician assistant), after consultation with the mother, discharges the mother or newbornearlier.Also under federal law, plans and insurers may not set the level of benefits or out-of-pocket costs so that anylater portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newbornthan any earlier portion of the stay.In addition, a plan or issuer may not, under federal law, require that a physician or other health care providerobtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). However, to use certainproviders or facilities, or to reduce your out-of-pocket costs, you may be required to obtain precertification.For information on precertification, contact your plan administrator.Newborns’ and Mothers’ Health Protection

A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n If you enroll in the Kaiser HMO & Kaiser HSA medical plan options, it is important for you to know your rightsregarding certain types of care. Here is a summary of your rights:The Plan generally requires the designation of a primary care provider (PCP).You have the right todesignate a PCP who participants in the plan’s network and who is available to accept you or your familymembers as patients. Until you make this designation, the Plan will designate a PCP for you. For yourchildren, you may designate a pediatrician as their PCP. Please contact the Plan for information on how toselect a PCP.1.You do not need prior authorization from the Plan or any other person (including a PCP) in order to obtainaccess to obstetrical or gynecological care from an in-network health care professional who specializes inobstetrics or gynecology. The health care professional, however, may be required to comply with certainprocedures, including obtaining prior authorization for certain services, following a pre-approvedtreatment plan, or procedures for making referrals. Please contact the Plan for a list of participating healthcare professionals who specialize in obstetrics or gynecology.2.Notice of Right to Designate Primary Care ProviderIf you decline enrollment in the Ambarella Corporation medical plan for you or your dependents (includingyour spouse) because of other health insurance or group health plan coverage, you or your dependents maybe able to enroll in the medical plan without waiting for the next open enrollment period if you:Lose other health insurance or group health plan coverage. You must request enrollment within 30 daysafter the loss of the coverage.Gain a new dependent as a result of marriage, birth, adoption, or placement for adoption. You mustrequest medical plan enrollment within 30 days after the event.Lose Medicaid or Children’s Health Insurance Program (CHIP) coverage because you are no longer eligible.You must request medical plan enrollment within 60 days after the loss of such coverage.You must provide documentation of dependent status (for example, with a marriage license or birthcertificate) at the time of the enrollment request. If your request to join the Plan is due to loss of othercoverage, you must provide documentation of that loss of coverage as well.If you request a change due to a special enrollment event within the 30 day timeframe, coverage will beeffective on the date of birth/adoption/placement. For all other events, coverage will be effective the first ofthe month following your request for enrollment. In addition, you may enroll in the Company medical plan ifyou become eligible for a state premium assistance program under Medicaid or CHIP. You must requestenrollment within 60 days after you gain eligibility for this assistance. If you request this change, coverage willbe effective the first of the month following your request for enrollment. Specific restrictions may apply,depending on federal and state law.Note: If your dependent becomes eligible for a special enrollment right, you may add the dependent to yourcurrent coverage.HIPAA Notice of Special Enrollment Rights

A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n This notice describes how medical information about you may be used and disclosed and how you can getaccess to this information. Please review it carefully. The privacy of your medical information is important tous.For more information about our privacy practices, to discuss questions or concerns, or to get additionalcopies of this notice, please contact call 408-234-3054.This notice took effect October 2024 and will remain in effect unless we replace it.Uses and Disclosures of Your Medical InformationPayment: We may use and disclose your medical information, without your express permission, for healthcare operations, including:Conducting or arranging for medical reviews, audits and legal services, including fraud and abusedetection and prevention; andBusiness planning and general administration, including customer service, grievance resolution, and claimspayment.Your Authorization: You may give us written authorization to use your medical information or to disclose it toanyone for any purpose. If you give us authorization, you may revoke it at any time. Your revocation will notaffect any use or disclosure permitted by your authorization while it was in effect.Public Health and Benefit Activities: We may use and disclose your medical information, without yourpermission, when required by law.Your RightsAccess: You have the right to examine and to receive a copy of your medical information, with limitedexceptions. You should submit your request in writing to the Human Resources Department. If your data ismaintained electronically, you can request an electronic copy. We will provide your data in the electronic formand format you request if it is readily producible in such form and format.You may request that we transmit your medical information directly to your designee. Such request must be inwriting, signed by you, and must clearly identify the designated person to receive the information.Disclosure Accounting: You have a right to a list of instances from the prior six years in which we disclosedyour medical information for purposes other than treatment, payment, health care operations, as authorizedby you, and for certain other activities. You should submit your request in writing.HIPAA Privacy Notice

