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Group Vision Care Plan Vision Care for Life EVIDENCE OF COVERAGE & DISCLOSURE FORM Provided by: VISION SERVICE PLAN 3333 Quality Drive, Rancho Cordova, CA 95670 (916) 8515000 (800) 8777195 THIS
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VSP Evidence of Coverage is a document that outlines the details of a vision insurance plan provided by VSP.
Employers or insurance companies offering VSP vision insurance plans are required to file VSP Evidence of Coverage.
VSP Evidence of Coverage can be filled out by providing all the necessary information about the vision insurance plan as per the guidelines provided by VSP.
The purpose of VSP Evidence of Coverage is to inform individuals about the details of the vision insurance plan, including coverage, benefits, and limitations.
Information such as coverage options, benefits, exclusions, limitations, costs, and contact information for VSP should be reported on VSP Evidence of Coverage.
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