VISION CARE PLAN AND DETAILS

VISION CARE PLANS AND DETAILS

This benefit provides you with additional insurance coverage.

	Maximum Benefit
Option 1	No Coverage
Option 2	$150/24 months
Option 3	$250/24 months
Option 4	$350/24 months
Option 5	$500/24 months

Making Choices:	You must decide whether you want coverage under this benefit. Some restrictions apply.
Tax Facts:	This coverage is a non-taxable benefit (Except in Quebec)..
Coverage Level:	Choose the coverage level from the drop down box by selecting Option 1, 2, 3, 4 or 5. Payment Method: Flex Dollars, payroll deduction or combination.

The following is a further description of some of the specific elements of your Vision Care plan. If you have further questions about the coverages offered under each option contact your Human Resources department.

Benefit	This benefit provides coverage for lenses and frames for eyeglasses, contact lenses or laser eye surgery limited to the maximum benefit per eligible insured person in any period of 24 consecutive months. Medically required contact lenses prescribed for severe corneal astigmatism, severe corneal scarring, Keratoconus (orical cornea) or Aphakia, provided visual acuity can be improved to at least the 20/40 level by contact lenses but cannot be improved to that level by spectacle lenses. Limited to a maximum benefit of $200 in any 24 consecutive months.
Changing Options	You may only move up or down one Option per year. Once enrolled in an Option you can only opt out by moving down to Option 2 first and then out (i.e. if in Option 4 you must change to Option 3 for a year; then Option 2 for a year; and then out). If you elect to opt out of Vision Care coverage you will only be able to come into the plan at the lowest benefit Option (Option 2).
Eye Exams	One examination up to a maximum of $35 in each consecutive 24 month period (12 months for dependents under 18 years old).
Termination of Benefit	Age 70 or earlier retirement.

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