Vision benefits administered by VSP Like any other health factor, your vision requires regular care. Our vision plan helps you and your family Live Well by keeping you seeing clearly. We offer two vision plans administered by VSP : the Standard Plan and the Maximum Plan. The plans differ in the type of care covered and what you pay for services. You may see any provider, but when you use a VSP network provider, you’ll save money and you won’t have to file any claims. Both vision plans pay 100% for an annual eye exam. The Standard Plan provides additional benefits for eyeglass lenses and contact lenses. The Maximum Plan also provides benefits for frames. You can get frames once every calendar year on the Maximum Plan, and standard progressive lenses are covered in full on the Standard Plan. Both plans include allowances for contact lenses and full coverage for retinal imaging after a $10 copay. VISION
LIFE & DISABILITY
To help protect your family, we provide basic life and AD&D insurance for you and dependent life insurance for your spouse and children at no cost. There is a 30-day waiting period before you are eligible for this coverage. Accidents and illnesses can happen that may keep you out of work. Averitt helps you Live Well by helping protect your income and security with our short-term disability coverage – available at no cost to you after one year of service. This benefit ensures that you continue to receive a portion of your income for up to 26 weeks in the event of a disability. There is a one- year waiting period before you are eligible for this coverage.
AVERITT-PROVIDED LIFE AND AD&D
VISION BENEFITS*
STANDARD PLAN
MAXIMUM PLAN
Year 1 – $10,000 Year 2 – $15,000 Year 3 – $20,000 Year 4 – $25,000 Year 5 – $30,000 Year 6+ – $40,000 Amount equal to basic life coverage
EYE EXAM (One exam each calendar year)
Plan pays 100%*
Plan pays 100%*
Associate Basic Life Insurance
EYEGLASS LENSES* • Single vision, lined bifocal, lined trifocal lenses • Anti-reflective coating • One pair each calendar year
• $25 copay • Polycarbonate lenses (children only) • Standard progressive lenses
• $15 copay • Polycarbonate lenses (adults and children) • All progressive lenses One pair each calendar year; annual allowance of $180**
FRAMES
No coverage
Associate Basic AD&D Insurance
CONTACT LENSES** • Allowance for contact lenses and contact lens exam (fitting and evaluation) • 15% savings on exam fees (up to $60 copay) • Each calendar year
$2,000 for spouse, $1,000 per child (age 14 days to 26 years)
Dependent Life Insurance
$150 annual allowance**
$180 annual allowance**
AVERITT-PROVIDED SHORT-TERM DISABILITY
RETINAL IMAGING
$10 copay
$10 copay
Benefits begin
On 15th day of disability
ESSENTIAL MEDICAL EYE CARE Additional exams and services beyond routine care to treat immediate issues from pink eye to sudden changes in vision or to monitor ongoing conditions, such as dry eye, diabetic eye disease, glaucoma and more
Year 1 – no benefit Year 2 – 40% Year 3 – 45% Year 4 – 50% Year 5 – 55% Year 6 – 60%
$20 copay*
$20 copay*
Plan pays a percentage of your weekly earnings
YOUR WEEKLY PAYROLL DEDUCTION
STANDARD PLAN
MAXIMUM PLAN
ASSOCIATE COVERAGE
$3.00 $3.35 $3.55 $5.10
$4.70 $7.30 $7.50
ASSOCIATE + SPOUSE COVERAGE ASSOCIATE + CHILD(REN) COVERAGE ASSOCIATE + FAMILY COVERAGE
Benefits continue
Up to 26 weeks
See Summary Plan Description (SPD) for further details.
$10.10
Weekly premiums are deducted pre-tax , saving you even more money. *See Summary Plan Description (SPD) for further details. **You may obtain contacts or eyeglasses every year (but not both in the same year).
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