2025 ™Effective January 1, 2025 - December 31, 2025Benefits Overview
When you're first eligibleAt Open EnrollmentIf you have a qualifying life eventYou must request a change to your benefits within 30 days of your lifeevent (60 days for changes involving Medicaid eligibility). Documentation may be required.Enroll Now - ADPEligibilityMaking benefit selectionsEnrolling in coverageYour benefit plans are in effect January 1, 2025 – December 31, 2025 each year.In general, there are three times you can make benefit selections:Your benefits begin on your date of hireBe sure to submit your selections within your first 30 days ofemployment. Your benefit selections will be in effect through December 31, 2025.Open Enrollment is your one chance each year to review your coverageoptions and make changes to your benefits.Your choices are in effect from January – December of the following yearunless you have a qualifying life event.Qualifying life events allow you to change your coverage during the yearoutside of Open Enrollment. These include:marriage or divorce, birth or adoption, death of a covered dependent, and a change in eligibility through Medicare, Medicaid, or a spouse orparent's coverage.We're thrilled to introduce Ambarella & Oculii Benefits for 2025At Ambarella, we understand it can be confusing and difficult to navigate benefits. We’re here for you and we striveto bring you and your family best in class health plans to help you stay healthy ; physically, mentally and financially. Annual NoticesEmployeeAny active, regular, full-time employee working a minimum of 25 hours perweek will be eligible for all benefits effective on their date of hire.DependentsYou may also cover your eligible dependents when you elect coverage for yourself.Your Spouse or PartnerYou may cover your legal spouse or domestic partner.Your ChildrenDependent children (including stepchildren and legally adopted children) upto age 26.Any child, including your natural child, adopted child, child placed with you foradoption, stepchild, domestic partner’s child, or a child for whom you, yourspouse, or domestic partner are the legal guardian.Any dependent child who reaches the age limit but is incapable of self-support due to a mental or physical disability.HOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?
CarrierPlan TypesGroup #Phone Number & WebsiteCIGNA - MedicalHMOPPOHSAGroup: 6375151-866-494-2111www.mycigna.com Kaiser - MedcialHMOHSAGroup: 6042541-800-464-4000www.kp.orgP&A - Spending AccountsHealth Savings Account (HSA)Health Care FSADependent Care FSALimited Purpose FSAGroup: TBD1-716-852-2611www.padmin.comSunLife - Dental Dental PPOGroup: 9487061-800-442-7742www.sunlife.comVSP - Vision Vision PPOGroup: 300435231-855-629-8811www.sunlife.comSunLife - Life and AD&D Basic Life and AD&DVoluntary Life and AD&DGroup: 9487061-800-247-6875www.sunlife.comSunLife - Disability Short-Term Disability (STD)Long-Term Disability (LTD)Group: 948706STD: 1-855-629-8811LTD: 1-800-247-6875www.sunlife.comSunLife - Worksite BenefitsCritical IllnessHospital IndemnityAccidentGroup: 9487061-877-820-5306www.sunlife.comFidelity - Retirement savings401(k) & Roth 1-800-835-5097www.netbenefits.comAIG - Business TravelBusiness AccidentGroup: 91608291-877-244-68711-715-346-0859www.aig.comRocket Lawyer LegalLegal1-877-881-0947www.go.rocketlawyer.com/ambarellaLegal Club of AmericaLegalGroup: Ambarella1-800-316-5387www.legalclub.comContact InformationYour Advocacy Team is here to helpyou with claims, ID cards, coveragequestions, and more!advocacy@onedigital.comMonday - Friday, 8am-5pm ESTBilingual (Spanish) assistance is availableClaims & coverage assistanceHOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?Ambarella Benefits WebsiteFor more information visit our website
Cigna OAP HMOCigna OAP PPOCigna HSAIn-network careNetwork name:Open Access PlusOpen Access PlusOpen Access PlusAnnual Deductible (DED)Calendar YearNone$500 individual coverage$500 per person in a family up to$1,500 family max$1,650 individual coverage$3,300 per person in a family up to$3,300 family maxOut-of-pocket maximum$2,500 individual coverage$2,500 per person in a family up to$5,000 family max$3,500 individual coverage$3,500 per person in a family up to$7,000 family $3,000 individual coverage$3,300 per person in a family up to$6,000 family Pre-tax account availabilityHealth care FSAHealth care FSAHealth Savings Account (HSA)Preventive carePrimary care visitSpecialist visitVirtual visit100% covered$30 copay$30 copay$30 copay100% covered$20 copay$40 copay$20 copay100% covered20% after deductible20% after deductible20% after deductibleUrgent careEmergency roomInpatient hospital careOutpatient surgery$25 copay $100 copay$500 copay / admission$250 copay / surgery$25 copay $150 copay20% after deductible20% after deductible20% after deductible20% after deductible20% after deductible20% after deductiblePrescription drugsPrescription deductibleGeneric Preferred brand Non-preferred brandSpecialty(30 days)Does not apply$15 copay$35 copay$50 copay 30% | $250 max (30 days)Does not apply$15 copay$30 copay$50 copay 30% | $250 max after deductible(30 days)Combined with medical$15 copay after deductible$40 copay after deductible$60 copay after deductible30% | $250 max after deductibleOut-of-network careAnnual deductible Out-of-pocket maximum CoinsuranceBalance billing appliesNo out-of-network coverage No out-of-network coverage N/ABalance billing applies$1,500/$4,500$10,500/$21,00040% after deductibleBalance billing applies$4,500/$9,000 $9,000/$18,000 40% after deductibleSelect from three medical options through Cigna.See your plan details for out-of-network information.Find an in-network providerCIGNASee plan details See plan details See plan detailsMedical InsuranceThe information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Final rates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.All plans cover in-network preventive care at 100%,prescription drugs, and include an annual limit on yourexpenses. The differences are: what you pay for the plan, what you pay when you get care, how out-of-network care is covered, andyour annual maximum cost for care (out-of-pocketmaximum).HOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?
