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NJSFAC/BOLLINGER
NEW JERSEY STATE FIRST AID COUNCIL
VISION INSURANCE PLAN
Program Eligibility and Structure
2014



ELIGIBILITY and PREMIUMS

  • All members of the NJSFAC are eligible to enroll into the vision plan through VSP Vision Care.
  • Coverage will be made effective the 1st of the month following receipt of the enrollment form.
  • Below is the rate schedule for the plan. Upon completion of your enrollment, you will receive an acknowledgment and your initial premium invoice.
Semi-Annual Rate

Member Only        $63.66
Member + One      $101.82
Member + Children $103.92
Member + Family   $167.58

PLAN HIGHLIGHTS for COVERAGE WITH VSP PROVIDERS
  • Annual Well Vision Exam - covered in full with a $10 copay
  • Lenses including single vision, lined bifocal, trifocal and lenticular - covered in full with a $25 Copay
  • Elective contact lenses covered up to $150
  • Contact lens Exam (fitting and evaluation) Copay up to $60
  • Necessary contact lenses covered in full
  • Extra savings and discounts for additional glasses and sunglasses
  • Enrolled members receive free access to TruHearing Hearing Aid Discount Program
  • Benefits though Other Non Preferred Providers are subject to applicable copays and limits
  • Benefit Summary
To Enroll:
  1. Complete the enrollment form.
  2. Mail your form with your check payable to Gallagher Bollinger to: 400 Market Street, Suite 450, Philadelphia, PA 19106 or fax to 215-351-9012. You can also email your form to irene_walton@ajg.com 

QUESTIONS
If you have any questions, please call Bollinger at 800-952-4050 and reach Irene Walton at extension 4765.

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