2025 Employee Benefits Guide | Page 5

Vision

Vision Insurance is provided by EyeMed. Our Vision Plan is a Preferred Provider Organization( PPO) which means you may use out-of-network providers. However, you will not receive EyeMed’ s discounted rates when doing so. The plan provides you with a large network of vision providers throughout the nation. Please see below for the Vision Plan Summary:
Key Vision Benefits( once every plan year)
Vision Plan( PPO)
Vision Exam $ 10 Vision Materials $ 25
Standard Frames $ 150 Allowance; 20 % off balance over $ 150
Contact Lense Fitting
Standard: Up to $ 40; Specialty: 10 % off retail price
Contact Lenses( in lieu of glasses) $ 150 Allowance; 15 % off balance over $ 150

Flexible Spending Accounts

Healthcare FSA
The Healthcare Flexible Spending Account( FSA) is provided by WEX. Your total annual contribution is loaded onto your WEX Mastercard on your eligibility date and may be used through September 30th of each year on qualifying medical expenses. A 2 ½ month grace period is provided through December 15th of each year to assist you with spending any unused funds.
Minimum Per Paycheck Contribution: $ 25.00 Maximum Plan Year Contribution: $ 2,475 *
Expenses include but are not limited to: Expenses under your Medical, Dental, and Vision Plans, in addition to certain over-the-counter medications and products.
Dependent Care FSA
The Dependent Care Flexible Spending Account( FSA) is provided by WEX. Your contribution is loaded onto your WEX MasterCard as it is deducted from each paycheck and may be used through September 30th of each year on qualifying dependent care expenses. A 2 ½ month grace period is provided through December 15th of each year to assist you with spending any unused funds.
Minimum Per Paycheck Contribution: $ 25.00 Maximum Plan Year Contribution: $ 3,750 * Expenses include:
• Care of a dependent child under the age of 13 by babysitters, nursery schools, pre-schools, or daycare centers.
• Care of a household member who is physically or mentally incapable of caring for him / herself and qualifies as your federal tax dependent.
* Annual Amounts are adjusted to reflect nine( 9) month Plan year.
Please refer to the FSA Page of the Benefits Portal for a detailed list of eligible expenses.