If differences exist between this document and the plan Certificate of Coverage (COC), the (COC) will prevail. Among the top five Stop Loss insurance carriers nationally and a direct writer of coverage, we use our expertise in managing risk to deliver smart solutions, exceptional performance and unparalleled support to our producer partners and their self-funded clients. To ensure we meet your specific needs, offer Guardian Vision with the choice of three networks: VSP, Davis Vision and Avesis. Group Vision Insurance | MetLife For detailed information about deficiencies, please visit the insurer's website. HMC 902-VIS-STofTN-EP (01/21) 2 505530 PDF HM Life Insurance Company - Duval County Public Schools Employee Benefits 118 0 obj <>stream HM Insurance Group is part of the Highmark family as a diversified business of the organization. EEL"Y$("C Employer Identification Number 11-3051991. what you can do to ensure healthy eyes and a healthier life. Our plans give you thousands of doctors to choose from in convenient locations. NYSDFS Examination Report - Life Insurance - Life Insurers: HM Life Our flexible business model and strategic mindset allow us to stay ahead of the market and client needs, providing essential protection and an approach to service that can give you confidence in the quality of what you are delivering to your customers. Notice to SEBB vision plan enrollees: This plan is administered by health care benefit manager Davis Vision Inc, which provides network, billing, enrollment, and claims processing services. PDF University of Virginia HM Life Insurance Company HVHC Inc. Davis Vision, Inc. 7 D. Service Agreements . Davis Vision Customer Service For assistance with your vision coverage contact the Davis Vision at: 1-800-999-5431 Email Us Find a Provider Find a Provider Davis Vision coverage is underwritten by HM Life Insurance Company, Pittsburgh, PA, under policy form series HMP 902-VIS or similar in all states except New York. PDF Your rights as a patient: Vision Care Plan Bene t - Judiciary of New Compare vision plans | Washington State Health Care Authority CHA is committed to addressing the needs of its residents and providing more effective services in order to increase their potential for long-term economic success and a sustained high quality of life. Welcome to Davis Vision! Cards may be used as proof of identificationto receive vision care benefits.The provider will check . HM's sister companies include United Concordia and Davis Vision. Vision Insurance - Tennessee PDF Underwritten by HM Life Insurance Company. Vision care plan for 288, to request that an enrollment or renewal form be mailed to you. 2022 Chicago Housing Authority. HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 . HM Life Insurance Company certifies that you will be insured under the Policy Number issued to the Policyholder named below during the time, in the manner, and for the amounts provided in the Policy. endstream endobj startxref PDF Buy glasses and contacts online with your benefits - Tennessee Today, it has grown to service millions members across thousands of client groups spanning all industries, trades, and professions. HM Life Insurance Company certifies that you will be insured under the Policy Number issued to the Policyholder named below during the time, in the manner, and for the amounts provided in the Policy. #3d \K>EBdI[J"x;BM)6MC q 4h8ZgvO(X@UB`S>= um\&ary%n 110 0 obj <>/Filter/FlateDecode/ID[]/Index[99 25]/Info 98 0 R/Length 68/Prev 112962/Root 100 0 R/Size 124/Type/XRef/W[1 2 1]>>stream jFo_>}SiRISOLL_(8 9TQLX&'suk-wN'\! G2OU^7Kczhdd|}{Wus h&*B#D(?6[)HaoZ,i1&.#?T7b{~#%e #!(/0 }V%"D,wg;)` 9 PDF HM Life Insurance Company - oakland.edu /pRl+W|*W0g%?\P$Tc HT9r0 %PDF-1.5 % For more information, contact: MCQA@tdi.texas.gov Employee Benefits - Renton School District 403 Company Name: DAVIS VISION,INC. . PDF Retirees Welcome to Davis Vision! Using your benefits is easy! Just log In all states except New York, Managed Care Reinsurance coverage is underwritten or reinsured by HM Life Insurance Company, Pittsburgh, PA, or Highmark Casualty Insurance Company, Pittsburgh, PA, under policy form series HM PEL 1105, HC PEL 1105, HMP PEL (08/19), HMP PEL (09/20), HML 1105 ELR, HMC 1105 ELR, HM 1005-ELR or similar. For more details about your vision benefits, patient rights and responsibilities, or more information about Davis