Employee Eligibility

Employees must complete an enrollment form to enroll in coverage. Employees must be regularly scheduled to work at least thirty hours per week in a non-seasonal, non-temporary position in order to be eligible for vision insurance.

Eligible Dependents

• Spouse (legally married)
• A child under the age of 26 who meets at least one of the following criteria:

1. Employee's natural (biological) child
2. Employee's adopted child (including a child placed for adoption in anticipation of adoption)
3. A child for whom the employee is the legal guardian
4. Employee's child for whom the plan has received a qualified medical child support order requiring the child to be enrolled in health insurance  

• An employee or spouse's stepchild under the age of 26 for whom the employee or spouse is providing care
• Dependents over the age of 26 who are incapacitated (mentally or physically incapable of earning a living regardless of age). This provision applies only when the incapacity existed before the dependent's 26th birthday and they were already insured by a state-sponsored plan.
   

Dependents who are not eligible for coverage include: 
 

1. Foster children
2. Dependents not listed in the above definitions
3. Parent's of the employee or spouse
4. Ex-spouse
5. Live in companions who are not legally married to the employee

Premiums

EyeMed Premiums for 2022

Vision Coverage and Percentages

EyeMed Enrollment or Change Form

Provider Directory

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EyeMed Contact

EyeMed

1-866-299-1358