

| Vision Insurance |
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| 5604 Old Bullard Road, Suite 106 Tyler, Texas 75703 903-939-8133 1-866-939-8133 fax 903-939-2534 |
| Cross Roads ISD |
| Offered through Block Vision of Texas This plan provides one eye exam and either one pair of glasses, or contact lenses, every 12 months. There is a $10 co-pay for your eye exam and a $10 co-pay for glasses or contacts. There is a $150 allowance for frames. Standard lenses for glasses are paid in full. Contact exams and lenses have a $175 annual allowance. Employee Only $8.60 Employee and Spouse $14.65 Employee & Child(ren) $15.50 Employee & Family $23.25 |
| Gentry Financial Group contacts for Cross Roads ISD: Chad Gentry Donnie Gentry Matt Jones |