exv10w33



 




Exhibit 10.33



October 6, 2004




Mrs. Kathy Khodi



Dear Mrs. Khodi:



I am writing this letter for you to be used as a Summary of Benefits, which I would be available to
discuss with you in greater detail, at your earliest convenience.



The items listed below need your attention and some of the items may be time sensitive, so I have
highlighted them in bold for your review and action:





	•  	Continuation of Pay – A direct deposit in the amount of $83,384.88 will be made to your
checking account on October 15, 2004. This payment represents six (6) months salary minus
applicable taxes, as agreed to by the Executive Committee.
	 
	•  	2004 Executive Bonus – A direct deposit in the amount of $43,571.02 will be made to your
checking account on October 15, 2004. The amount referenced above, represents a 100% payout
for the 2004 Executive Bonus program, minus applicable taxes, which Parviz was eligible for at
the 30% bonus level.
	 
	•  	A Life Insurance Claim Form- The Company issued a term life policy
on behalf of Parviz, which is payable to you as his beneficiary.
You will need to complete the Life Insurance Claim Form, providing
a copy of the certificate of death in order for the to be claim to
be paid. I have enclosed a copy instruction for filing and a copy
of the claim form for your review and action. I will also be
available to personally assist you through this process, if you
would prefer.
	 
	•  	A 401(k) distribution form- Our records show that Parviz had a
balance of $75,088.01 in the 401K-retirement account. Per our 401K
plan you are not be required to withdraw the funds if you have
over $5,000.00, unless you wish to do so. Upon your request, the
Company could transfer the existing funds into an individual
account naming you as the participant or, if you would prefer to
liquidate the account you would need to complete the distribution
forms enclosed and return it to Carrie Malmgren for processing.
	 
	•  	COBRA Continuation of Benefits — Your medical, dental and vision
benefits are effective until September 30, 2004, after which time
you will be eligible to continue your benefits for up to 36 months
due to the qualifying event through COBRA. The Silicon Image has
agreed to pay your COBRA premiums for a total of six (6) months
starting October 1, 2004 through March 31, 2005. Effective April
1, 2005, you will be responsible for the monthly premiums. You
will be receiving enrollment applications from our COBRA
Administrator TLC, These forms will need to be filled out and
returned at your earliest opportunity, but no later than 60-days
from September 22, 2004.




 









 










Please be aware, that you must elect COBRA Coverage to receive the payment of premiums by Silicon
Image. A Certificate of Group Health Plan Coverage has also been provided in your folder, should
you need to show proof of prior health coverage.



Section 125 Cafeteria Plan- You FSA Medical Account has a balance of $1125.00. You will need to
submit claim forms for any out of pocket medical expenses that you my have incurred by February 28,
2005 this account may be used for any medical expenses incurred through September 22, 2004. After
that time, any money left in the account will be forfeited per IRS Regulations. I have included
reimbursement claim forms for your convenience.



I want to assist you in any way possible. Please do not hesitate to contact me should you have any
questions or need additional assistance. You can reach me on my direct line is (408) 616-1560.



Sincerely,


/s/ Carrie Malmgren

Carrie Malmgren

Human Resources Consultant




 









 








Timeline of Events




	 	 	 	 	 	 	 	 	 
	 	October 15,
2004
	 	 	Wire transfer to Checking
	 	 	$43,571.02
(Bonus)
 	 
	 	October 15, 2004

	 	 	Wire Transfer to Checking
	 	 	$83,384.88 (lump sum
payment for
continuation of
salary for 6-mos)	 
	 	October 31, 2004 (or
sooner)

	 	 	Need to send be
beneficiary claim
statement and copy of
death certificate to
Silicon Image for
processing.
	 	 	MetLife

PH: 925/658-1104	 
	 	October 31, 2004 (or
sooner)

	 	 	Provide second copy of
death certificate to be
used by Silicon Image to
transfer 401K account
into individual account
or fill out forms taking
distribution.
	 	 	Fidelity Investments

PH: 800/835-5097	 
	 	November 22, 2004 (or sooner)

	 	 	Fill out the COBRA
Election Claim Forms and
mail them back to TLC for
processing
You only have 60-days
from date of termination
to file for benefits.
	 	 	TLC
COBRA

Administrators

(800) 533-0113 X311	 
	 	February 28, 2004
(or sooner)

	 	 	You have $1125.00
remaining in the 125
Cafeteria Plan. You will
need to submit claims
forms any eligible out of
pocket expenses. Claim
forms have been provided
to you for your
convenience.
You must submit claims
before February 28, 2004
in order to get the
claims reimbursed.
 
	 	 	Pacific Benefits

800/838-4511