TrueView Eye Care Plan Summary

This document provides an overview of the TrueView Plan H eye care insurance, detailing coverage benefits and costs for various services under both EyeMed Access Network and out-of-network options.

Life is Good Eye Care Highlight Sheet www.reliancematrix.com Plan 1: TrueView Plan H Summary EyeMed Access Network Out of Network Deductibles $10 Exam No deductible $20 Eye Glass Lenses Annual Eye Exam Covered in full Up to $35 Lenses (per pair) Single Vision Covered in full Up to $25 Bifocal Covered in full Up to $40 Trifocal Covered in full Up to $55 Lenticular 20% discount No benefit Progressive See lens options NA Contacts Fit & Follow Up Exams Standard Standard: Member cost up to $55 No benefit Premium (Allowance) Premium: 10% off of retail No benefit Elective Up to $130 Up to $104 Medically Necessary Covered in full Up to $200 Frame Allowance $130 Up to $65 Frequencies (months) Exam/Lens/Frame 12/12/24 12/12/24 Based on date of service Based on date of service Lens Options (member cost) EyeMed Access Network Out of Network Progressive Lenses Standard Standard: $65 + lens deductible No benefit Premium Premium: lens cost - 20% discount - $120 allowance + Standard Progressive cost No benefit Std. Polycarbonate $40 No benefit Tint (solid and gradient) $15 No benefit Scratch Resistant Coating $15 No benefit Anti-Reflective Coating $45 No benefit Ultraviolet Coating $15 No benefit Plastic Photochromatic/Transition NA No benefit Lasik or PRK Average discount of 15% off retail price or 5% off promotional price at US Laser Network participating providers. No benefit Effective Date: 1/1/2026

Life is Good Eye Care Highlight Sheet www.reliancematrix.com Additional TrueView H Features EyeMed In-Network Discounts 15% discount off the remaining balance in excess of the conventional contact lens allowance. 20% discount off the remaining balance in excess of the frame allowance. 20% discount on items not covered by the plan at network providers, which may not be combined with any other discounts or promotional offers. This discount does not apply to EyeMed Provider's professional services, or contact lenses. EyeMed In-Network Secondary Purchase Plan Members receive a 40% discount on a complete pair of glasses once the funded benefit has been exhausted. Members receive a 15% discount off the retail price on conventional contact lenses once the funded benefit has been exhausted. Discount applies to materials only. Contact Lens Replacement by Mail Program After exhausting the contact lens benefit, replacement lenses may be obtained at significant discounts on-line. Visit www.eyemedvisioncare.com for details. Based on applicable laws, reduced costs may vary by doctor location. Rx Savings Our valued plan members and their covered dependents can save on prescription medications at over 60,000 pharmacies across the nation including CVS, Walgreens, Rite Aid and Walmart. This Rx discount is offered at no additional cost, and it is not insurance. To receive this Rx discount, members just need to visit us at www.reliancematrix.com and sign into (or create) a secure member account where they can access and print an online-only Rx discount savings ID card. Reliance Standard Life Insurance Company Reliance Standard Life Insurance Company (Reliance Standard) was incorporated in 1907 as the Central Standard Life Insurance Company in Chicago, Illinois. In 1967 the administrative offices moved to Philadelphia, PA and the company was renamed Reliance Standard Life Insurance Company. Reliance Standard is domiciled in Illinois, and its headquarters remain in Philadelphia. Reliance Standard is a member of The Tokio Marine Group. EyeMed Information TrueView eye care features the money-saving eye care network of EyeMed Vision Care. Customer service is available to plan members through EyeMed's well-trained and helpful service representatives. Call or go online to locate the nearest EyeMed network provider, view plan benefit information and more. EyeMed Customer Care Center: 1-866-289-0614  Service representative hours: 8 a.m. to 11 p.m. ET Monday through Saturday, 11 a.m. to 8 p.m. ET Sunday  Interactive Voice Response available 24/7 For more information regarding the EyeMed provider network or to find out more about EyeMed, please visit the EyeMed web-site at www.eyemedvisioncare.com. This form is a benefit highlight, not a certificate of insurance. The coverage outlined here highlights the benefits available through Reliance Standard Life, and does not include exclusions and limitations. For details on exclusions and limitations, or a complete list of covered procedures, contact your benefits coordinator.