University of Wisconsin

Vision Plan Premiums

2009 Vision Plan
Group Number F4ZL
Monthly Premiums for Coverage Effective 1/1/09
UW Deduction Code
Employee
Employee
+ Spouse/Domestic Partner
Employee
+ Children
Employee
+ Family
410
$5.83
$11.34
$11.88
$17.82

Premiums are deducted one month in advance of the month of coverage

2008 Vision Plan
Group Number F4ZL
Monthly Premiums for Coverage Effective 1/1/08
UW Deduction Code
Employee
Employee
+ Spouse/Domestic Partner
Employee
+ Children
Employee
+ Family
410
$5.83
$11.34
$11.88
$17.82

Premiums are deducted one month in advance of the month of coverage

2007 Spectera Vision
Group Number F4ZL
Monthly Premiums
UW Deduction Code
Employee
Employee
+ Spouse/Domestic Partner
Employee
+ Children
Employee
+ Family
410
$5.40
$10.50
$11.00
$16.50

Premiums are deducted one month in advance of the month of coverage

File last updated: October 10, 2008
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