1/ The Davis Vision Collection is available at most participating independent provider locations. Collection is subject to change. Collection is inclusive of select toric and multifocal contacts.

2/ Additional discounts not applicable at Walmart, Sam’s Club or Costco locations.3/ Including, but not limited to toric, multifocal and gas permeable contact lenses.4/ For dependent children, monocular patients and patients with prescriptions of 6.00 diopters or greater.5/ Transitions® is a registered trademark of Transitions Optical Inc.6/ Enhanced frame allowance available at all Visionworks Locations nationwide.Davis Vision has made every effort to correctly summarize your vision plan features. In the event of a confl ict between this information and your organization’s contract with Davis Vision, the terms of the contract or insurance policy will prevail.

For more details about the plan, just log on to the Open Enrollment section of our Member site at davisvision.com or call 1.877.923.2847 and enter Client Code 2655.

During open enrollment, contact your employee benefi ts department to enroll.

Designer Vision Plan

OE00977 9/14/15

How to locate a Network Provider...Just log on to the Open Enrollment section of our Member site at davisvision.com and click “Find a Provider” to locate a provider near you including:

One-year eyeglass breakage warranty included on plan eyewear at no additional cost!

Healthy eyes and clear vision are an important part of your overall health and quality of life. Your vision plan helps you care for your eyes while saving you money by offering:

Paid-in-full eye examinations, eyeglasses and contacts!

Frame Collection: Your plan includes a selection of designer, name brand frames that are completely covered in full./1

Contact Lens Collection: Select from the most popular contact lenses on the market today with Davis Vision’s Contact Lens Collection./1

IN-NETWORK BENEFITS

Eye Examination Every January 1, Covered in fullafter $10 copayment

Eyeglasses

Spectacle LensesEvery January 1, Covered in fullFor standard single-vision, lined bifocal, or trifocal lenses after $10 copayment

Frames

Every other January 1, Covered in fullAny Fashion or Designer frame from Davis Vision’s Collection/1 (value up to $160)

OR$130 retail allowance toward any frame from provider, plus 20% off balance/2

OR$180 allowance, plus 20% off balance to go toward any frame from a Visionworks family of store locations./6

Contact Lenses

Contact Lens Evaluation, Fitting & Follow Up Care

Every January 1,Collection Contacts: Covered in full after $10 copay

ORNon Collection Contacts:Standard Contacts: Covered in full after $10 copaySpecialty Contacts/3: $60 allowance with 15% off balance/2 less $10 copay

Contact Lenses (in lieu of eyeglasses)

Every January 1, Covered in fullAny contact lenses from Davis Vision’s Contact Lens Collection/1

OR$130 retail allowance toward provider supplied contact lenses, plus 15% off balance/2

ADDITIONAL DISCOUNTED LENS OPTIONS & COATINGS

MOST POPULAR OPTIONSSavings based on in-network usage and average retail values.

WithoutDavis Vision

WithDavis Vision

Scratch-Resistant Coating $25 $0Polycarbonate Lenses $66 $0/4-$30Standard Anti-Refl ective (AR) Coating $83 $35Standard Progressives (no-line bifocal) $198 $50Photochromic Lenses (i.e. Transitions®, etc.)/5 $110 $65

Killeen Independent School District

Savings up to:

$429

Service WithoutDavis Vision

WithDavis Vision

Eye Examination $103 $10Lenses

Bifocals $116 $10Scratch-Resistant Coating $25 $0Transitions®/5 $110 $65

Frame $160 $0

Total $514 $85

Lower costs and more benefi ts! See the savings!

Employee Contributions Monthly AnnuallyEmployee $5.59 $67.08Employee plus Spouse $11.18 $134.16Employee plus Child(ren) $9.78 $117.36Employee plus Family $15.37 $184.44

Out-of-Network Benefi tsYou may receive services from an out-of-network provider, although you will receive the greatest value and maximize your benefi t dollars if you select a provider who participates in the network. If you choose an out-of-network provider, you must pay the provider directly for all charges and then submit a claim for reimbursement to:Vision Care Processing UnitP.O. Box 1525Latham, NY 12110

OUT-OF-NETWORK REIMBURSEMENT SCHEDULE

Eye Examination up to $40 | Frame up to $50Spectacle Lenses (per pair) up to:

Single Vision $40, Bifocal $60, Trifocal $80, Lenticular $100Elective Contacts up to $105, Visually Required Contacts up to $225

1/ Polycarbonate lenses are covered in full for dependent children, monocular patients and patients with prescriptions 6.00 diopters or greater.

