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VISION

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 Comparisions & 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 |


CONTACT THE PLAN PROVIDERS | top of page |

 

Vision Service Plan (VSP) - (Logo)
Vision Service Plan (VSP)
1-800-877-7195

Group #: 12112926
Eyemed Vision Care - (Logo)

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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