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<br /> VISION SERVICE ~ <br /> GROUP VISION CARE AGREEMENT <br /> INDEX <br /> PAGE <br />I. TERM AND CANCELLATION OF AGREEMENT Cover <br />II. ELIGIBILITY DETERMINATION 1 <br />III. PRINCIPAL BENEFITS AND COVERAGE - SERVICES FROM 2 <br /> VSP PANEL DOCTORS <br /> VISION EXAMINATION <br /> MATERIALS <br /> LENSES, FRAMES, CONTACT LENSES, LOW VISION <br />IV. FACILITIES 4 <br />V. CHOICE OF PROVIDERS 5 <br /> SERVICES FROM NON-PANEL PROVIDER <br /> LIABILITY OF COVERED PERSONS FOR PAYMENT <br /> REIMBURSEMENT PROVISIONS <br />VI. PROCEDURES FOR USING THE PLAN 7 <br />VII. PRINCIPAL EXCLUSIONS AND LIMITATIONS OF BENEFITS 8 <br />VIII. GENERÞ~ PROVISIONS 9 <br />IX. COSTS UNDER THE PLAN 11 <br /> PREPAYMENT FEES <br /> DEDUCTIBLE <br /> OTHER CHARGES <br />X. RENEWAL PROVISIONS 13 <br /> CONTRACT <br /> TERMINATION OF CONTRACT - SERVICES BEING <br /> RENDERED <br /> INDIVIDUAL CONTINUATION OF BENEFITS <br /> BASIS FOR TERMINATION OF CONTRACT <br />XI. CLAIMS APPEAL PROCEDURES 14 <br /> COMPLAINTS - BENEFIT ELIGIBILITY <br /> COMPLAINTS - PROFESSIONAL SERVICES <br />XII. DEFINITIONS 16 <br />XIII. ADDENDUM Al <br /> ADDITIONAL BENEFIT-LOW VISION <br /> 1/87 AR/R-P,ASP <br /> - _>O....._...._..~_.".,"......~'_..-.,..._....., <br /> I <br />