Active Faculty/Guild & Retiree Enhanced Plan Account: 6120/6121/6122/6123/6129/6130/6131 Eligibility: Once per academic year - September 1 - August 31 Your Covered Vision Benefits

Eye Exam: Our comprehensive eye examination by a Doctor of Optometry determines your prescription. It also aids the doctor in detecting High Blood Pressure, Diabetes, Retinal Disorders, and Corneal Disorders. The examination includes Cataract and Glaucoma Screening.* Even if you do not wear eyeglasses, protect your eyesight by scheduling a complete eye exam. Out of network reimbursement up to $10.

Fashion Frames: Selection of various frames, any style, any color, any size up to a retail value of $300 within the GVS Frame Collection. Out of network reimbursement up to $35 for frames and lenses.

High Quality Lenses: All First Quality Single Vision, Conventional Bifocal (FT28 & FT35), Blended Bifocal, Standard Progressive, Polycarbonate (For Dependent Children), Cataract, Trifocal, Safety & Oversize lenses.

Tints: Cosmetic & Rx Sunglass Tint. Coatings: Ultra Violet and Standard Scratch Resistant Coatings.

OR Instead of Eyeglasses... Contact Lenses: 12 month supply (8 Boxes, 48 Lenses) of Basic Disposable Contact Lenses. Reimbursement up to $225 for medically necessary contact lenses for the correction of keratconus with prior approval. All non-covered contact lenses there is a one time credit of $150 toward any amount purchased (excluding colored lenses).

* Please make an appointment, Doctors hours may vary from store hours. For Florida locations, eye exam is available with co-pay. Any additional services that surpass the benefit are the responsibility of the patient. Account # 6120/6121/6122/6123/6129/6130/6131 Optional Extra Charges for Services Listed Below These services are not covered by your vision plan. FIXED FEES PAID BY THE PARTICIPANT Plastic Photosensitive Lenses: Polycarbonates (Continued): Single Vision $65 Polarized Lenses: Single Vision $75 Bifocal $80 Trifocal $120 Coating: Hi-Index $130 Standard Anti-Reflective Coating $25 Transition Brand Photosensitive $150

