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Davis Vision Enrollment Information

We are pleased to announce that you and your dependents are eligible to enroll in a voluntary program sponsored by AFSCME Local 4041.  Davis Visionone of the nation's leading vision care companies, will be administering the plan. This plan will allow you access to an extensive network of licensed providers where, through pre-tax salary deductions, you may pre-fund your benefit and realize tremendous savings. Once you have elected coverage, every 12 months you will be entitled to a comprehensive eye examinationincluding dilation as needed, and spectacle lenses or contact lenses in lieu of eyeglass lenses.  Every 24 months you will be entitled to your choice of a selection of designer eyewear (approximately 300 first quality frames to choose from.)

Your Coverage under the plan will include:

    A comprehensive eye examination, including dilation when necessary

    A frame from the Designer selection

    Single vision,bifocal and trifocal lenses (plastic or glass) in any prescription range

    Over-size lenses

    Glass-grey #3 prescription lenses

    Fashionsun or gradient  tinting on plastic lenses

    Post-cataract (lenticular) lenses

    Polycarbonate  lenses for children  and monocular members

Receiving services is as easy as placing a call to one of the participating offices and scheduling an appointment. You will not receive a member  card so when booking your appointment,give the doctor your social security number to verify coverage. The doctor will be responsible to obtain any necessary authorization(s). Please refer to the enclosed Summary Plan booklet for more information on the plan.

Your monthly payroll deductiondepending on your election, will be as follows:

Employee coverage

$  6.92

Employee +1coverage

$11.67

Employee +Family coverage

$17..59

*Please note that there is an administrativfee of $1.00 per month included, collected directly from AFSCME Local 4041.

On behalf of AFSCME Local 4041, we are pleased to offer you the opportunity to participate in this vision care benefit!

 



Davis Vision Enrollment Information
Jul 13, 2016

Download: Davis Vision Information 2016.pdf

Davis Vision Enrollment Form
Jul 13, 2016

Download: Davis VisionEnrollment Form 2014.pdf

Davis Vision Brochure
Jul 13, 2016

Download: Davis Vision Brochure.pdf



Page Last Updated: Jul 13, 2016 (10:16:00)
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AFSCME Local 4041
Copyright © 2017, All Rights Reserved
Local 4041 Carson City Office • 504 East Musser , Suite 300 • Carson City, Nevada 89701 • (866) 455-5414 • Email
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