Vision, please log on to our member Web site or contact us at 1.800.999.5431. Featured Promotions Connect America For questions regarding this benefit, contact Davis Vision Customer Service at: (844) 681-4498 and mention your affiliation with NYS PEF Retiree Vision Plan, or visit them directly online. hUnJ}/vd:A7, `.8mJ;;q 0 \{ #"^@'}@8h. Davis Vision Inc., 175 E. Houston Street, San Antonio, TX 78205 . HMC 902-VIS (9/21) (WA HCA) 2 506283 Table of Contents $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. HM is a wholly owned subsidiary and diversified business of Highmark Inc. HM's sister companies include United Concordia Dental and Davis Vision. Partnered with Visionworks, one of the premier optical eyewear chains, Davis Vision offers exclusive frames and lenses. PDF Pima County Government . Davis Vision has made every effort to correctly summarize your vision plan . Your Davis Vision Fashion Plan Benefits Benefit Frequency Once every - In-network Copay In-network Coverage Eye Examination Annual $0 Covered in full. Company Name: HM LIFE INSURANCE COMPANY: Employer identification number (EIN): 061041332: National Association of Insurance Commissioner's ID: 93440 [c;-zQE2{*ZAb*DP$xBOt6(f6ZG!!-F>}ti/02%pgD)?&$StyW$tCmvmE`*zZ8Xd&neqr=M}?zv~l }7yC>$MdSdj%H(+7y PW;7zG$RAbkfUs$`%PC AjaqL@/[,2_fu%[BwP9 @'g+D4^Qq8FNG3.ZVukIUqx$,lB~Ykh_u`(=DZ,EAR^(>2zRyZlI=Nl1dV8 HM Serves Top Brokers & TPAs Across the Country, comprised of three underwriting insurance carriers. Welcome to Davis Vision! g?h7 uRH Vision Insurance Home - Kansas City Life Insurance Group Benefits Online retailers Contact information Davis Vision Phone 1-877-377-9353 TRS 711 TTY 1-800-523-2847 Visit Davis Vision's website HM Life Insurance Company Phone 1-800-328-5433 YC'y+I0roX0&7*:~>SnDV*U|1gF!s Vb(*=(vVO7Ho]=w}=[S_! 93a?q]nb%&~U ce Jd b"^U( Before selecting a plan or provider, employees should compare vision plans to find out what services are covered, which providers are in-network, and the costs for care. Davis Vision is underwritten by HM Life Insurance Company. For Customer Service Call: 800-328-4728 . Davis Vision, underwritten by HM Life Insurance Company Notice to SEBB vision plan enrollees: This plan is administered by health care benefit manager Davis Vision Inc, which provides network, billing, enrollment, and claims processing services. 5 Coverage is underwritten by HM Life Insurance Company, Pittsburgh, PA, or Highmark Casualty Insurance Company, Pittsburgh, PA, under policy form series HL601 in all states . hb```f``g`a``| @1V Y(0yJ LMy B zV8Y22l``h -/}GGym!c-N:n\Qz#'{ ?HJN$vT_ oT]Z:%7p1 hrn=pyy{)k` 9@ R Rd1-:@9H5[FDdJi! Title: Vision Benefits Author: prunyan Created Date: 3/3/2015 8:11:59 AM . '\V1PNC!LiTeMm@Fcs4i'W )iY4JX=orfAo&S:7 DK[-B1.hE6k*. pm2#tc|G Qx&b JNm/4@oS5tZSO4{inU.%20]MnIcZ4l=DQ%Z*+6%b6YT34yrx'tG;':uM. HM at a glance | HM Insurance Group HMC 902VIS (6/10) 1 504319 HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 1-800-328-5433 HM Life Insurance Company certifies that you will be insured under the Policy Number issued to the Policyholder named below during the time, in the manner, and for the amounts provided in the Policy. endstream endobj 166 0 obj <>stream Find company research, competitor information, contact details & financial data for HM Life Insurance Company of Pittsburgh, PA. Get the latest business insights from Dun & Bradstreet. [DI.&>[%?7'4TZ-4v] @yX:CJ+[\'"4_%BhR- We are pleased to provide you with information on your vision benefit to help you care for your vision and eye health - a key part of overall health and wellness! Learn More About HM Insurance Group | HM Insurance Group endstream endobj 106 0 obj <>stream Voluntary vision insurance option A large provider selection Click here for a 2022 comparison of the plans' benefits. endstream endobj 167 0 obj <>stream Davis Vision, underwritten by HM Life Insurance Company. HM Life Insurance Company. We are pleased to provide you with information on your vision bene t to help you . hXrF+JxzV PDF Designer Plan %DVLF Benefits - e health insurance HM Insurance Group | Guarding Financial Health . . ~gYt}V=y9cD T ( _^JL >xUmHa[3;6=a98m}'MV>R+\+}*qB9aB6LMxrR::dBLxRg&_12pYU~;jlfYrF( Highmark Life & Casualty Group, Inc. was incorporated in 1990 and changed its name to HM Insurance Group, Inc. in April 2006. Vision plans offered by the SEBB Program are available to all benefits eligible employees. Be sure to review the Schedule of Benefits for your plan's specific benefits and other important details. /K_{iOgm~l0~E>X+}vQ@OGKfVmUJDoo~-7db:@l.nja3* 77Nt\R aLS U? PDF City of Tallahassee your vision plan - Talgov.com PDF HM Life Insurance Company - webcms.pima.gov vision; and what you can do to ensure healthy eyes and a healthier life. Davis Vision coverage is underwritten by HM Life Insurance Company, Pittsburgh, PA, under policy form series HMP902-VIS or similar. 