Learn about dental care Dental planNetwork name:SunLife Dental NetworkIn-networkOut-of-networkAnnual Deductible (DED)$50 per person $150 family max$50 per person $150 family maxAnnual maximum benefit$2,000 per person $2,000 per person Preventive careExam Dental CleaningX-rays100% covered100% coveredBasic careFilling Root canalsSimple extraction90% after deductible90% after deductibleMajor careCrownsDenturesImplants60% after deductible50% after deductibleOrthodontic careCoverageLifetime max benefit50% after deductible$1,500 per person See plan detailsDental InsuranceThe information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Final rates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.Stay in-network to avoid balance billing (the difference between what an out-of-network provider charges and the amount your insurance pays). Care for your smile with regular check-ups. Need braces or glasses? We havecoverage for those too. You'll get in-network preventive care at 100% along with coverage for basic andmajor dental services.Orthodontic care is covered.Dental coverage is through SunLife.Find an in-network providerHOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?
Your vision plan covers either glasses (lenses and frames) or contact lenses each year. If you receive contact lenses, they will be instead of your glasses benefit.Vision planNetwork name:VSP SignatureIn-networkOut-of-networkAnnual eye exam(once per calendar year)$10 copayUp to $50 reimbursementMaterials copay (lenses & frames)$25 copayN/ALenses Single/Bifocal/Trifocal(once per calendar year)Included in materials copayUp to $50 / $75 / $100 reimbursementFrames (once per calendar year)$200 allowanceUp to $70 reimbursementContact lenses(once per calendar year)Elective: $200 allowanceMedically necessary: 100% coveredElective: Up to $105 reimbursementMedically necessary: Up to $210 reimbursementSee plan detailsHOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?Vision InsuranceThe information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Final rates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.You'll get an annual exam with coverage for lenses and frames, or contacts in lieu of glasses.Your vision coverage is through VSP.FramesGet the most out of your vision benefits has never been easier extra $20 to spend on Featured Frame Brands ( Calvin Klein, bebe, Cole Haan aand many more!)30% savings on unlimited additional pairs of prescription or non-prescription glasses/sunglasses, including lens enhancements, from the same VSP provider on thesame day as your Well Vision Exam.Laser Vision CorrectionAverage of 15% off the regular price; discounts available at contracted facilities. After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctorRetinal Screening:No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam.Member Discounts and ExtrasVisit VSP
HOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?Additional Benefit OptionsVoluntary Life and AD&DVoluntary Life and AD&D coverage through SunLife provides you theopportunity to buy additional coverage for yourself and your family. Employeesmay choose Life Coverage amounts and AD&D amount seperatelyEmployeeBenefit Amount: $10,000 to $500,000—in increments of $10,000not to exceed 5 times your annual earningsGuarantee Issue: $150,000SpouseBenefit Amount: $5,000 to $500,000—in increments of $5,000 notto exceed 100% of employee’s benefit amountGuarantee Issue: $25,000Child(ren)Benefit Amount: $2,000 to $10,000—in $2,000 incrementsGuarantee Issue: N/ASee plan detailsFlexible Spending AccountsSpending Accounts through P&A helps you take advantage of pre-tax dollarsto pay for many types of expenses. Health Care FSA2025 Maximum Contribution: $3,300 Annual Rollover: $660Dependent Care FSA2025 Maximum Contribution: $5,000Limited Purpose FSA2025 Maximum Contribution: $3,300 Annual Rollover: $660P&A WebsiteAdditional Plans, Perks & Rewards Lunch program with ForkableEmployee Stock Purchase Plan Patent Incentive Program Tuition Reimbursement Disability Salary ContinuationBusiness Travel AccidentEmployee Assistance ProgramLegal and Identity TheftRocket Lawyer – Company paid benefitAccident Insurance Critical IllnessHospital IndemnityOneDigital Working