UUP RETIREE DAVIS VISION COVERAGE
Group Number UPRE1 See Premium Schedule at End of Document
The Davis Vision Care Plan offers eligible UUP retiree members and dependents quality eye
care services through a nationwide network of highly qualified optometrists. Davis Vision is a
unionized company; employees are represented by United Optical Workers, Local #408
Davis Vision Providers: Eligible retiree members will receive the maximum benefit from the
Vision Care Plan when utilizing an in-network provider. A list of in-network providers is
available at www.davisvision.com or by calling Davis Vision Customer Service at
How to Use the Benefit: Visit the network provider of your choice, identify yourself as a UUP
retiree member or dependent, and provide the requested information. The provider’s office will
contact Davis Vision and verify eligibility for services. No claim forms or identification cards
What the Plan Provides: Every 12 months (based on the last date of service), eligible UUP
retiree members and dependents are entitled to a comprehensive eye examination that includes
glaucoma testing and dilation when professionally indicated, and one pair of eyeglasses
(prescription lenses and frames) or the benefit may be applied toward contact lenses.
Enrollment: To enroll, you must complete a Davis Vision enrollment form. Enrollment forms
can be located at www.uupinfo.org or by contacting the UUP Benefit Trust Fund office at 800-
342-4206 Extension #638 Anne Marine, Retiree Coordinator.
Enrollment will be effective the 1st of the month following the month in which we receive your
enrollment application and premium payment.
Premiums: Premiums must be paid on a quarterly or annual basis.
Lenses and Frames: For Vision Care Plan prescription lenses and frames there are no co-
payments or deductibles. Retiree members may select enhancements for nominal co-pay.
Contact Lenses: Standard, soft, daily-wear, disposable or planned repl