Questions & answers · Vision insurance
What benefit limits or maximums are written into Standard Insurance Company's vision insurance policy?
AI-drafted from filed documents · reviewed: pendingbenefit limits and maximumsStandard Insurance Company
Under Standard Insurance Company's filed form for California (CA), the vision insurance policy includes frequency limitations for eye care expenses, which may be on a rolling frequency basis (once or twice every 12 or 24 months) or on a benefit period basis (once or twice), depending on the plan design selected by the Policyholder [1]. The type of frequency provision is determined by the plan design, and the Benefit Period definition contains the variables [January 1] and [December 31], which can be any month and day based on the Policyholder’s plan year [1]. The frequency limitation in Limitation Nos. 1, 2, 3, or 4 will either be once or twice in a 12 or 24 month period (rolling frequency) or a benefit period frequency, depending on the plan design [1]. Associated expenses can be in lieu of any lens and/or frame benefit [1]. Any limitation could be deleted entirely or any of the sub-items based on the plan design selected by the Policyholder, and the entire list of services is optional and can be removed or modified based on the plan design [1]. This does not appear in these excerpts — check the full policy.
Information only — not legal advice. The insurer decides.
These answers quote forms insurers filed with state regulators. Your own policy, its endorsements and your state’s rules control. A filed form may not be the version sold to you.
Where this comes from (1)
[1] Standard Insurance Company · CA · SERFF AMFA-132862758 · form Opt & Var 9270 CA Rev. 04-21 · p. 1 · 2 · EYE CARE EXPENSE BENEFITS – 9270
EYE CARE EXPENSE BENEFITS – 9270 Frequency limitations may be on a rolling frequency basis (once or twice every 12 or 24 months) or on a benefit period basis (once or twice). The type of frequency provision is dependent upon the plan design selected by the Policyholder. Therefore, the Benefit Period definition will be included if the plan design includes a benefit period frequency limitation. If the frequency limitation is a rolling frequency, then this paragraph will not print. At the request of the policyholder frequencies could differ by employee and dependent. The Benefit Period definition contains the variables [January 1] and [December 31]. These variables can be any month and day, i.e., January 1 – December 31st, dependent upon the Policyholder’s plan year. The frequency limitation in Limitation Nos. 1, 2, 3 or 4 will either be once or twice in a 12 or 24 month period (rolling frequency) or a benefit period frequency depending upon the plan design selected by the Policyholder as referenced above. Associated expenses can be in lieu of any lens and/or frame benefit. Any limitation could be deleted entirely or any of the sub-items based on the plan design selected by the Policyholder. The entire list of services is optional and can be removed or modified based on the plan design selected by the Policyholder. … (excerpt — the filed text continues)
Drafted by a local AI model from the excerpts above, then checked by rules (citations, no rankings, no “not covered” claims from a partial excerpt). Question id Q6aafb20f. Spotted an error? Tell us.