Vision Care Plan for Orange County Schools

Benefits through Superior National network

Shop with convenience while using your benefits through these in-network online retailers.

LASIK Discounts5

Multiple discounts on laser vision correction procedures may be available to you. To learn more, visit superiorvision.com or contact your benefits coordinator.

Through Your Hearing Network, you have access to discounts on hearing services, devices, and accessories. To learn more, visit superiorvision.com or contact your benefits coordinator.

Free

With the free Superior Vision app (available for Android and Apple devices), you can create an account, check your eligibility and benefits, find providers, and view your member ID card.

MetLife Vision benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Certain claims and network administration services are provided through Superior Vision Services, Inc. (“Superior Vision”), a Delaware corporation. Superior Vision is part of the MetLife family of companies. Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods and terms for keeping them in force. Please contact MetLife or your plan administrator for costs and complete details. Co-pays apply to in-network benefits; co-pays for out-of-network visits are deducted from reimbursements 1. Materials co-pay applies to lenses and frames only, not contact lenses. 2. Standard contact lens fitting applies to a current contact lens user who wears disposable, daily wear, or extended wear lenses only. Specialty contact lens fitting applies to new contact wearers and/or a member who wear toric, gas permeable, or multi-focal lenses. 3 Covered to provider’s in-office standard retail lined trifocal amount; member pays difference between progressive and standard retail lined trifocal, plus applicable co-pay 4 Contact lenses are in lieu of eyeglass lenses and frames benefit. 5 Not all providers support these discounts, including the member out-of-pocket features. Call your provider prior to scheduling an appointment to confirm if they offer the discount and member out-of-pocket features. The discount and member out-of-pocket features are not insurance.

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1LIMRA, Facts About Life 2016. Web. 30 June 2017. <https://www.limra.com/uploadedFiles/limra.com/LIMRA_Root/Posts/PR/_Media/PDFs/Facts-of-Life-2016.pdf> 3Rates and/or benefits may be changed.

®

Prepare. Protect. Prevail. With The Hartford.

The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including issuing companies Hartford Life Insurance Company and Hartford Life and Accident Insurance Company. Home Office is Hartford, CT. 5962a and 5962b NS 08/16 © 2016 The Hartford Financial Services Group, Inc. All rights reserved.

This Benefit Highlights document explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this document and the policy, the terms of the policy apply. Benefits are subject to state availability. Policy terms and conditions vary by state. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy as issued to the policyholder. The Hartford compensates both internal and external producers, as well as others, for the sale and service of our products. For additional information regarding Hartford’s compensation practices, please review our website http://thehartford.com/group-benefits-producer-compensation. Life Form Series includes GBD-1000, GBD-1100, or state equivalent.

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Premiumswillbeautomaticallypaidthroughpayrolldeduction,asauthorizedbyyouduringtheenrollmentprocess.Thisensuresyou don’thavetoworryaboutwritingacheckormissingapayment.

WHEN CAN I ENROLL?

Youmayenrollduringanyscheduledenrollmentperiodwithin31daysofthedateyouhaveachangeinfamilystatus,orifhired within1stthrough14thofthemonth­thefirstdayofthemonthfollowingthedateyouwerehired.Ifhired15ththroughtheendofthe month­thefirstdayofthemonthfollowing1monthofemployment.

WHEN DOES THIS INSURANCE BEGIN?

Subjecttoanyeligibilitywaitingperiodestablishedbyyouremployer,insurancewillbecomeeffectiveinaccordancewiththetermsof thecertificate(usuallythefirstdayofthemonthfollowingthedateyouelectcoverage).

Youmustbeactivelyatworkwithyouremployeronthedayyourcoveragetakeseffect.

Yourspouseandchild(ren)mustbeperformingnormalactivitiesandnotbeconfined(athomeorinahospital/carefacility),unless alreadyinsuredwiththepriorcarrier.

WHEN DOES THIS INSURANCE END?

Thisinsurancewillendwhenyou(oryourdependent(s))nolongersatisfytheapplicableeligibilityconditions,premiumisunpaid,or thecoverageisnolongeroffered.

CAN I KEEP THIS INSURANCE IF I LEAVE MY EMPLOYER OR AM NO LONGER A MEMBER OF THIS GROUP?

Yes,youcantakethislifecoveragewithyou.Coveragemaybecontinuedforyouandyourdependent(s)underagroupportability certificateoranindividualconversionlifecertificate.Yourspousemayalsocontinueinsuranceincertaincircumstances.Thespecific termsandqualifyingeventsforconversionandportabilityaredescribedinthecertificate.

LIMITATIONS & EXCLUSIONS

This insurance coverage includes certain limitations and exclusions. The certificate details all provisions, limitations, and exclusions for this insurance coverage. A copy of the certificate can be obtained from your employer.

GROUP LIFE INSURANCE

GENERAL LIMITATIONS AND EXCLUSIONS

• Your basic life benefit will be reduced by 50% at age 70.

• A supplemental or voluntary life benefit will not be paid if death occurs by suicide within two years (or as allowed by state law) of purchasing this coverage.

•You and your dependent(s) must be citizens or legal residents of the United States, its territories and protectorates.

DEPENDENT LIMITATIONS AND EXCLUSIONS

•Coverage may only be elected for dependents when you elect and are approved for coverage for yourself.

•Coverage may not be elected for a dependent who has employee coverage under this certificate.

•Coverage may not be elected for a dependent who is in active full-time military service.

•Child(ren) may only be covered as a dependent of one employee.

• Infants may receive a reduced benefit prior to the age of six months.

5962a NS 08/16 © 2016.The Hartford Financial Services Group, Inc. All rights reserved. Life Form Series includes GBD-1000, GBD-1100, or state equivalent.

Prepare. Protect. Prevail. With The Hartford. ®

The Hartford® is The Hartford Financial Services Group, Inc. and its subsidiaries, including issuing companies Hartford Life Insurance Company and Hartford Life and Accident Insurance Company. Home Office is Hartford, CT.

This Benefit Highlights document explains the general purpose of the insurance described, but in no way changes or affects the policy as actually issued. In the event of a discrepancy between this document and the policy, the terms of the policy apply. Benefits are subject to state availability. Policy terms and conditions vary by state. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy as issued to the policyholder.

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