Hi-Index: Progressives: Single Vision 1.60 $60 Premium Progressives (ie. Varilux Comfort) $100 Bifocal 1.60 $100 Standard Progressive plastic photo sensitive $105 Standard Progressives Hi-Index 1.60 $150 Polycarbonates: Standard Progressive – Polycarbonate $80 Dependent Children No Charge Single Vision $30 Bifocal $50 NOTE: The above surcharges are subject to change. GVS Standard Progressives $80 will notify the FASCC Benefit Fund of any changes no less than 30 days notice. Participating Provider Locations Cohen’s Fashion Optical The Eye Shop East New York Bronx Eyecare Freeport NEW YORK 767 Lexington Ave 29-30 Union Street Eyesite Vision II 2075 Bartow Ave. Eyeworld Optical MANHATTAN (60th St.) (718) 359-7400 1125 Liberty Ave. (718) 671-5666 185 West Merrick Road Chelsea (212) 751-6652 (718) 235-7900 (516) 867-1213 General Vision @ Main Optical Fordham Cohen’s Fashion Optical Cohen’s Fashion Optical 68-30 Main Street Flatbush Bronx Eyecare Garden City 275 7th Ave. (25th Street) 177 E. 86th St. (718) 575-3937 General Vision @ 2374 Grand Concourse Cohen’s Fashion Optical Roosevelt Field (212) 691-1709 (212) 426-1222 Flatbush Avenue (718) 365-6300 Shopping Center Forest Hills 2504 Flatbush Ave. Downtown Cohen’s Fashion Optical General Vision @ Cohen’s General Vision Services (516) 294-0011 Across from 330 East Fordham Road Pacific Optometry 1369 Third Avenue Fashion Optical Kings Plaza Mall 87-89 Elizabeth Street (212) 988-8505 116-53 Queens Blvd. (917) 801-2400 Hicksville (718) 253-7700 General Vision (212) 219-8260 (718) 261-3540 Specs For Less Hunts Point 232 Old Country Rd. Cohen’s Fashion Optical Lens Lab Express 1904 Third Ave./105 St. Howard Beach (516) 681-3110 East Side 1704 Church Avenue 940 Southern Blvd. Location relocated. Cohen’s Fashion Optical (212) 831-3162 Optical Illusions 160-55 Cross Bay Blvd. 718-684-5000 (718) 860-2323 All patient files will be at 106 East 23rd Street Location relocated. Cohen’s Fashion Optical Cohen’s Fashion Optical (718) 835-2020 (Between Park and Lens Lab Express All patients can visit 210 Broadway Mall Lexington Ave.) 681 Lexington Ave. of Flatbush Vision Quest Optical (516) 938-0055 (212) 677-3707 (212) 317-0067 Jackson Heights 880 White Plains Rd. Cohen’s Fashion Optical 972 Flatbush Ave. (718) 826-0005 (718) 239-9389 Levittown Cohen’s Fashion Optical Upper West Side 37-33 82nd St. S.H. Laufer Vision World Bellevue Hospital Cohen’s Fashion Optical (718) 458-8800 Sterling Optical Jerome Avenue 3543 Hempstead Tpke. 462 First Ave. 167 W. 72nd St. Cohen’s Fashion Optical 516-731-1400 (bet. 27th and 28th St) (212) 362-4110 Jamaica 524 Clarkson Ave. 3416 Jerome Ave. (212) 689-9601 Lens Lab Express/GVS (718) 778-3036 (718) 325-3160 Long Beach Cohen’s Fashion Optical 163-34 Jamaica Ave. Above All Eyes Optician East Village 2933 Broadway (718) 526-2332 Cohen’s Fashion Optical Morris Park 264 East Park Avenue Cohen’s Fashion Optical (212) 662-0400 395 Flatbush Avenue Ext Cohen’s Fashion Optical @ (516) 889-2010 603 6th Avenue Eyecare Express (718) 625-7500 Jacobi Medical Center 212-924-1390 Cohen’s Fashion Optical 221-05 Jamaica Ave. 1400 Pelham Pkwy South Lynbrook 2565 Broadway (718) 465-9500 Kings Highway (718) 828-0005 American Vision Harlem (212) 666-2615 Kings Highway of Lynbrook Cohen’s Fashion Optical Wizard of Eyes Vision Center Parkchester 91 Broadway 86 West 125th St. Ultimate Spectacle 165-01 Jamaica Avenue 1302 Kings Highway Designer Optical (516) 593-2888 (212) 996-2676 4250 Broadway (718) 523-0730 Corner of E. 13th Street 1440 Metropolitan Ave. (212) 795-5640 (718) 627-8900 (347) 281-4441 Massapequa Inwood Richmond Hill Cohen’s Fashion Optical Superior Vision Center Lens Lab Express General Vision @ Cohen’s Kings Vista Site Eyecare Vision World 224 Sunrise Mall 1324 Metropolitan Avenue (516) 795-3030 4767 Broadway 1420 Saint Nicholas Avenue Fashion Optical 1909 Kings Highway (718) 863-3023 (212) 567-9351 (212) 795-7780 115-10 Liberty Ave. (917) 933-9090 (718) 323-6410 New Hyde Park Pelham Parkway Eye Land Vision Center Lower East Side West Side Kings Plaza Mall Bronx Eye Associates 665 Hillside Ave. General Vision Cohen’s Fashion Optical Ridgewood Cohen’s Fashion Optical General Vision Express 665 Pelham Parkway (516) 328-1200 52 Duane Street 225 W. 34th Street 5171 Kings Plaza Mall Suite 202 (Btw Bdwy & Lafayette St.) (212) 239-6999 57-52 Myrtle Ave. (718) 