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Employee Benefits Renewal Analysis <br />Renewal Date: 3/112026 <br />Vision <br />.in -Network BenefitsComparison <br />Provider Network <br />CURRENT/RENEWAL <br />EyeMed <br />Vision <br />EyeMed <br />--- - - <br />Annual Vision Exam <br />$16 Copay <br />Lenses <br />Single, Bifocal & Trifocal Lenses <br />$15 Copay <br />Progressive Lenses <br />$80'Copay' <br />Frame <br />$130'Allowance; SO% off Remainder' <br />Contact Lenses <br />Contact Lens Exam 8 Fitting <br />$40'Copay <br />Elective Contact Lenses <br />in lieu of lenses/frarnes <br />$150 Allowance,A 0/' off Remainder, ' <br />Available Discounts <br />Laser Vision Correction <br />'159/6 off retail price or <br />5%off promotional, rice <br />• . . :. <br />Vision Examination <br />Up-3o $40 <br />- - <br />Lenses <br />__ <br />Single Lenses <br />Bifocal Lenses <br />Up tb $39 , <br />U ;to,$50, ' <br />Trifocal Lenses <br />Upito $70, <br />Frame- <br />Up to,$91 <br />Elective Contact Lenses <br />in lieu of fenses/frames <br />Up to $150 <br />Exams <br />12 mbnt�is ;r . <br />Lenses/Contacts <br />12 months "' ; <br />Frames _-- <br />12;rpnnths' <br />HR <br />tici Requirement,,�urrerit panc�ipaUon <br />e Guarantee (from renewal date) 1:yeat _ <br />ation p ate Guarantee End Date '2/2t3%2027 <br />Employee + Spouse <br />28 . <br />Employee + Child(ren) <br />35 <br />Employee +Family <br />22. <br />Enrollment Totals <br />275' <br />Monthly Premium <br />Employee <br />Employee + Spouse <br />$9.47 <br />_ <br />Employee + Child(ren) <br />Employee + Family <br />$937 <br />$14.65 <br />Monthly Employee Contribution <br />Employee <br />MOO <br />Employee + Spouse <br />Employee + Child(ren) <br />$250 <br />Employee + Family <br />$482 <br />Monthly -Employer Contribution <br />_ <br />Employee <br />$4.99 <br />_ <br />Employee + Spouse <br />Employee + Child(ren) <br />Employee + Family <br />$7.47 <br />$9.83 <br />Total Annual Employer Contribution $19,486 <br />Variance from Current ($) $0 <br />Total Annual Premium $22,607 <br />Variance from Current ($) <br />so <br />Variance from Current %) <br />q`Yt, <br />Brown & Brown Insurance, Inc. <br />31 <br />750 <br />