Advantage DISCOUNTS!More Info - Benefits WebsiteAdditional benefit plans are a great way to customize your benefits package.Wherever you are in your life, we're here to support you.Basic Life and AD&DBasic Life and AD&D coverage through SunLife pays a cash benefit ifyou pass away to ensure financial protection for your loved ones. Basic Life and AD&D covers employee onlyBenefit: 1x your annual earningsMaximum Benefit: $400,000; rounded up to the next $1,000See plan detailsBasic Short-Term DisabilityShort-term disability coverage through SunLife helps replace part of yourpaycheck if you’re unable to work for a short period of time. Benefits: 60% of your weekly earnings Maximum Benefit: $3,000 per weekBenefit Start & End: On the 8th day of being unable to work up to 25 weeksSee plan detailsEmployer PaidEmployer PaidBasic Long-Term DisabilityShort-term disability coverage through SunLife helps replace part of yourpaycheck if you’re unable to work for a short period of time. Benefits: 60% of your monthly earnings Maximum Benefit: $10,000 per monthBenefit Start & End: 180 days, up to SSNRA or longer, depending on yourage at disability. See plan detailsEmployer PaidHealth Savings AccountHealth Savings Account (HSA) through P&A helps you take advantage of pre-taxdollars to pay for medical, dental and vision expenses. Must be enrolled in Cigna HSA or Kaiser HMO HSA. IRS Contribution LimitsEmployee Only: $4,300 Employee + Dependents: $8,550Ambarella Contributesup to Employee Only: $750 Employee + Dependents: $1,500P&A Website
The information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Final rates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.HOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?See plan detailsRetirement savings planEligibility First of the month following your date of hire (must be age21 or older)EnrollmentNew employees are auto enrolled at a starting rate of 5%(Pre-Tax)Annual increase of 1% each year until you reach 10%InvestmentAuto-enrolled into the default plan - Age-based TargetDate FundsMore investment option online - Login & RegisterContributionTypeTraditional(Pre-tax) & Roth (Post-tax)Additional After-Tax (Non-Roth)EmployeeContributionTraditional (Pre-Tax) and/or Roth (Post-Tax) basis.Up to 90% per pay period up to the IRS maximumAmbarella’sMatch 100% of the first 4% deferred from eligible compensationAmbarella’s Match Maximum of $3,000 per yearVesting You’ll own 100% of Ambarella match IMMEDIATELYLearn how investing and savingactually works - and can work foryou.Learn moreSet your future self up for financial stability with a 401(k) & Roth through Fidelity.With our company match, we’ll help you along the way.The BasicsChoose from pre-tax (traditional) or after-tax (Roth) contributions, depending on your need.You can change your contribution amount or pre- or after-tax election at any time.IRS Rules* NOTE:Traditional and Roth contributions count towards Ambarella’s MatchCatch-up contributions are not eligible for Ambarella MatchThe IRS maximum 401(k) contribution for 2025 is $23,500. If you’re over age50, or will be turning 50 during 2025, you can contribute a catch-upcontribution of $7,500 in addition to the maximum limit. Not sure whether to select pre-tax (traditional) or after-tax (Roth)? Checkwith your financial advisor to determine the best choice for you. The basicdifferences:Pre-tax: your contributions come out of your paycheck before Federaland state taxes but after FICA (Medicare and Social Security) taxes. You’llpay regular income tax when you withdraw your money at retirement.Roth (after-tax): your contributions come out of your paycheck aftertaxes. When you withdraw your funds at retirement, they’re tax-free.
Employee Contributions The benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.Employee contributions are based on Semi-Monthly (24) pay periods. HOME EligibilityContacts Medical Dental VisionAdditionalBenefits401k RatesBenefitsWebsiteQuestions?Employee OnlyEmployee + SpouseEmployee + Child(ren)Employee + FamilyMedical Cigna OAP HMO$20.72$108.75$79.75$175.04Cigna OAP PPO$25.87$135.83$99.01$218.42Cigna HDHP $16.63$36.10$29.45$50.82Dental SunLife Dental PPO$7.42$14.84$16.96$25.97Vision VSP Vision$1.96$2.45$2.45$3.92