Page 10 - Veritax EE Guide 10-1-2019 Non - CA
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BENEFITS





         VISION INSURANCE                                                LIFE INSURANCE


         VSP | PPO Vision Plan                                           Anthem | Basic Life & AD&D
         The 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   beneficiaries in the event of your death while you
         will receive richer benefits if you utilize a network provider. If you utilize   are still actively employed with the company.
         a non‐network provider, you will be responsible to pay all charges at the
         time of your appointment and will be required to file an itemized claim   Accidental Death and Dismemberment (AD&D)
         with VSP.                                                       coverage provides an additional benefit to your

                                                                         beneficiary if your death is due to a covered accident
                                              VSP                        or injury.
                                           PPO Plan
                                                                         Veri-tax pays for Life/AD&D coverage, offered
         Network Name            VSP Choice         Non-Network
                                                                         through Anthem.
         Vision Benefits

         Copay                                                                         Basic Life/AD&D
          - Examination          $10 Copay        $45 Reimbursement
                                                                                         Flat $25,000
          - Materials            $30 Copay              N/A

         Lenses
          - Single Vision          100%           $30 Reimbursement
          - Bifocal                100%           $50 Reimbursement
          - Trifocal               100%           $65 Reimbursement
          - Progressive        $55-$175 Copay     $50 Reimbursement

         Frames                 $130 Benefit      $70 Reimbursement
                            $150 Featured Benefit
                            20% Discount off Balance

         Contact Lenses             In Lieu of Frames and Lenses
                                                                                 Choosing a Beneficiary
                                $130 Benefit     $105 Reimbursement

         Frequency                                                        A beneficiary is a person or entity who you
          - Examination                  Every Plan Year                  designate to receive your death benefits.
          - Lenses                       Every Plan Year                  Choosing a beneficiary and keeping your
          - Frames                     Every Other Plan Year              beneficiary up-to-date is an essential part of
          - Contact Lenses               Every Plan Year                  owning life insurance. Please remember to
                                                                          review your beneficiary designation as new

         Extra Savings                                                    situations arise, such as the birth or adoption of a
         •   Glasses and Sunglasses: Extra $20 to spend on featured frame   child, marriage, or divorce. You may login to Ease
            brands. 20% savings on additional glasses and sunglasses, including   to change your Beneficiary as needed.
            lens enhancements, from any VSP provider within 12 months of

            your last vision examination.
         •   Laser Vision Correction: Average 15% off the regular price or 5% off
            the promotional price.


                        Finding a Vision Provider
                        Go to www.vsp.com or call (800) 877-7195. Refer
                        to the “VSP Choice” network when prompted.

                        VSP’s network includes 37,000 access points
                        nationwide. Most of the U.S. population lives
                        within four miles of a VSP provider.

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