VISION PLAN SUMMARY AND PREMIUMS

The Colleges provide a contributory vision plan through Guardian. Enrolling in a quality vision care program is an important decision. Make vision care part of your annual health care program at any one of Guardian's thousands of provider locations nationwide.

Examples of benefits covered:

Vision Care Services	In-Network Member Cost	Out-of Network
Exam with Dilation as Necessary	$10 Copay	Up to $50
Frames	$25 copay; $130 max	Up to $48
Standard Plastic Lenses: Single Vision	$25 Copay	Up to $48
Standard Plastic Lenses: Bifocal	$25 Copay	Up to $67
Standard Plastic Lenses: Trifocal	$25 Copay	Up to $86
Contact Lenses: Conventional	$130 Allowance	Up to $105
Contact Lenses: Medically Necessary	$25 Copay	Up to $210
Exam Frequency	Once per calendar year
Frames	Once per calendar year
Standard Plastic Lenses	Once per calendar year
Contact Lenses	Once per calendar year

Premium Information

Faculty, Administrative Staff, and Union Hourly

Coverage Type	2013 Monthly Premium	HWS Monthly Contribution	Each payperiod you pay
Single	4.55	2.28	1.14
Two Person	8.61	4.31	2.15
Employee + Child(ren)	9.06	4.53	2.27
Family	13.33	6.67	3.33

Payroll Deduction Schedule - Wages are paid on a bi-weekly basis, or normally 26 paydates in a calendar year. Employee deductions for elected benefits are deducted on a 24 paydate biweekly schedule, or two times in a month. These biweekly deductions will be taken on a pre-tax basis, tax laws permitting.