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2018 Benefits Guide

Vision

The Company understands the importance of taking care of your eyesight. The vision plan promotes preventive care through regular eye exams and early corrective treatment. The vision plan is insured by Guardian.

If you enroll for coverage within your initial eligibility period, your coverage will be effective on the first of the month following 30 days of employment.

If you do not enroll for coverage within your initial eligibility period, you may enroll for coverage during the next Annual Enrollment period or as summarized in Making Changes During the Year.

Your Cost

You pay the entire cost of vision coverage. Refer to Employee Contributions for the applicable cost.

Vision Plan Key Features

The following table summarizes the key features of the vision plan available to you and your dependents. To receive the highest level of benefits, utilize in-network providers and fully understand what is expected of you.

Vision Plans (Guardian)
Key Features	Option 1		Option 2		Option 3		Option 4
	Exam Plus Allowance		Exam Plus Allowance		Full Feature		Full Feature
	Davis Network		VSP Network		Davis Network		VSP Network
	In-Network	Out-of-Network	In-Network	Out-of-Network	In-Network	Out-of-Network	In-Network	Out-of-Network
	You Pay		You Pay		You Pay		You Pay
Exam Copay	$0		$0		$0		$0
Materials Copay	$0		$0		$0		$0
	Plan Pays
Frequency	Exam: Every 12 months Materials: Every 12 months		Exam: Every 12 months Materials: Every 12 months		Exam: Every 12 months Materials: Every 12 months Frames: Every 12 months		Exam: Every 12 months Materials: Every 12 months Frames: Every 24 months
Exams	100%	Up to $46	100%	Up to $39	100%	Up to $50	100%	Up to $39
Lenses
Single	Up to $50 allowance		Up to $50 allowance		100%	Up to $48	100%	Up to $23
Bifocal					100%	Up to $67	100%	Up to $37
Trifocal					100%	Up to $86	100%	Up to $49
Lenticular					100%	Up to $126	100%	Up to $64
Medically Necessary					100%	Up to $210	100% after $25 copay	Up to $210
Elective					Up to $130	Up to $105	Up to $130	Up to $100
Frame Benefit					Up to $130 then 20% discount	Up to $48	Up to $130 then 20% discount	Up to $46
This summary is provided for general information only. It does not provide coverage details, exclusions or limitations. Refer to the specific plan documents available on the Forms and Downloads page for detailed information on complete plan provisions, exclusions and limitations.