497-2020 (718) 951-9800 (718) 547-2020 Oceanside (212) 513-0115 Cohen’s Fashion Optical Location relocated. General Vision Woodside Sheepshead Bay South Bronx 3529 Long Beach Road All patient files will be at 20 West 14th St. Vogue Optical Cohen’s Fashion Optical (516) 764-2020 Cohen’s Fashion Optical (212) 229-1470 CN Vision Care 45-55 46th Street 3723 Nostrand Ave. (formerly Eye Encounter/ 33 Maiden Lane Optic Zone) (718) 392-1244 (718) 646-6200 Vision Decision (212) 232-0065 QUEENS 2856 Third Ave 40 Atlantic Avenue Astoria Sunset Park (718) 585-5100 (516) 255-2020 Cohen’s Fashion Optical General Vision BROOKLYN Cohen’s Fashion Optical 117 Orchard Street 30-42 Steinway St. Bay Parkway White Plains Road Couture Optical NYC 5202 5th Ave. Rockville Centre (212) 674-1986 (718) 726-5503 Sterling Optical Cohen’s Fashion Optical 2313 65th Street (718) 492-0515 Location relocated. 2168 White Plains Rd. 560 Sunrise Hwy. (718) 975-4824 Midtown East All patient files will be at (718) 931-0500 (516) 766-0550 Cohen’s Fashion Optical Cohen’s Fashion Optical Williamsburg 50 East 42nd St. 30-95 Steinway St. Bayridge Lens Lab Express of STATEN ISLAND Valley Stream Lens Lab Express (212) 697-1838 (718) 274-3500 Graham Ave. Stop & Shop Cohen’s Fashion Optical 482 86th St. 28 Graham Ave. Shopping Center 11-12 Green Acres Mall Cohen’s Fashion Optical Cohen’s Fashion Optical (718) 921-5488 (718) 486-0117 General Vision @ (516) 825-4900 385 Fifth Avenue 22-19 31st St. Cohen’s Fashion Optical (212) 510-8601 (718) 777-7678 Bensonhurst BRONX 2748 Hylan Blvd. West Hempstead Cohen’s Fashion Optical General Vision @ (718) 979-2200 General Vision @ 2167 86th Street Midtown West Bayside Lincoln Hospital Cohen’s Fashion Optical Cohen’s Fashion Optical Cohen’s Fashion Optical (718) 946-3647 234 East 149th St. Staten Island Mall 500 Hempstead Tpke. 330 West 42nd St. Bay Terrace Mega Vision Center Room 2-A3 Cohen’s Fashion Optical (516) 489-2262 (bet. 8th/9th Ave.) Shopping Center 187 Ave. U (718) 665-0611 Staten Island Mall (212) 594-2831 211-51 26th Ave. (718) 373-2020 (718) 698-6666 Woodbury Bainbridge Visual Affairs General Vision Services Cohen’s Fashion Optical (718) 631-3699 Brownsville Forest Avenue 7933 Jericho Turnpike 130 West 57th Street Cohen’s Fashion Optical 3400 Bainbridge Avenue Shopping Center (516) 921-3937 Eye Supply of Bayside (718) 652-1750 (212) 581-4967 39-25 Bell Blvd. 1710 Pitken Avenue Specs For Less 1489 Forest Ave. (718) 279-2020 718-342-5500 SUFFOLK Bainbridge Optical (718) 727-5059 Bayshore Union Square 3120 Bainbridge Avenue Cohen’s Fashion Optical Cohen’s Fashion Optical Cohen’s Fashion Optical Corona (718) 655-6040 841 Broadway Lens Lab Express 1536 Flatbush Avenue Greenridge Plaza 1701 Sunrise Highway Specs For Less (b/w 13th & 14th Street) of Corona (718) 434-2222 (631) 665-4700 Broadway 3245 Richmond Ave. (212) 475-0999 37-40 Junction Blvd. Eye Supply of Bayshore Broadway Eyecare (718) 605-4102 (718) 507-8114 Caesar’s Bay has closed. All patient 5571 Broadway files are located at above Upper East Side General Vision (718) 543-2020 Ultimate Spectacle Veterans Road West location Elmhurst 8949 Bay Parkway Specs for Less 789 Lexington Ave Cohen’s Fashion Optical 718-372-1212 Bruckner 2935 Veterans Road West Sterling Optical (bet. 61st/62nd Sts.) Queens Center Mall Vision Quest Optical (718) 967-2869 South Shore Mall (212) 792-8123 90-15 Queens Blvd. 880 White Plains Rd. Crown Heights 1701 Sunrise Hwy. (718) 592-5200 Franklin Primary Eye Care (718) 239-9389 General Vision @ NASSAU (631) 666-4960 847 Franklin Avenue Bellmore Metropolitan Hospital Fresh Meadows (718) 604-1002 Lens Lab Express New Location 1901 First Ave. - 1998 Bruckner Blvd. Bellport Jing J Cai Vision People EyeCare Center of Bellport Room 1D18-1st Fl. (718) 430-9776 73-05 168th Street Downtown 2766 Sunrise Highway 5 Bellport Lane (212) 423-0665 (347) 878-9598 (516) 826-2020 General Vision @ Co-Op City (631) 286-4014 Court Street Cohen’s Fashion Optical Cohen’s Fashion Optical Flushing 66 Court Street East Meadow Bohemia 830 Third Avenue The Mall at Bay Plaza Pearle Vision Center (btwn Joralemon & Pearle Vision Center Pearle Vision Center (50th St.) 193-20 Northern Boulevard 200 Baychester Avenue Livingston St.) 2365 Hempstead Turnpike 4800 sunrise Highway (212) 750-9005 (718) 357-4666 (718) 320-7700 (718) 625-0025 (516) 796-3800 (631) 567-3500