2/ Transitions® is a registered trademark of Transitions Optical, Inc.

Value for our MembersA comprehensive benefi t ensuring low out-of-pocket cost to members and their families. Our goal is 100% member satisfaction.

Convenient Network LocationsA national network of credentialed preferredproviders throughout the 50 states.

Freedom of ChoiceAccess to care through either our network of independent, private practice doctors (optometrists and ophthalmologists) or select retail partners.

Value-Added Features:• Mail Order Contact Lenses Replacement

contacts (after initial benefi t) through DavisVisionContacts.com mail-order service ensures easy, convenient, purchasing online and quick, direct shipping to your door. Log on to our member Web site for details.

• Laser Vision Correction discounts of up to 25% off the provider’s Usual & Customary fees, or 5% off advertised specials, whichever is lower.

Contact InfoFor more details about the plan, just log on to the Open Enrollment section of our Member site at davisvision.com or call 1.877.923.2847 and enter Client Code 2655.

ADDITIONAL OPTIONS WITHOUT DAVIS VISION

WITHDAVIS VISION

FRAMES

Fashion Frame (from the Davis Vision Collection) $100 $0

Designer Frame (from the Davis Vision Collection) $160 $0

Premier Frame (from the Davis Vision Collection) $195 $25

LENSES

All Ranges of Prescriptions and Sizes $90 $0

Plastic Lenses $78 $0

Oversized Lenses $20 $0

Tinting of Plastic Lenses $25 $0

Scratch-Resistant Coating $25 $0

Polycarbonate Lenses $66 $0/1 or $30

Ultraviolet Coating $25 $12

Standard Anti-Refl ective (AR) Coating $83 $35

Premium AR Coating $104 $48

Ultra AR Coating $121 $60

Standard Progressive Addition Lenses $198 $50

Premium Progressives Addition Lenses $247 $90

Ultra Progressive Addition Lenses $369 $140

High-Index Lenses $120 $55

Polarized Lenses $103 $75

Photochromic Lenses (i.e. Transitions®, etc.)/2 $110 $65

Scratch Protection Plan (Single vision | Multifocal lenses) $20 | $40

DAVIS VISION LASIK SERVICES

QualSight operates the largest NCQA credentialed network of LASIK eye surgeons in the United States and is excited to serve Davis Vision’s 22 million members nationwide. QualSight provides our clients and members contracted pricing which represents 40% to 50% savings off the national average price for Traditional LASIK with significant savings on procedures such as Custom Bladeless (all laser) LASIK. Our commitment to provide an excellent experience to our members is evident by our 10 year Accredited A+ rating with the Better Business Bureau.

QualSight Network

Over 900 locations in 46 states listed on the online provider lookup

Our collective panel of LASIK surgeons have performed more than 6.5 million procedures

Contracted pricing at all locations, not just 5-20% discount off usual and customary pricing

Lifetime Assurance Plan and flexible 0% financing options available through CareCredit

Ability to manage funded LASIK plans

QualSight LASIK works with some of the most recognizable brands and names in the LASIK industry including TLC Laser Eye Centers, The LASIK Vision Institute, Whiting Clinic, Whitten Laser Eye, International Eye Care, Kraff Eye Institute, Boston Laser, Diamond Vision, NVision, Berkeley Eye Centers and Hoopes Vision to name a few.

How Members Access the Davis Vision LASIK Services 1. Members can call the DAVIS VISION dedicated toll-free number 855-502-2020, visit Davis Vision home page and

click on the “LASIK Services” icon 2. A QualSight Care Manager explains the program and answers preliminary questions 3. Initial phone screening is conducted to ensure the member is potential candidate 4. Member selects a surgeon from our list of credentialed ophthalmologists in their region 5. The Care Manager schedules a preoperative appointment with the location/practice of their choice 6. Member completes the preoperative appointment with the physician and schedules surgery along with follow-

up visits directly with the selected practice 7. QualSight conducts patient satisfaction survey to verify procedure outcomes and total member cost

Benefits to Members

Designated LASIK program for all LASIK questions including member prescreening and educational resource support from QualSight Care Managers

Retreatment Plans – One year Assurance Plan included and a Lifetime Assurance Plan available

