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VISION Protectyoursightandenjoythosesunsetsevenmore withvision insurance. Receivebothpreventiveandmaterialscoverage. Hoverovertheinsurancetermsbelowtolearnwhattheymean! DPPO LOW PLAN Single: $25 LENSES Bifocal: $25 Trifocal: $25 FRAMES $150 Allowance CONTACT Disposable: $150 Allowance LENSES FREQUENCY Lenses: 1 X 12 months OF SERVICES Frames: 1 X 24 months Contact Lenses: 1 X 12 months RATES PER Employee: $10.00 BIWEEKLY Employee + Spouse: $20.00 PAY PERIOD Employee + Children: $30.00 Family: $40.00 The benefits and rates in this guide are for illustrative purposes only. To the extent the rates or the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlying insurance documents will govern in all cases.

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