Please call 1-800-VISION-1 for Additional Locations and Information Participating Provider Locations East Northport ROCKLAND ESSEX Passaic PHILADELPHIA Larkfield Optical Congers East Orange Crystal Lens Optical Philadelphia 516 Larkfield Road Optometric Eyecare Dr. Spiro Antonacos 670 Main Avenue B & C Eyeglass Factory (631) 368-2020 of Rockland 582 Central Ave. (973) 773-2020 7560 Haverford Ave. 35 Lake Road West (973) 673-7700 (215) 879-1080 Greenport (845) 267-2888 Greenport Eyeworks Cedar Grove SOMERSET 137 Third St. Nanuet Dr. Spiro Antonacos Bridgewater PUERTO RICO (631) 477-1800 Sterling Optical 466 Pompton Ave. Cohen’s Fashion Optical 164 East Route 59 (973) 239-8381 400 Commons Way HATO REY Holbrook (845) 623-8074 (908) 725-0008 Cohen’s Fashion Optical Sterling Optical Livingston Plaza Las Americas 5801 Sunrise Hwy Cohen’s Fashion Optical Invision Eye Care Somerville (787) 777-0990 (631) 567-4411 8129 Fashion Drive 57 East Mt. Pleasant Ave. Duffy Family Eye Care (845) 623-2043 (973) 533-1333 1 West Cliff St. Huntington Station (908) 725-2915 CAROLINA Sterling Optical West Nyack Monroe Township Cohen’s Fashion Optical 259 Walt Whitman Rd. Cohen’s Fashion Optical Dr. Michael Hayes Plaza Carolina (631) 427-7300 Palisades Mall 477 Spotswood- UNION Local 245 2641 Palisades Center Drive Englishtown Rd Elizabeth (787) 701-3165 Islandia (845) 358-9001 (732) 641-2024 Cohen’s Fashion Optical Sterling Optical 651 Kapkowski Road Islandia Shopping Center SARATOGA Newark Jersey Gardens Mall 1744 Veterans Memorial Hwy. Clifton Park Urban Eyes (908) 354-1599 (631) 348-4545 Sterling Optical 787 Broad Street 22 Clifton Country Road (973) 643-3343 Lake Grove (518) 371-1881 CONNECTICUT Cohen’s Fashion Optical HUDSON Smithhaven Mall SULLIVAN Jersey City FAIRFIELD (631) 361-7310 Monticello Danbury Cohen’s Fashion Optical Cohen’s Fashion Optical Dr. Mihai Busuioc Journal Square Lindenhurst 343 Broadway Danbury Fair Mall General Vision @ (201) 795-3434 (845) 796-3937 7 Backus Ave. Cohen’s Fashion Optical (203) 790-1341 350 East Montauk Hwy. Union City Crystal Lens Express (Near Park Ave.) TOMPKINS Stamford (631) 225-5828 Ithaca 3907 Bergenline Ave. Sterling Optical Cohen’s Fashion Optical (201) 865-8300 Stamford Town Center Pyramid Mall, Patchogue (203) 359-9600 General Vision @ 40 Catherwood Rd. West New York Cohen’s Fashion Optical (607) 257-2333 Lens Lab Express of 499-80 Sunrise Highway W. New York Trumbull (631) 289-2010 Cohen’s Fashion Optical 59-17 Bergenline Ave. Trumbull Shopping Park WESTCHESTER (201) 861-0016 Port Jefferson Peekskill 5065 Main Street Eye Supply of Port Jefferson Dr. Vernon Peryea (203) 374-3403 1092 Route 112 MIDDLESEX 1865 Main Street East Brunswick (631) 474-3937 (914) 737-0437 Crown Eyecare Center HARTFORD Farmington Riverhead Midstate Mall Cohen’s Fashion Optical General Vision @ Rye Brook 300 Rte 18 North, Suite# 32B Dr. Hal Mendel 113 West Farms Mall Cohen’s Fashion Optical (732) 651-8188 (860) 521-4141 