WebHW - BNF Vision Claim Form (Jan 2024) HW - COB and Information Verification Form (Jan 2024) ... PEN - Summary Plan Description effective 7.1.2016 and Plan changes thru … WebJan 1, 2024 · Vision Care. Member Benefit Amount: Lenses – $800 per 24 months; Frames – $150 per 24 months. Laser Eye Surgery – $1,750 lifetime maximum (member only). Industrial Safety Glasses – $400 per 12 months with a prescription (member only). Dependant Benefit Amount: Lenses – $550 per 24 months; Frames – $150 per 24 months.
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WebSupplemental Health & Welfare Fund Claim Form [1/2024 to 6/2024] Use this form for the claims period of January 1, 2024 through June 30, 2024. The form must be completed, signed and submitted to the Fund Office by August 31, 2024 in order to receive benefit in October 2024. Supplemental Health & Welfare Fund Claim Form [7/2024 to 12/2024] WebDiscounts are not insured benefits. ADV-VC133-01012016. *in most states. 1 - Based on the EyeMed Advantage network, March 2024. 2 - Based on weighted average of sample transactions; EyeMed Insight network/$10 exam co-pay/ $10 materials co-pay/ $120 frame or contact lens allowance. WebJun 20, 2024 · If you have coverage through the Fund’s Medicare Advantage Plan, ... May is Healthy Vision Month. Even if you have good vision, it is important to visit an eye doctor to keep your eyes healthy! It is painless and the best way to find out if you need glasses or contacts, or are in the early stages of any eye related diseases. ... Boilermakers ... sperry women\u0027s rosefish jersey boat shoes