STAND ALONE Dental & Vision Coverage 

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We are pleased to inform you that 1Life Benefits will continue to offer a dental and vision program for eligible retirees.  This joint effort has produced a high quality, voluntary dental and vision plan. 

 

If you are receiving this letter, you are currently enrolled in the coverage through the Steel Retirees Voluntary Benefits Trust.

The policy for your current plan will automatically renew effective February 1, 2022.  The new rates will be applicable from February 1, 2022 through January 31, 2023.

Please note that your current invoice reflects these updated rates.

 

Rate Changes:

Below are the monthly rates that were negotiated on your behalf.  Each retiree and family member is paying 100% of the rate:

 

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STAND ALONE Dental Coverage 

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We are pleased to inform you that 1Life Benefits will continue to offer a dental and vision program for eligible retirees.  This joint effort has produced a high quality, voluntary dental and vision plan. 

 

If you are receiving this letter, you are currently enrolled in the coverage through the Steel Retirees Voluntary Benefits Trust.

The policy for your current plan will automatically renew effective February 1, 2022. The new rates will be applicable from February 1, 2022 through January 31, 2023.

Please note that your current invoice reflects these updated rates.

 

Rate Changes:

Below are the monthly rates that were negotiated on your behalf.  Each retiree and family member is paying 100% of the rate:

 

Benefit Changes:

There are no changes to the current benefit plans at this time.

If you wish to cancel your coverage, you must submit written notice of cancellation prior to the date of renewal. You may submit your request by fax to 216-504-9561 or my mail to:

1Life Benefits

4853 Galaxy Parkway, Suite K

Cleveland, OH 44128

 

This new plan will be managed and administered by a separate entity through a Trust.  This means that:

  • There will be separate Plan Administrator that will manage the Trust.

  • Questions and inquiries will go to the Plan Administrator. Please use the toll-free numbers provided for information on the plans.

 

Enclosed you will find the following:

  • Dental and Vision Plan Benefit Summaries

  • Application to enroll

  • Plan Rules

  • Return Envelope

  • Automatic Clearing House Form – to pay your premium through automatic bank draft monthly.

If you would like to enroll, simply complete the enclosed application, check the box(es) for plan(s) that you would like to enroll in, and return in the enclosed envelope by February 1, 2022 through January 31, 2023 effective.  Otherwise, if you mail your application after January 25th, it would be effective on the first day of following month (see Frequently Asked Questions for Additional Information).

 

Please include three month’s premium with your application.  Checks should be made payable to: 1Life Benefits

 

We are pleased to bring this opportunity to you.  If you have any questions on the plan, please call our Customer Care Center at 1-866-634-9842.

 

Sincerely,

 

1Life Benefits 

 

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STAND ALONE Vision Coverage 

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We understand vision coverage is critical

DeltaVision® is provided by ProTec Insurance Company, a wholly-owned subsidiary of Delta Dental of Illinois, in association with EyeMed Vision Care networks. DeltaVision offers members vision care benefits that combine choice, value and wellness. Your DeltaVision program provides vision care insurance to you (and your family, if applicable) according to the following information. Active, full-time employees are eligible for coverage.

Additional Discounts

Member will receive a 20% discount at in-network providers on items not covered by the program. This discount may not be combined with any other discounts or promotional offers and the discount does not apply to contact lenses or an in-network provider's professional services. Retail prices may vary by location.

 

Members also receive a 40% discount off complete pair eyeglass purchases and a 15% discount off conventional contact lenses at in network providers once the funded benefit has been used.

 

After initial purchase, replacement contact lenses may be obtained via the Internet at substantial savings and mailed directly to the member. Details are available at www.deltadentalil.com/deltavision. The contact lens benefit allowance is not applicable to this
service.

 

LASIK or PRK: DeltaVision enrollees can receive a discount of 15% off retail price or 5% off promotional price from select providers. Please contact us at www.deltadentalil.com/deltavision or 866-723-0513 for a current list of LASIK/PRK providers.

Network Information

You may choose to go to any licensed optometrist, ophthalmologist and/or dispensing optician whenever you need vision care. However, there may be significant cost advantages when you receive treatment from an innetwork provider.

We offer two easy ways to locate an in-network provider 7 days a week, 24 hours a day. You can either:

Using Your Vision Program
  1. Have your DeltaVision information card available when scheduling and visiting an in-network provider. An innetwork provider participates in the EyeMed Vision Care Provider network. It's very important that you know which network your benefit plan utilizes (your plan uses the Select network). You will only receive in-network benefits from Select network providers.. Please note: the network provider will need the primary enrollee's name and date of birth to verify eligibility.

  2. Pay your copayment and any other charges not covered at the time of service. No paperwork is required. You continue to save on additional eyewear purchases any time you present your card to an in-network provider.

  3. If you select a provider who is not in the network, you do not receive preferred pricing and you may be asked to provide full payment to your out-of-network provider at the time of service. To receive benefit reimbursement, submit a completed claim form (available on our website), along with itemized receipts from your provider and your prescription to:
    DeltaVision Claims Processing, c/o EyeMed Vision Care,P.O. Box 8504, Mason, OH 45040-7111

Exclusions

In no event will coverage exceed the lesser of:

  1. the actual cost of Covered Services or Materials or

  2. the limits of the Policy, shown in the Schedule.
     

Lost or broken lenses, frames, glasses or contact lenses will not be replaced except in the next benefit period.
Benefits may not be combined with any discount, promotional offering or other group benefit programs.
Benefit allowances provide no remaining balance for future use within the same benefit period.

 

There is no coverage for professional services or materials connected with:

  1. Orthoptic or vision training, sub-normal vision aids and any associated supplemental testing;

  2. Aniseikonic lenses;

  3. Medical and/or surgical treatment of the eye, eyes or supporting structures;

  4. Corrective eyewear required by an employer as a condition of employment and safety eyewear unless specifically covered under this program;

  5. Services provided as a result of any Workers' Compensation law;

  6. Plano lenses (lenses that have no refractive power), non-prescription lenses and nonprescription sunglasses (except for 20% discount);

  7. Two pair of glasses in lieu of bifocals.

 

The preceding information is a brief summary of ARCELOR MITTAL Complete Vision Program and the services it covers. If you have specific questions regarding benefit coverage, limitations or exclusions, contact our customer service department at 1-866-723-0513.

DeltaVision® is provided by ProTec Insurance Company, a wholly-owned subsidiary of Delta Dental of Illinois, in association with EyeMed Vision Care networks.
111 Shuman Blvd
Naperville, IL 60563
800-335-8215
www.deltadentalil.com/deltavision