FACT:
SOURCE:
2008 US Optical Retailer Report and Directory

75% of employees who use a computer will suffer vision problems.

Provider Nomination Form

  Specialty
* Facility / Provider Name
  Primary Contact   Title
  Address Line 1
  Address Line 2
  City
  State   Zip Code
  Email * Phone
  Provider Website
  Your Name
  Your Email   Your Phone

Your membership is effective upon receipt of membership materials.

This is NOT insurance nor is it intended to replace insurance. This discount card program contains a 30 day cancellation period.The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. This plan provides discounts at certain healthcare providers for medical services. This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. For a full list of disclosures, please click here. | Limitations, Exclusions and Exceptions | Discount Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 803475, Dallas, TX 75380-3475.

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