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Eligible Cal Poly Pomona employees and dependents may enroll in vision coverage that is currently paid by the CSU. Premiums are generated through the payroll process and are paid on a monthly basis. Premiums are paid annually in a one-time lump sum amount for Faculty Early Retirement Program (FERP) employees.
Effective January 1, 2007, CSU vision benefits are insured through Vision Service Plan (VSP). The CSU Vison Plan - Group Plan Number #12292796
Claim form is not required when using standard in-network benefits.
By choosing a participating provider in the Vision Service Plan (VSP) network, the insurance will cover more out-of-pocket costs.
For employees eligible for the Video Display Terminal benefit, print the VDT Claim Form (.pdf) and present this to the VSP Select Network doctor or non-VSP provider.
Services provided by a non-VSP provider must be paid in full by the employee. For reimbursement, complete a VSP Out-of-Network Reimbursement form (.pdf). For complete benefits information visit the following URL: http://www.calstate.edu/HR/benefitsportal/vision.shtml
