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Principal Mutual Vision Plan Option

Covered Benefit

Amount Covered

Examinations-one every 12 months $50
Lenses-one every 12 months
-single vision
-bifocal lenses
-trifocal lenses
-lenticular lenses

$50
$75
$100
$150
Frames-one every 24 months $100
Contact Lenses-one every 12 months in lieu of glasses
-if vision in the better eye can be corrected to 20/70 or better


$150

This is a summary of benefits only.
Please refer to your plan's booklet or contact Human Resources for full details of coverage and eligibility.

Vision Claim Form(requires Adobe Acrobat)

http://www.principal.com

Download Adobe Acrobat here.

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