GUIDELINES FOR EYEGLASS REIMBURSEMENT

(Voted on at the 12/12/2012 Executive Board Meeting)

     THE BENEFIT:

ONE - $25 reimbursement per calendar year per member and *dependant(s)

             up to $25 of out of pocket expense for corrective lenses whether it’s in

             the form of contacts or glasses

EYE EXAMS ARE NOT COVERED

* Dependant = Unmarried son or daughter, including adopted son or daughter &  

                          stepson or stepdaughter, only until such dependant child receives the

                          first bachelor’s degree from the University or any other college or  

                          university.    Must be listed on the dependant card at the Union office.

                                         Dependants in college - please include a form of proof such as a bill,   

                                         a current semester schedule, or a copy of their school ID.

MEMBERS MUST:

• Be in good standing
• Have a benefits card on file which includes the person’s name on the receipt, if not, the benefit will be denied and the member will have to complete benefit cards

THE RECEIPT MUST:

•  Have the Member name AND the name of the patient on it
•  Include date of purchase not more than 6 months old
•  Receipts older than 6 months from date of purchase will be denied
•  Show the purchase of corrective lenses in the form of contacts or glasses

Eye exams are NOT covered

     OTHER INFORMATION:

•  Eyeglass Reimbursements are processed every four to six week
•  Checks will be written to the member
•  Checks not cashed within 60 days will be voided and will not be reissued
•  Benefits cease once the member retires or passes away