A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n Amendment: You have the right to request that we amend your medical information. You should submit yourrequest in writing. If your request is denied, we will do so in writing.Restriction: You have the right to request that we restrict our use or disclosure of your medical information.We are not required to agree with your request. You should submit your request in writing.Confidential Communication: You have the right to request that we communicate with you about your medicalinformation in confidence by means or locations that you specify. You should submit your request in writing.We will accommodate your request if it is reasonable.Breach Notification: You have the right to receive notice of a breach of your unsecured medical information.Notification may be delayed or not provided if so required by a law enforcement official. You may request thatnotice be provided by electronic mail.Electronic Notice: If you receive this notice on our web site or by email, you are entitled to receive a copy inwritten form. Please contact Human Resources at 408-234-3054 to request a written copy.ComplaintsIf you are concerned that we may have violated your privacy rights, or you disagree with a decision we madeabout access to your medical information, about restricting our use or disclosure of your medical information,or about how we communicate with you about your medical information (including a breach notice), you maycomplain to the Privacy Official at: Ambarella Corporation Attn: Privacy Official 3101 Jay Street Santa Clara, CA 95054You may also submit a written complaint to the Office for Civil Rights Enforcement of the United StatesDepartment of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building,Washington, DC 20201. You may contact the Office for Civil Rights’ Hotline at 1-800-368-1019.We support your right to the privacy of your medical information. We will not retaliate in any way if youchoose to file a complaint with us or with the Department of Health and Human Services.HIPAA Privacy Notice

A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from youremployer, your state may have a premium assistance program that can help pay for coverage, using fundsfrom their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid or CHIP, you won’tbe eligible for these premium assistance programs but you may be able to buy individual insurance coveragethrough the Health Insurance Marketplace. For more information, visit www.healthcare.gov.If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below,contact your State Medicaid or CHIP office to find out if premium assistance is available.If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of yourdependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial1-877-KIDS NOW or www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has aprogram that might help you pay the premiums for an employer-sponsored plan.If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligibleunder your employer plan, your employer must allow you to enroll in your employer plan if you aren’t alreadyenrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days ofbeing determined eligible for premium assistance. If you have questions about enrolling in your employerplan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).If you live in one of the following states, you may be eligible for assistance paying your employer health planpremiums. The following list of states is current as of July 31, 2024. Contact your State for more informationon eligibility –Premium Assistance Under Medicaid and the Children’s Health InsuranceProgram (CHIP)ALABAMA – Medicaid Website: http://myalhipp.com/Phone: 1-855-692-5447ALASKA – MedicaidThe AK Health Insurance Premium Payment ProgramWebsite: http://myakhipp.comPhone: 1-866-251-4861Email: CustomerService@MyAKHIPP.com Medicaid Eligibility:https://health.alaska.gov/dpa/Pages/default.aspxARKANSAS – MedicaidWebsite: http://myarhipp.com/Phone: 1-855-MyARHIPP (855-692-7447)CALIFORNIA – Medicaid Health Insurance Premium Payment (HIPP) ProgramWebsite: http://dhcs.ca.gov/hippPhone: 916-445-8322Fax: 916-440-5676Email: hipp@dhcs.ca.gov

