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Vision Options:




         UNUM / EyeMed





                        Effective                                             Dependent Information
                                                     Bi-Weekly
                        1/1/2025
                                                                     We  offer  our  full-time  employees  and  their
          Employee Only                                $ 3.14        Eligible dependents vision benefits..

          Employee + Spouse                            $ 6.29        Children  can  join  or  remain  on  a  parent’s
                                                                     vision plan until age 26. When a child turns 26,
          Employee + Child(ren)                        $ 7.15        they will lose vision coverage on the last day of
                                                                     their birth month.
          Employee + Family                           $ 11.13


          Benefits Highlights                                  Plan Coverage (EyeMed Network)
          Copays:

            Exam (Ophthalmologist or Optometrist)                               $10 Copay
            Materials                                                           $10 Copay
            Contact Lens Fitting (Standard)                                      Up to $40
          Frequency:
            Exams                                                             Every 12 Months

            Lens / Contact Lens Fitting                                       Every 12 Months
            Frames                                                            Every 12 Months
            Frequency is based On                                             Date of Service
          Standard Lens:
            Single Vision                                                           $10
            Lined Bifocal                                                           $10

            Lined Trifocal                                                          $10
            Progressive Lens (Standard)                                             $75
                                                                  40% off a complete second pair of glasses
            Other Lens Options/Discounts:                            20% off non-prescription sunglasses.
                                                               20% off remaining balance beyond plan coverage.
          Frames:
                                                                           $130 Retail Allowance
            Frames Allowance
                                                                         20% off balance over $130
          Contact Lenses in lieu of eye glasses,
          materials only:

            Frequency                                                         Every 12 Months

                                                                           $130 Retail Allowance
            Lens Allowance
                                                                         15% off balance over $130

                       NOTE: This is only a brief overview. Please see Benefit Summary and policy for more details.
                             Website: www.unumvisioncare.com  or Customer Service: 866-275-8686

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