2020 Business Travel Accident Plan Summary Annual Report (SAR)

This is a summary of the annual report of the Business Travel Accident Plan  (Employer Identification Number 94-1156365, Plan Number 509) for the plan year  1/1/2020 through 12/31/2020. The annual report has been filed with the Employee  Benefits Security Administration, as required under the Employee Retirement Income  Security Act of 1974 (ERISA). 

Insurance Information

The plan has an insurance contract with Hartford Life and Accident to pay certain  business travel accident claims incurred under the terms of the plan. The total  premiums paid for the plan year ending 12/31/2020 were $53,372.

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 item listed below is included in that report: 

1. 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  plan administrator, at 505 Broadway St. 5th Floor, Redwood City, CA 94063 and phone  number, (650) 725-4826. 

You also have the legally protected right to examine the annual report at the  main office of the plan: 505 Broadway St. 5th Floor, Redwood City, CA 94063, 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 N-1513, Employee Benefits  Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W.,  Washington, D.C. 20210