Human Resources > Benefits > Vision Benefits

Vision Benefits

Plan Info


Cigna Vision

Vision Plan Highlights

Employee vision benefits are provided by Cigna.


Summary Plan Description

In-network, covered-in-full benefits (after applicable co-pay) include:

  • a comprehensive exam
  • eye glasses with standard single vision, lined bifocal, or lined trifocal lenses, standard scratch-resistant coating and the frame
  • or contact lenses in lieu of eyeglasses
  • Enrollment is allowed only as a new hire, through qualifying events, or open enrollment
  • Coverage is continuous unless actively changed

Cigna Vision Claim Form


2-Step Enrollment

Two steps to enroll in the Vision Plan:


1. Complete the Medical/Dental/Vision enrollment form

2. Complete the Salary Reduction Agreement form
- if you intend to contribute your own money to your HSA

Provider Look-Up
Website registration is required

  • Track claims
  • Verify coverage for procedures
  • View Explanations of Benefits
  • In-network provider look-up
  • Manage plan ID cards
  • Wellness Video Library


Vision Premiums

MonthlyBiweekly (24)
Employee $5.82 $2.91
Employee + one $11.11 $5.56
Employee + family $18.07 $9.04

Enrollment Forms and Links

Medical/Dental/Vision enrollment form

Salary Reduction Agreement - HSA

Claim Forms