Vision Insurance

For general information about Vision insurance, see the Your Group Insurance Plans brochure.

The Group Insurance Eligibility Factsheet elaborates on eligibility rules for:

• enrolling eligible family members in the medical, dental, vision and legal plans;
• documentation required for eligible family members;
• requirements for continuing medical, dental and legal plan coverage into retirement.

Vision plan contact information:

Vision Service Plan
3300 Quality Drive
Rancho Cordova, CA 95670
Customer Service: (800) 877-7195
Group #: 00101923

http://www.vsp.com
Evidence of Coverage

COBRA continuation of vision coverage

Related forms:

UPAY 850

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