2025 - Open Enrollment Flyer - Medical - Vision

VISION Effective Date: 11/01/2025

In-Network

Out-of-Network

Comprehensive Exam

Once every 12 months - $10 Copay

Up to $40 reimbursement

Eyeglass Lenses

Once every 12 months - $25 Copay Once every 12 months - $130 Allowance

Up to $40 reimbursement

Frames

Up to $45 reimbursement

Contact Lenses

Once every 12 months - $25 Copay

Up to $105 reimbursement

What do you need to do during the OPEN ENROLLMENT period?  If you do not want to make any changes to your current medical/dental benefit elections, no action is needed. All your current benefit elections will automatically carry over and remain effective for the upcoming plan year.  If you want to change any of your current benefit elections, you will need to complete a new enrollment form to be returned to christineharper@rkmllp.com.  Examples of needing new enrollment forms are: o Current enrollees who now wish to waive coverage. o Current enrollees who are changing enrollment status (i.e., adding/removing spouse or dependents) o Employees not currently enrolled who now wish to do.

Please ensure all enrollment paperwork has been submitted by Friday, October 17 th , 2025.

NOTE : After the Open Enrollment Period, you cannot make changes to your coverage during the year unless you experience a change in family status, such as:

 Loss or gain of coverage through your spouse  Loss of eligibility of a covered dependent  Death of your covered spouse or child  Birth or adoption of a child  Marriage, divorce, or legal separation  Switch from part-time to full-time

You have 30 days from a change in family status to make changes to your current coverage.