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VISION PLAN



TheBANK offers vision coverage through a self-funded plan to eligible
full-time, exempt, and oficer employees along with their dependents. Our
vision administrator is UMR. The vision plan acts as a reimbursement
plan, reimbursing you for certain vision services. There is no deined
network for the vision plan.


7/1/19 to 12/31/19 Vision Plan
Bi-Weekly Premium
Employee Only $2 .21
Employee + Spouse $7 .16
Employee + Child(ren) $6 .14
Employee + Family $10 .91



Coverage Amount
Vision Exam (one per calendar year)
100%
Hardware (lenses, frames, and contact lenses prescribed by a doctor)
50%
Beneit Maximum (per covered person per calendar year)
$250







































TheBANK of Edwardsville 13
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