ANNUAL NOTICESAmbarella Corporation Premium Assistance Under Medicaid and the Children’s Health InsuranceProgram (CHIP)COLORADO – Health First Colorado (Colorado’sMedicaid Program) & Child Health Plan Plus (CHP+)Health First Colorado Website:https://www.healthfirstcolorado.com/ Health First Colorado Member Contact Center: 1-800-221-3943/State Relay 711CHP+: https://hcpf.colorado.gov/child-health-plan-plusCHP+ Customer Service: 1-800-359-1991/State Relay711Health Insurance Buy-In Program (HIBI):https://www.mycohibi.com/ HIBI Customer Service: 1-855-692-6442FLORIDA – MedicaidWebsite:https://www.flmedicaidtplrecovery.com/flmedicaidtplrecovery.com/hipp/index.html Phone: 1-877-357-3268GEORGIA – Medicaid GA HIPP Website: https://medicaid.georgia.gov/health-insurance-premium-payment-program-hipp Phone: 678-564-1162, Press 1GA CHIPRA Website:https://medicaid.georgia.gov/programs/third-party-liability/childrens-health-insurance-program-reauthorization-act-2009-chipra Phone: 678-564-1162, Press 2 INDIANA – MedicaidHealth Insurance Premium Payment Program All other Medicaid Website: https://www.in.gov/medicaid/http://www.in.gov/fssa/dfr/Family and Social Services Administration Phone: 1-800-403-0864 Member Services Phone: 1-800-457-4584IOWA – Medicaid and CHIP (Hawki)Medicaid Website:https://hhs.iowa.gov/programs/welcome-iowa-medicaid Medicaid Phone: 1-800-338-8366Hawki Website:http://hhs.iowa.gov/programs/welcome-iowa-medicaid/iowa-health-link/hawkiHawki Phone: 1-800-257-8563HIPP Website:https://hhs.iowa.gov/programs/welcome-iowa-medicaid/fee-service/hippHIPP Phone: 1-888-346-9562KANSAS – MedicaidWebsite: https://www.kancare.ks.gov/ Phone: 1-800-792-4884 | HIPP Phone: 1-800-967-4660KENTUCKY – MedicaidKentucky Integrated Health Insurance Premium PaymentProgram (KI-HIPP) Website:https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.aspx Phone: 1-855-459-6328Email: KIHIPP.PROGRAM@ky.gov KCHIP Website: https://kynect.ky.govPhone: 1-877-524-4718Kentucky Medicaid Website:https://chfs.ky.gov/agencies/dms LOUISIANA – MedicaidWebsite: www.medicaid.la.gov or www.ldh.la.gov/lahipp Phone: 1-888-342-6207 (Medicaid hotline) or 1-855-618-5488 (LaHIPP)

ANNUAL NOTICESAmbarella Corporation Premium Assistance Under Medicaid and the Children’s Health InsuranceProgram (CHIP)MAINE – MedicaidEnrollment Website:https://www.mymaineconnection.gov/benefits/s/?language=en_USPhone: 1-800-442-6003TTY: Maine relay 711Private Health Insurance Premium Webpage:https://www.maine.gov/dhhs/ofi/applications-formsPhone: 1-800-977-6740 TTY: Maine relay 711MASSACHUSETTS – Medicaid and CHIPWebsite: https://www.mass.gov/masshealth/pa Phone: 1-800-862-4840TTY: 711Email: masspremassistance@accenture.com MINNESOTA – MedicaidWebsite: https://mn.gov/dhs/health-care-coverage/ Phone: 1-800-657-3739MISSOURI – MedicaidWebsite:http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 573-751-2005MONTANA – MedicaidWebsite:http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP Phone: 1-800-694-3084Email: HHSHIPPProgram@mt.gov NEBRASKA – MedicaidWebsite: http://www.ACCESSNebraska.ne.gov Phone: 1-855-632-7633Lincoln: 402-473-7000 | Omaha: 402-595-1178NEVADA – MedicaidMedicaid Website: http://dhcfp.nv.gov Medicaid Phone: 1-800-992-0900NEW HAMPSHIRE – MedicaidWebsite: https://www.dhhs.nh.gov/programs-services/medicaid/health-insurance-premium-program Phone: 603-271-5218Toll free number for the HIPP program: 1-800-852-3345, ext. 15218Email: DHHS.ThirdPartyLiabi@dhhs.nh.govNEW JERSEY – Medicaid and CHIPMedicaid Website:http://www.state.nj.us/humanservices/dmahs/clients/medicaid/ Medicaid Phone: 1-800-356-1561CHIP Premium Assistance Phone: 609-631-2392CHIP Website: http://www.njfamilycare.org/index.html CHIP Phone: 1-800-701-0710 (TTY:711)NEW YORK – MedicaidWebsite:https://www.health.ny.gov/health_care/medicaid/ Phone: 1-800-541-2831NORTH CAROLINA – MedicaidWebsite: https://medicaid.ncdhhs.gov/ Phone: 919-855-4100NORTH DAKOTA – MedicaidWebsite: https://www.hhs.nd.gov/healthcare Phone: 1-844-854-4825OKLAHOMA – Medicaid and CHIPWebsite: http://www.insureoklahoma.orgPhone: 1-888-365-3742

