Exclusions No benefits will be paid for services or materials connected with or charges arising from:

1. Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing;
2. Medical and/or surgical treatment of the eye, eyes, or supporting structures;
3. Any eye or Vision Examination, or any corrective eye wear, required by an employer as a condition of employment;
4. Services provided as a result of any Worker's Compensation law, or similar legislation, or required by any governmental agency or program whether Federal, state or subdivisions thereof;
5. Plano (non-prescription) lenses;
6. Non-prescription sun glasses;
7. Two pair of glasses in lieu of bifocals. Lost or broken lenses, frames, glasses, or contact lenses will not be replaced except in the next Benefit Period when eyewear would next become available. Please refer to the policy for complete plan details. This is a vision care only policy. Some provisions, benefits, exclusions or limitations listed may vary depending on state of residence.

Administration Administrative Services By:
Associated Insurance Services Inc.
1-800-366-9322.
E-MAIL

Underwritten by Fidelity Security Life Insurance Company.