176 0 obj <>/Filter/FlateDecode/ID[<34B59529FC6CCEBBCD07516CF90B2AEC>]/Index[156 31]/Info 155 0 R/Length 98/Prev 261142/Root 157 0 R/Size 187/Type/XRef/W[1 3 1]>>stream >\tx7b^X9r fdy7`i;&- ]@d 3J IY "All insured products are underwritten by either HM Life Insurance Company or HM Life Insurance Company of New York." Davis Vision may operate as Davis Vision Insurance Administrators in California Vision Care Plan Bene t Description New York State Uni ed Court System Please visit Davis Vision's website: 1093 - HM LIFE INSURANCE COMPANY AND DAVIS VISION, INC - Vision $a`bdRH Z Vision | Washington State Health Care Authority Davis Vision Inc., 175 E. Houston Street, San Antonio, TX 78205 For Customer Service Call: 800-328-4728. HM Insurance Group - Newsroom Articles - Media Relations Our unique Dual Choice option allows groups of 50 or more eligible employees the choice between two vision networks. HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 GROUP VISION POLICY NON-PARTICIPATING THIS POLICY PROVIDES LIMITED BENEFITS ADMINISTERED BY Davis Vision, Inc., 175 E. Houston St., San Antonio, TX 78205 For Customer Service Call: 800-328-4728 POLICYHOLDER: City of Tallahassee POLICY NUMBER: 504912-A EyeMed Vision Care is a USA domiciled entity or foreign entity operating in the USA. out-of-pocket costs. Learn more about our team, our expertise, and our commitment to serve. The EIN ihas been issued by the IRS. H|T;0X)QU^#[I%/ZHCN So[Xc}.'|%(}?FX?u?Ji 9-bk2YVkUN)j 3ww}CF\? ErDFb68.Fa/@QHj4@It@aX/>cmD?- ?`#oKWE.s8R2R~VQ48;(8~$2 @9ceU%: _Gt:NBZKTtCC@517.ZA 3u@+Q!PfQZq3=W+%icSdMv=UWk,t5uuu_'|6DJ?\uK 8es\>&abaJ!q ;= Once enrolled, please visit Davis Vision's website: www.davisvision.com, or . hT=O0AU,ahawKDI{!|h7, d@?8p`:Tv0F7 b2/8\?~pI={ob9F+F?8[@B>zDx.! 0 "All insured products are underwritten by either HM Life Insurance Company or HM Life Insurance Company of New York." Davis Vision may operate as Davis Vision Insurance Administrators in California Vision Care Plan Bene t Description 3z>2X:FyG 8P oEAH*EB>$]t8TwuG;#z`5N|NyWvx9_" g8rcruo*(^r|7q?\DF92N_ W The plan offers benefits for eye examinations, eyeglasses and/or contacts. hTN@}U^%)pZ}0\9e}gvCA>X;ss&pPE cR"CQUVMZ6taswvyD26(sYS-Ret6}hWvdo@d!w~Fhv ZZyaJ8Mk:%;tkA,d@`-VaN|z0{RD 3:E=4E^zMQZ.j5j0}s^U:/Wb1JKM;E7P,)jF\8Bfl[l*lMY$KkeuoOiT]h 6FWxo.-# }jEv ^L 0:p)"s"@jyDDL$#Ij"-5CE9 AzAtt&^ns3. ;2UivE_0Zg \^!"=N&J{+83fMM? Davis Vision | HM Insurance Group In New York, Stop Loss coverage is underwritten by HM Life Insurance Company of New York, New York, NY, under policy form series HMP-SL (11/16), HMP-SL (08/19) or HMP-SL (06/20) or similar. 101 0 obj <> endobj Using your benefits We provide fast, accurate, online service so you can access information quickly and easily. 0 Created Date: 6/14/2021 4:56:44 PM . hb```f``Rk ( /4!r[-2':6bn 3S````h```h`# c`,l@iee`0jc=ci/f. Life Insurance . PDF Vision Benefits Employee Enrollment Form - MVCC x8|,cTgG7m&o{AwpXCNrQOSTgW5Cv"Z2i"&Z,HJ^EdIm,zWW/Nj! Call the PEF Retirees at (800) 342-4306, ext. HMC 902-VIS-STofTN (01/21) 2 505530 HM Life Insurance Company. endstream endobj 105 0 obj <>stream 123 0 obj <>stream Administered by Davis Vision, which may operate as Davis Vision Insurance Administrators in California. Preferred Provider Plan Vision Service Areas | Mass.gov PDF HM Life Insurance Company - Tennessee HM Insurance Group now consists of HM Life Insurance Company, HM Life Insurance Company of New York, HM Benefits Administrators and Highmark Casualty Insurance Company. PDF Davis Vision Plan Benefits - Dental Insurance Plans NY NJ CHA is committed to providing landlords and property owners the training, expertise and knowledge necessary to ensure all of Chicagos neighborhoods are safe, decent and sustainable. 3R `j[~ : w! Davis Vision, 175 E. Houston Street, San Antonio, TX 78205 life. endstream endobj 162 0 obj <>stream
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