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) 794-1000 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 January 1, 2011 (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)

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) 1-800-877-7195 Group #: 12112926
	Eyemed 1-866-723-0514 Group #: 9681594 - FED Group #: 9721135 - FED -      (Eyewear Materials) Group #: 9681602 - P&F Group #: 9721143 - P&F -      (Eyewear Materials)