VISION PLAN SUMMARY AND PREMIUMS

The Colleges provide a contributory vision plan through EyeMed Vision Care . 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 EyeMed's thousands of provider location nationwide. Choose from private practitioners and leading optical retailersr offered through the EyeMed Select Panel by calling 1-866-299-1358 or by visting www.enrollwitheyemed.com/select.

Examples of benefits covered:

Vision Care Services In-Network Member Cost Out-of Network
Exam with Dilation as Necessary $10 Copay Up to $35
Frames $120 Allowance: 80% of balance over $120 Up to $60
Standard Plastic Lenses: Single Vision $25 Copay Up to $25
Standard Plastic Lenses: Bifocal $25 Copay Up to $40
Standard Plastic Lenses: Trifocal $25 Copay Up to $65
Tint 20% off retail price N/A
Scratch Resistance 20% off retail price N/A
Contact Lenses: Conventional $0 Copay; $135 Allowance; 15% off balance over $135 Up to $108
Contact Lenses: Disposables $0 Copay; $135 Allowance; balance over $135 Up to $108
Contact Lenses: Medically Necessary $0 Copay; Paid in Full Up to $200
LASIK & PRK Vision Correction Procedures 15% off retail price OR 5% off promotional pricing N/A
Exam Frequency Once per 12 months  
Frames Once per 12 months  
Standard Plastic Lenses Once per 12 months  
Contact Lenses Once per 12 months  

Premium Information

Faculty, Administrative Staff, and Union Hourly

Coverage Type
2011 Monthly Premium
HWS Monthly Contribution
Each payperiod you pay
Single
4.29
2.15
1.07
Two Person
8.12
4.06
2.03
Employee + Child(ren)
8.55
4.28
2.14
Family
12.58
6.29
3.15

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.