Vision Coverage (2014-2018) Overview The State of Rhode Island’s vision plan is administered by the Vision Service Plan (VSP). Coverage for participating employees is effective the first day of state employment. Note: If you have a dependent who is age 19-25 and a full-time student enrolled under your vision plan, you must submit annual re-certification by November 30, 2017 to maintain their coverage. The re-certification process is done through Delta Dental as part of the State's dental plan; see the "Enrollment" tab on the Dental page for more information. Alert! Classified and unclassified State employees: This Vision Plan is no longer available starting 2019. Visit the new Vision page to see your 2019 plan options. Coverage Details Coverage Information Please see the VSP Benefits Summary for an overview of the State vision coverage. Click here to find a participating doctor. No ID cards are issued to VSP members; the ID number is your Social Security Number. At your appointment, tell your doctor that you are a member of VSP in order for him/her to verify your VSP eligibility. New! Starting with the November 2017 open enrollment period, VSP is pleased to offer participating employees additional benefits: Eyeconic®, a one-stop shop for purchasing eyewear, viewing vision insurance coverage, and accessing the VSP doctor network, and TruHearing®, a hearing aids program that offers exclusive discounts to VSP members and their families. See the flyers below to learn more. Eyeconic with Benefit Integration (Member) PDF file, less than 1mbmegabytes TruHearing Hearing Aid Discount Offer (Member) PDF file, less than 1mbmegabytes Eligibility Any State employee that satisfies all of the following criteria is eligible to enroll: Holds a non-seasonal position Scheduled to work at least 20 hours per week Not on leave without pay (LWOP) The following dependents are also eligible for enrollment: Spouse Domestic partner Children (Covered up until the end of the year that they turn age 19. Children over age 19 are covered up until the end of the year in which they turn age 25 as long as they are full-time students taking 12 or more credits and submit annual school certifications.) Enrollment Enrollment Periods Employees may enroll in vision coverage during one of the following periods: Within 31 days of hiring or a qualifying status change Open enrollment (the month of November) Enrollment Process Note: You only need to submit one copy of the following form(s) and documentation to the OEB if you are also enrolling in medical and/or dental coverage. Step 1: Required form Complete and submit the Health Coverage Enrollment/Status Change Form to the OEB. Step 2: Required supporting documentation Supporting documentation must also be submitted with the Health Coverage Enrollment/Status Change Form for the following circumstances: Spouses Dual state-employed spouses If two spouses are both state employees—i.e., an employee answers “Yes” in section 7 of the Health Coverage Enrollment/Status Change Form, they must also complete and attach the Dual State-Employed Spouses Declaration Form. Divorce Per statute, the State employee health plan cannot provide coverage to a non-state-employee former spouse. For all divorces occurring subsequent to December 31, 2013, employees must report the divorce as a status change on the Health Coverage Enrollment/Status Change Form; the non-state-employee former spouse will be dropped from coverage and offered COBRA. Domestic partnerships Employees must attach a completed copy of the Domestic Partnership Form with supporting evidentiary documentation in order to enroll a domestic partner in medical/prescription/dental/vision coverage. Note: The fair market value of the state’s contribution towards the cost of health coverage for a domestic partner is considered imputed income to the employee, and must be reported as taxable income on the employee’s bi-weekly paycheck unless the domestic partner qualifies as a dependent of the employee under the IRS rules and regulations for health plans. Click here to see an example of how to calculate imputed income. Children Employees must attach a copy of their child’s birth certificate to the Health Coverage Enrollment/Status Change Form in order to enroll a child for vision coverage. Children between age 19–25 who are full-time students: Proof of full-time student status must be submitted along with the Health Coverage Enrollment/Status Change Form when enrolling your dependent. Acceptable proof: Official school class schedule showing current enrollment in classes with at least 12 credits, tuition bill showing full-time enrollment, or letter from registrar indicating full-time enrollment. The dependent child’s name and the name of the school must be on the document. Unacceptable proof: Financial aid award letter or school acceptance letter. Premium Rates See below for 2018 premium rates—i.e., your co-share—for your vision coverage. A co-share is the amount you must pay each pay period for health insurance. Co-shares vary by individual vs. family coverage, as well as by annual salary and full-time/part-time status. Co-shares listed here are for classified and unclassified State employees only. College employees should refer to their college/university website (URI, RIC, CCRI) for their co-shares. Individual plans (bi-weekly co-shares) Full-time or part-time** employees Annual Base Salary Percentage* Co-Share Less than $110,594 20% $0.44 $110,594 and above 25% $0.55 Family plans (bi-weekly co-shares) Full-time or part-time** employees Annual Base Salary Percentage* Co-Share Less than $55,296 15% $0.91 $55,296 to less than $110,594 20% $1.21 $110,594 and above1 25% $1.52 * Percent of vision plan working rate. ** If your scheduled work hours are fewer than the full hours specified for your position, you will be classified as a part-time employee. Your co-share amount is determined according to the full-time annual salary for your job specification, not your part-time wages actually earned. Contact Please contact VSP to find a participating doctor or if you have other questions regarding your vision coverage: Visit www.vsp.com Call 1-800-877-7195