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. ... .. ... . .. ,.,Ik ...?, ...::?... .. , ... <br />r ? <br />' • In the event the Wactual average cost exceeds the dollar amounts listed <br />in figure III, the employer shall pay 100$ of the actual average above the <br />dollar amount listed in figure III. <br />i u e ? <br />Period <br />7/1/93 - 6/30/94 $450 <br />$170 <br />7/1/93 - 6/30/95 $520 <br />$195 <br />E 1-9 <br />$470 <br />$170 <br />$580 <br />$195 <br />ure I.? Figure III <br />(family) $625 <br />(single) $211 <br />(family) $680 <br />(single) $232 <br />New employees must have participated in the plan for at least three <br />months to be entitled to a refund. Refunds granted pursuant of this section <br />shall not exceed the employee's contribution during that period. If a <br />refund is to be paid, it shall be paid within 30 days of the determination <br />of the actual cost for a period. If an additional payroll deduction is <br />required, it shall be made within 30 days of the determination of the actual <br />cost for a period. <br />Expected cost or premium is defined as the cost of all medical, <br />hospital, prescription drug costs, and related fees. <br />SECTION 3-: Dental Insurance for full-time employees listed on Exhibit <br />A; will be provided, and have as some of its features a$25.00 deductible <br />per person per calendar year together with an annual maximum of $1,000 <br />payable per covered person during any benefit year at no cost to the <br />employee. <br />SECTION 4,: The employer shall provide vision care coverage as follows, <br />through Union Eye Care or the current self insured vision plan with the <br />current benefit levels of coverage and conditions. The employee shall have <br />the option of either vision plan. <br />UNION EYE CARE <br />PLAN "B" CUSTOM VISION CARE PROPOSAL <br />Eye Examination <br />Eyeglass Eye Examination <br />includes Glaucoma Check <br />Contact Lens Examination <br />Eyeglass Lenses per pair <br />Single vision <br />Bifocals <br />Trifocals <br />Lenticular <br />Eyeglass Frames <br />Contact Lenses to <br />Cosmetic <br />Necessary (Therapeutic) <br />Fully Covered <br />$25.00 Allowance <br />Fully Covered <br />Fully Covered <br />Fully Covered <br />Fully Covered <br />$50.00 Allowance <br />$60.00 Allowance <br />$160.00 Allowance