ANNUAL NOTICESAmbarella Corporation Premium Assistance Under Medicaid and the Children’s Health InsuranceProgram (CHIP)OREGON – Medicaid and CHIPWebsite:http://healthcare.oregon.gov/Pages/index.aspx Phone: 1-800-699-9075PENNSYLVANIA – Medicaid and CHIPWebsite: https://www.pa.gov/en/services/dhs/apply-for-medicaid-health-insurance-premium-payment-program-hipp.htmlPhone: 1-800-692-7462CHIP Website: Children's Health Insurance Program(CHIP) (pa.gov)CHIP Phone: 1-800-986-KIDS (5437)RHODE ISLAND – Medicaid and CHIPWebsite: http://www.eohhs.ri.gov/ Phone: 1-855-697-4347, or 401-462-0311 (Direct RIte Share Line)SOUTH CAROLINA – MedicaidWebsite: https://www.scdhhs.gov Phone: 1-888-549-0820SOUTH DAKOTA – MedicaidWebsite: http://dss.sd.gov Phone: 1-888-828-0059TEXAS – MedicaidWebsite: Health Insurance Premium Payment (HIPP)Program | Texas Health and Human ServicesPhone: 1-800-440-0493UTAH – Medicaid and CHIPUtah’s Premium Partnership for Health Insurance (UPP)Website: https://medicaid.utah.gov/upp/ Email: upp@utah.gov Phone: 1-888-222-2542 Adult Expansion Website:https://medicaid.utah.gov/expansion/ Utah Medicaid Buyout Program Website:https://medicaid.utah.gov/buyout-program/VERMONT – MedicaidWebsite: Health Insurance Premium Payment (HIPP)Program | Department of Vermont Health AccessPhone: 1-800-250-8427VIRGINIA – Medicaid and CHIPWebsite:https://coverva.dmas.virginia.gov/learn/premium-assistance/famis-selecthttps://coverva.dmas.virginia.gov/learn/premium-assistance/health-insurance-premium-payment-hipp-programsMedicaid/CHIP Phone: 1-800-432-5924WASHINGTON – MedicaidWebsite: https://www.hca.wa.gov/ Phone: 1-800-562-3022WEST VIRGINIA – Medicaid and CHIPWebsite: https://dhhr.wv.gov/bms/ http://mywvhipp.com/ Medicaid Phone: 304-558-1700CHIP Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)WISCONSIN – Medicaid and CHIPWebsite: https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htm Phone: 1-800-362-3002WYOMING – MedicaidWebsite:https://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/ Phone: 1-800-251-1269

To see if any other states have added a premium assistance program since July 31, 2024, or for moreinformation on special enrollment rights, contact either:Paperwork Reduction Act StatementAccording to the Paperwork Reduction Act of 1995 (Pub. L. 104-13) (PRA), no persons are required to respondto a collection of information unless such collection displays a valid Office of Management and Budget (OMB)control number. The Department notes that a Federal agency cannot conduct or sponsor a collection ofinformation unless it is approved by OMB under the PRA, and displays a currently valid OMB control number,and the public is not required to respond to a collection of information unless it displays a currently valid OMBcontrol number.See 44 U.S.C. 3507. Also, notwithstanding any other provisions of law, no person shall besubject to penalty for failing to comply with a collection of information if the collection of information doesnot display a currently valid OMB control number. See 44 U.S.C. 3512.The public reporting burden for this collection of information is estimated to average approximately sevenminutes per respondent. Interested parties are encouraged to send comments regarding the burden estimateor any other aspect of this collection of information, including suggestions for reducing this burden, to theU.S. Department of Labor, Employee Benefits Security Administration, Office of Policy and Research,Attention: PRA Clearance Officer, 200 Constitution Avenue, N.W., Room N-5718, Washington, DC 20210 oremail ebsa.opr@dol.gov and reference the OMB Control Number 1210-0137.Premium Assistance Under Medicaid and the Children’s Health InsuranceProgram (CHIP)U.S Department of LaborEmployee Benefits Security Administrationwww.dol.gov/agencies/ebsa1-866-444-EBSA (3272)U.S Department of Health and Human ServicesCenters for Medicare & Medicaid Serviceswww.cms.hhs.gov1-877-267-2323, Menu Option 4, Ext. 61565A N N U A L N O T I C E SA m b a r e l l a C o r p o r a t i o n