Eligible retirees have two (2) vision plans available to choose from:
VSP and
EyeMed. Please click on the following links to find
the
information you’re looking for, or contact the Retirement Services
Department at (408) 392-6700 for additional information.
Please note: You will need Adobe
Acrobat Reader in order to open
PDF documents.
Summary Plan Information | Evidences
of Coverage
HIPAA
Privacy Notices | Authorization To Release Information Forms
Contact
The Plan Providers
SUMMARY OF PLAN INFORMATION | top
of page |
- Vision Plan Comparison & Rates Effective July 1, 2008 (File Size: 47kb)
- Vision Service Plan (VSP) Summary of Benefits (File Size: 193kb)
- EyeMed Full Plan Summary of Benefits (File Size: 425kb)
- EyeMed Eyewear Materials Only Plan Summary of Benefits (File Size: 424kb)
- Vision Plans Comparisons and Rates (File Size: 46kb)
EVIDENCES OF COVERAGE | top
of page |
- Vision Service Plans (VSP) (File Size: 74kb)
- EyeMed Vision Care (File Size: 158kb)
HIPAA PRIVACY NOTICES | top
of page |
- Vision Service Plans (VSP) (File Size: 218kb)
- EyeMed Vision Care (File Size: 630kb)
AUTHORIZATION TO RELEASE INFORMATION FORMS | top
of page |
Coming
Soon
CONTACT THE PLAN PROVIDERS | top
of page |
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Vision
Service Plan (VSP)
1-800-877-7195
Group #: 12112926
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Eyemed
1-866-723-0514
Group #: 9681594 - FED
Group #: 9721135 - FED - (Eyewear Materials)
Group #: 9681602 - P&F
Group #: 9721143 - P& F - (Eyewear
Materials)
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