Vision Plan

Dolores Nehlig, Manes, Kristen, Loyd, Kathy L.  |  3/29/2006 12:45:51 AM

Vision Chart

Annual Enrollment information (including enrollment forms) for the 2016 plan year can be found here.

The Vision Plan is offered through UnitedHealthcare.  It is a primary vision care benefit and is intended to cover eye examinations and corrective eye wear.  Watch this VIDEO explaining the benefits of the vision plan. Click on the "attachment" tab to view more information.
UnitedHealthCare Customer Service: 1.800.638.3120
Policy #903022
UnitedHealthCare Provider Location: 1.800.839.3242

Forms and Resources


Eligibility for Enrollment

Employees appointed for more than 120 days and 75% of full-time or greater are eligible for enrollment.

Effective date of Coverage

  • New Employees have 30 days to either enroll or waive coverage. Coverage is effective on the first day of the month after completion of one full calendar month of employment.
  • Employees who do not enroll within the first 30 days may elect to enroll during the Annual Enrollment period.

Vision Plan

Monthly Premiums for Vision Plan

Level of Coverage Premium 12 month employee Premium 9 month employee
Employee Only $7.39 $9.85
Employee + Spouse $12.45 $16.60
Employee + Children $12.72 $16.96
Family $20.50 $27.33

Enrollment for new employees will be done through the Human Resource Office.  Enrollment for existing employees may be done during Annual Enrollment, unless you experience a Qualifying Family Event. 

Plan Highlights
  • Members are allowed to obtain one vision exam and one pair of eyeglasses or contact lenses every 12 months.
  • Benefits are greater if an in-network physician/clinic is visited.

If you wish to nominate a particular ophthalmologist, optometrist or optician as a Vision Network Provider, click here to access the Provider Nomination Form.

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