Riverhead Plaza 19 A Rye Ridge Plaza 755 Old Country Rd. (914) 939-2224 North Brunswick (631) 727-3173 Optical Insight NEW HAVEN Westchester Eye Doctors 778 Carolier Lane Milford Cohen’s Fashion Optical Shirley 204 South Ridge Street (732) 828-3937 General Vision @ (914) 939-0830 1201 Boston Post Road Cohen’s Fashion Optical Woodbridge (203) 878-2020 Southport Shopping center White Plains Cohen’s Fashion Optical 999-3 Montauk Hwy. Cohen’s Fashion Optical 460 Woodbridge Center Dr. (631) 399-6992 The Galleria (732) 636-2112 FLORIDA (914) 428-0300 BROWARD South Farmingdale Plantation Eyeglass Depot Optical MONMOUTH Yorktown Heights Eatontown Cohen’s Fashion Optical 60 Willow Park Center Sterling Optical Broward Mall 631-777-7283 Cohen’s Fashion Optical 650 Lee Blvd. 180 Route 35 South Hill (954) 472-4777 (914) 245-8111 Stonybrook (732) 542-6060 Pearle Vision Center Yonkers PALM BEACH 1320 Stony Brook Road Keyport (631) 751-8200 The Vision Place Boca Raton 100 New Main Street Specs for Less of Keyport South Shore Opticians DUTCHESS (914) 965-5367 1 Route 35 South 1944 N.E. 5th Avenue Poughkeepsie (732) 264-2500 (561) 368-2878 Ultimate Spectacle Sterling Optical Poughkeepsie Galleria Cross County Manalapan (845) 298-0992 Shopping Center Accurate Eye Care PORT CHARLOTTE (914) 968-6600 700 Tennent Rd. Port Charlotte Progressive Optical (732) 536-0664 ORANGE 21178 Olean Blvd. Blooming Grove Yonkers Eyewear Optical Washingtonville 442 South Broadway (941) 629-1211 Eye Associates (914) 294-0320 MORRIS 2877 Route 94 Rockaway MASSACHUSETTS (845) 496-9999 Designer Optical Cohen’s Fashion Optical 1 Palisades Avenue Rockaway Town ESSEX Goshen (914) 226-8706 Square Mall Swampscott Dr. Franco Rossi (973) 366-2072 Advanced Vision Center 25 Saint John St. 423 Paradise Road NEW JERSEY (339) 440-5105 (845) 294-6411 BERGEN OCEAN Dumont Brick Town Member offices are Middletown Dr. Dennis Lyons RED Cohen’s Fashion Optical Dumont Eye Care PENNSYLVANIA independent Doctors of 990 Cedar Bridge Ave. Galleria @ Crystal Run 125 Washington Ave. Optometry and Optical Stores (845) 692-5800 (201) 385-3055 (732) 920-0110 BUCKS Langhorne who have contracted with GVS to provide services to Monroe Paramus Cohen’s Fashion Optical Mid-Hudson Optometric Associ- Lens Lab Express of Paramus PASSAIC Oxford Valley Mall those participants outside of ates 193 Route 17 South Haskell 2300 East Lincoln Highway the New York Metropolitan 371 State Route 17M (201) 261-8020 Haskell Eye Center (215) 757-4111 area where frame selection (845) 782-3937 1069 Ringwood Ave. may vary. (862) 200-5454 MONROE BURLINGTON Stroudsburg Newburgh Willingboro Locations are subject to Sterling Optical Clarity Optics Paterson Kliensorge Family Eyecare 1401 Route 300 320 Beverly-Rancocas Rd. Eye Contact Optical 1619 N. 9th Street, Suite 2 change without notice. (845) 564-3522 (609) 877-1229 165 Main St. (570) 421-2332 (973) 278-1838

Please call 1-800-VISION-1 for Additional Locations and Information