Page 10 - Rehab Alliance EE Guide 08-20 (NO TRIO)
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BENEFITS





         Dental Reimbursement                                                 Life/AD&D Insurance


         Rehab Alliance | Dental Reimbursement Plan                           It’s never fun to discuss life insurance. But you
         As an eligible employee, Rehab Alliance offers you reimbursement for dental   probably know that life insurance is something
         services received. The reimbursement allowance is available to you up to a   that you need to protect your loved ones in
         maximum of $1,000 per calendar year. You must submit invoices for services   the event of your death. Things like funeral
         received to the Payroll Department for reimbursement. Please note,   expenses, debt, and the cost of living, can all
         dependent reimbursement is not available.                            add up. Fortunately, life insurance can help
                                                                              lessen the financial burden and provide
         Vision Insurance                                                     coverage to help pay for these types of
                                                                              expenses.

         MetLife/VSP | Voluntary PPO Vision                                   MetLife |Basic Life/AD&D

         The MetLife/VSP vision plan provides professional vision care and high-quality   Life insurance protects your family or other
         lenses and frames through a broad network of optical specialists. You will receive   beneficiaries in the event of your death while
         richer benefits if you utilize a network provider. If you use a non‐network   you are still actively employed with the
         provider, you will be responsible for paying all charges at the time of your   company.
         appointment and will be required to file an itemized claim with MetLife/VSP.
                                                                              Accidental Death and Dismemberment
                                               MetLife/VSP
         Plan Name                                 PPO                        (AD&D) coverage provides an additional
                                                                              benefit to your beneficiary if your death is due
         Network Name                  VSP Choice        Non-Network          to a covered accident or injury.

         Vision Benefits
                                                                              Rehab Alliance pays for Life/AD&D coverage,
         Examination                   $10 Copay       $45 Reimbursement      offered through MetLife.

         Lenses
          - Single Vision              $25 Copay       $30 Reimbursement                 Basic Life/AD&D
          - Bifocal                    $25 Copay       $50 Reimbursement
                                                                                            Flat $15,000
          - Trifocal                   $25 Copay       $65 Reimbursement

         Frames                      $130 Allowance,   $70 Reimbursement
                                    then 20% Discount
                                   Costco $70 Allowance

         Contact Lenses                  In Lieu of Frames and Lenses
          - Cosmetic / Elective      $130 Allowance   $105 Reimbursement

         Frequency
          - Examination                          12 Months                         Choosing a Beneficiary
          - Lenses                               12 Months
          - Frames                               24 Months                     A beneficiary is a person or entity who you
          - Contact Lenses                       12 Months                     designate to receive your death benefits.
                                                                               Choosing a beneficiary and keeping your
                                                                               beneficiary up-to-date is an essential part
                        Finding a Vision Provider                              of owning life insurance. Please remember
                        VSP has the largest network of private-practice eye    to review your beneficiary designation as
                        care doctors in the industry. VSP’s network includes   new situations arise, such as the birth or
                        50,000 access points nationwide. VSP also contracts    adoption of a child, marriage, or divorce.
                        with Costco Optical, Visionworks, and other affiliate   You may login to Ease to change your
                        retail providers. Please note, benefits may vary at    Beneficiary as needed.
                        affiliate locations.

                        Go to www.vsp.com or call (800) 877-7195. Refer to
                        the VSP Choice network when prompted.

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