Page 7 - CA Benefit Guide Shepard Bros 8-17
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VISION INSURANCE


         The  Anthem  BlueView  Vision  plan  provides  professional  vision  care  and  high  quality  lenses  and
         frames through a broad network of optical specialists. You will receive richer benefits if you utilize a
         network provider. If you utilize 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 with Anthem Blue Cross.

                                                            ANTHEM BLUE CROSS
         Plan Features                                              PPO

                                                       Network             Non-Network
         Examination (Every 12 Months)                $10 Copay             $49 Benefit
         Lenses (Every 12 Months)
          - Single Vision                                $10                $35 Benefit
          - Bifocal                                      $10                $49 Benefit             Note
          - Trifocal                                     $10                $74 Benefit
                                                                                                    Anthem’s
         Frames (Every 12 Months)                     Up to $130            $50 Benefit             network includes
         Contact Lenses (Every 12 Months)                                                           access to more
          - Cosmetic / Elective                       Up to $130            $92 Benefit             than 44,000
                                                                                                    providers and
                                                                                                    provider locations
          BASIC LIFE AND AD&D INSURANCE                                                             including
                                                                                                    independent

                                                                                                    ophthalmologists
          Life insurance protects your family or other beneficiaries in the event of your death while you are
                                                                                                    and optometrists,
          still actively employed with the company. Shepard Bros. pays for coverage, offered through Anthem   as well as
          Blue Cross, in the amount of one and a half times your annual base salary to a maximum benefit of   LensCrafters®,
          $500,000.  If  your  death  is  due  to  a  covered  accident  or  injury,  your  beneficiary  will  receive  an   Target Optical,
          additional amount through Accidental Death and Dismemberment (AD&D) coverage.   Please note   Sears Optical,
          that amounts over $275,000 require evidence of insurability.
                                                                                                    JCPenney Optical
                                                                                                    and most Pearle
           LONG TERM DISABILITY INSURANCE                                                           Vision retail
                                                                                                    stores.

          Shepard Bros. offers you Long-Term Disability (LTD) income replacement if you are disabled for an
          extended period of time, through Anthem. If you become disabled, benefits begin 90 days after the
          start of your illness or injury. LTD  works  with California  State Disability, Social  Security, and any   Note
          other group disability coverage, to provide you with a combined monthly benefit equal to 60% of
          your pre-disability earnings to a maximum benefit of $10,000 per month.                   Consider updating
                                                                                                    your beneficiary
          401(K)                                                                                    designation if you
                                                                                                    have experienced
                                                                                                    a life changing
          All employees are encouraged to participate in the company’s 401(k) plan with Fidelity Investments.   event such as
          This plan allows you to fund for your retirement with pre-tax dollars. The plan offers a wide range of   marriage, divorce,
          investment options to help you create a retirement portfolio that best meets your needs. This   the birth of
          includes 40 investment options to fit your risk profile. Shepard Bros. provides a matching   children, etc. Call
          contribution. Contribution limits are up to $18,000 in 2017 (the IRS limit) of your pre-tax earnings   the Human
          per year.  Certain “highly compensated employees” may have a restriction on their contribution   Resources
          amount. Participants over age 50 can also “catch up” with an additional $6,000 per year.  Please   Department for a
          contact the Human Resources Department for more information.                              copy of the
                                                                                                    Beneficiary
                                                                                                    Designation Form
                                                                                                    as needed.





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