2004/06/08 City Council Resolution (7)RESOLUTION NO. 2004 - 141
A RESOLUTION OF THE CITY OF ROHNERT PARK APPROVING AN INSURANCE
COVERAGE AGREEMENT WITH VSP
WHEREAS, the City of Rohnert Park has met and conferred with its bargaining
units regarding the change in coverage for health benefits;
WHEREAS, the vision care plan offered to the City's employees and retirees will
be provided by VSP;
WHEREAS, attached as EXHIBIT A to this resolution are the benefit highlights
for the VSP plan that the City will be offering its employees and retirees;
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Rohnert
Park approves an insurance coverage agreement with VSP and authorizes the City
Manager to finalize negotiations and execute the agreement.
DULY AND REGULARLY ADOPTED this 8th day of June 2004.
CITY OF/ROHNERT P
I_l
ATTEST:
FLORES: AYE MACKENZIE: AYE SPRADUN: AYE VIDAK- MARTINEZ: AYE NORDIN- AYE
AYES: (5) NOES: (0) ABSENT: (0) ABSTAIN: (0)
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EXHIBIT A for
Resolution No. 2004 -141
aaa Mind
Are you re all seeing ,our ;best 7 Or arC, ��
t y alt) Jqf ah, Jiro l
you simply used to the view? With goad rif, ice iv,
Vision your experiences ere i.learer.
`harper, And a lot more vivid.
Besides helping you set~ better, routine eye exai is can detect a
number of serious healthy conditions such as glaucoma, cataracts
and diabetes. Even cancer. PlLls, eye exarn s for kids car) spot
problerns that curt impact their learning and development.
Alwigs Accep titz New Rti trc'rits
VSP network doctors are located right vvhorc, you treed the >rn -
close to work, home and shiopping ma €ls. They provide top
duality care and offer a wide selection of frames to choose from
- -- all at one convenient location, Their cotrinlitrrent to cafe and
service grows with you and your family for a lifetime of care.
claim forms.
Ew.
U t t ], , a
at vsp,com or call 1-800-877-7195,
nent and tall the doctor you are a VSP
/SP Will handle the rest
VSI?co-tit - ° -,-m.7 itst4wrr .ir 1qthyi', AP'1 lit7bere
What's important to you
Coo you need an evening S t zwp. c '
appointrrient% Interested
Yf t'1!..Eik .�u#tc �rt�t�:'
in a doctor vd-io fo(uses
on sports eyevvec-tr or children? I poking for a cred ble resource
for an eye condition such as pink eye and allergies:' DO YOU
Want a p =ersonalized VSP card
Your eyecare benefit is brought to you by
City of Rohnert Park and VSP
Your •. • Plan Coverage
When visiting a VSP network doctor, you'll receive:
Exam............................... ..........................every 12 months
Prescription Glasses
Lenses ........................ ..........................every 12 months
Single vision, lined bifocal, lined trifocal, tints and
photochromic lenses are covered in full:
Frames ........................ ..........................every 12 months
Frame of your choice covered up to $120.00. Plus, 20% off
any out -of- pocket costs.
_OR—
Contacts ......................... ..........................every 12 months
When you choose contacts instead of glasses, your $105.00
allowance applies to the cost of your lenses and the fitting and
evaluation exam. This exam is in addition to your vision exam
to ensure proper fit of contacts.
There are no copays applied to your Standard Plan
coverage.
This enhancement allows members to obtain a second pair of
prescription glasses or contact lenses every 12 months,
subject to a $20 copay.
.• •
This benefit allows members to obtain contact lenses, covered
in full every 12 months, in addition to the frame and lenses (or
contacts) obtained under the Standard Plan, subject to a $50
copay. One day disposable contacts are covered up to a
$400 maximum allowance.
Supplemental
Primary EyeCare provides members with urgent or non-
surgical eye care benefits through their existing VSP doctor.
Examples of primary eye care services include but are not
limited to exams to diagnose pain in the eye and to monitor the
progress of pre - surgical cataracts, diagnosis and tests for loss
of vision in the eye, and the treatment and management of
glaucoma. There is a $5 copay per office visit.
Discounts Extm
Laser Vision Correction Discounts:
Prescription Glasses
? Up to 20% savings on lens extras such as scratch resistant
and anti - reflective coatings and progressives
? 20% off additional prescription glasses and sunglasses
Contacts
? Exclusive pricing on annual supplies of popular brands
• • will do) • • •
Dollar for dollar you get the best value from your VSP benefit when you
visit a VSP network doctor. If you decide not to see a VSP doctor,
copays still apply. You'll also receive a lesser benefit and typically pay
more out -of- pocket. You are required to pay the provider in full at the
time of your appointment and submit a claim to VSP for partial
reimbursement. If you decide to see a provider not in the VSP network,
call us first at 800 - 877 -7195.
Reimbursement Amounts:
Exam....................................................... ............................... Up to $45
Lenses:
Single Vision ........................................... ............................... Up to $45
Bifocal.... .................. - .__........... ............_............_._._. Up to $65
Trifocal......................................._....... ...................... Up to $85
Tints /photochromic lenses ........................ ............................... Up to $5
Frame. ........ ...... ............. .......................... __ --- ................. _ Up to $47
Contact Lenses (Standard or Second Pair) ......................... Up to $105
Covered Contact Lens Plan .................. ............................... Up to $250
VSP guarantees service from VSP network doctors only.
In the event of a conflict between this information and your organization's contract
with VSP, the terms of the contract will prevail.
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