Plan Underwriting Guidelines

Employer Paid Vision Plan Criteria and Design

  • Minimum Group Size -10 enrolled employees
  • Employees to be Covered - 100%
  • Dependents to be Covered - 50% (approximate)
  • Co-Payment - Not required, can quote any increment of $5
  • Take Over, No Loss - No Gain
  • Benefit Waiting Periods - Effective first of the month when eligible by employer
  • Rate Guarantee - Two (2) Years

Voluntary Vision Plan Criteria and Design

Because of adverse selection experienced with voluntary vision plans, the effect of increased utilization must be taken into consideration when underwriting the rates.

  • Group Size - Require a minimum of 10 enrolled employees
  • Participation, Employee - 25% (approximate)
  • Participation, Dependent - 25% (approximate)
  • Co-Payment - Not required, can quote any increment of $5
  • Take Over, No Loss - No Gain
  • Benefit Waiting Periods - Effective first of the month when eligible by employer
  • Rate Guarantee - Two (2) Years