avatar Vmware, Inc. Services
  • Location: California 
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    SUMMARY ANNUAL REPORT FOR VMWARE, INC GROUP HEALTH PLAN This is a summary of the annual report of the VMware Group Health Plan, EIN 94-3292913, Plan No. 503, for period January 01, 2017 through December 31, 2017. The annual report has been filed with the Employee Benefits Security Administration, U.S. Department of Labor, as required under the Employee Retirement Income Security Act of 1974 (ERISA). VMware, Inc. has committed itself to pay certain self-funded Medical, Prescription, Dental, Vision and Short-term Disability claims incurred under the terms of the plan. Insurance Information The plan has insurance contracts with Gerber Life Insurance Company, Concern EAP, Four Ever Life Ins. Co., ARAG Insurance Company, Life Insurance Company of North America, Kaiser Foundation Health Plan Inc. and Kaiser Foundation Health Plan of Hawaii to pay Medical, Dental, Life Insurance, Long-term Disability, Business Travel Accident, Employee Assistance Program, Legal and Accidental Death and Dismemberment claims incurred under the terms of the plan. The total premiums paid for the plan year ending December 31, 2017 were $15,661,162. Your Rights to Additional Information You have the right to receive a copy of the full annual report, or any part thereof, on request. The items listed below are included in that report: • insurance information, including sales commissions paid by insurance carriers; To obtain a copy of the full annual report, or any part thereof, write or call the office of VMware, Inc. at 3401 Hillview Avenue, Palo Alto, CA 94301, or by telephone at (650) 427-5000. The charge to cover copying costs will be $5.00 for the full annual report, or $0.25 per page for any part thereof. You also have the legally protected right to examine the annual report at the main office of the plan ( VMware, Inc., 3401 Hillview Avenue, Palo Alto, CA 94301) and at the U.S. Department of Labor in Washington, D.C., or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C. 20210.


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