University of Wisconsin

Vision Plan Premiums

2010 Vision Plan (VSP)

Monthly Premiums for Coverage Effective 1/1/2010
UW Deduction Code
Employee
Employee
+ Spouse/Domestic Partner
Employee
+ Child(ren)
Employee
+ Family
411
$5.24
$10.49
$11.23
$17.93

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

2009 Vision Plan (OptumHealth)
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

File last updated: October 5, 2009
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