Each member has an assigned Care Manger with direct contact information for any future question or assistance with rescheduling appointments

Automated HIPAA compliant appointment confirmation emails detailing procedure pricing, appointment details and surgeon biography

40% to 50% savings off the overall national average price for Traditional LASIK with significant savings on procedures such as Custom Bladeless (all laser) LASIK:

Traditional LASIK: $945 per eye

Custom LASIK: $1,395 per eye

Custom LASIK Bladeless: $1795 per eye

Custom LASIK Bladeless with Lifetime Assurance: $1,895 per eye

Convenient access to credentialed and experienced LASIK Surgeons with more than 900 locations offering contracted pricing at all locations

97% of QualSight Members would recommend QualSight LASIK to a family member and/or co-worker and 96% of QualSight Members would recommend their QualSight physician to a family member and /or co-worker.

~Member Satisfaction Results Q3 2016

W�lc���Davis Vision members now have access to the largest hearing care provider network in the country and substantial savings on top-tier manufacturer brand devices and related professional services through the EPIC Hearing Service Plan.

Pr��i��� Ne�w���The EPIC network is comprised of professional Audiologists and ENT physicians and represents the largest accredited network of its kind in the nation, with provider locations in all 50 states.

He���n� Ai� Te��n�lo��The EPIC Hearing Service Plan gives you access to all name brand hearing aid technology by the top-tier hearing aid manufacturers at reduced prices, 30%-60% below MSRP; maximizing your value and savings.

H�� i� W��k�Contact an EPIC hearing counselor today. The hearing counselor can answer any questions you may have about the plan and coordinate your referral to a nearby participating provider. If the provider recommends you obtain hearing aids, an EPIC counselor will contact you to coordinate your coverage and payment. You will receive a 45 day trial period with a complimentary extended 3-year product warranty and one year supply of batteries*.

W��r�n�� & B�����e�All hearing aids, with the exclusion of the Basic Level, come with the EPIC guaranteed warranty which covers repair, damage, and one time loss for three years. (Basic level is one-year). Each hearing aid purchase includes a one year supply of hearing aid batteries at no additional cost (48 cells per aid)*. *excludes Basic Level Products

Effective: 1/1/2016

EPICHSPIDV616

SAVINGSMEMBER Hear Better Live Well

hear@epichearing.com

Davis Vision members save up to 60% off of retail on brand name hearing aids from major manufacturers through the EPIC Hearing Service Plan.

PhonakUnitronHansaton

ResoundStarkeySignia

WidexOticon

Participants who complete the four fun, educational hearing health related activities in the Listen Hear, Live Well hearing wellness program receive Wellness Reward Coupons for additional savings on their hearing purchase!Go to www.listenhearlivewell.com on your desktop computer or mobile device to participate.

WELLNESS REWARDS

$100 off Advanced Level Devices*

$200 off Premium Level Devices*

$50 off Standard Level Devices*

Wellness RewardCoupons are applied to each

device that is purchased!

PROGRAM

ListenHear LiveWell

Call EPIC today to start the process to better hearing.

1 844.246.0544www.epichearing.com/davisvision

*applies to all Standard, Advanced, and Premium level hearing aid makes/models; cannot be combined with any other offers or promotions

HearTEKLEASING

A new and unique program to lease brand name hearing aid technology at an affordable monthly payment-- with option to purchase or upgrade to a new device, every 18 months! Almost all applicants are approved. Contact EPIC or go towww.hearTEKleasing.com for more information.

In�ro�u��n�

ALL HEARING CARE SERVICES AND PRODUCTS DESCRIBED ARE PROVIDED BY EPIC HEARING HEALTHCARE AS A VALUE-ADDED SERVICE TO DAVIS VISION MEMBERS. EPIC HEARING IS AN INDEPENDENT COMPANY THAT PROVIDES HEARING CARE SERVICES. DISCOUNTS AND PRICING ARE SUBJECT TO CHANGE.

Basic

Standard

Advanced

TypicalRetail Price

$1,400-$1,600

$1,601-$2,300

$2,301-$3,000

$3,001-$4,000

Level OfHearing AidTechnology

Premium

$849-$1,499

EPICHSP

Pricing

$495

$1,500-$2,099

$2,100-$2,500

$776

AVERAGEMEMBERSAVINGS

$1,005

$851

$1,200