VISION
Insured Preferred Provider Plans
Product NameForm Number
Aetna Life Insurance Company
 
Aetna Vision Preferred
 
GR-9 et al.
 
AIG Life Insurance CompanyGroup Vision Ins. Cert. of CoverageC22439 MA
Ameritas Life Insurance Corp.Group Eye Care Insurance9021 Ed. 01-05
Chesapeake Life Insurance CompanyVision Insurance w/EyeMed SelectCH-26023-IP (5/07) MA
Combined Insurance Company of AmericaVision Access PlanVN C63007A/B 0603-MA
Combined Insurance Company of AmericaPreferred PlanVN C63007CVC 0603-MA
Connecticut General Life Insurance CompanyGroup Vision Certificate - AccessVISION 01 - ACCESS
Connecticut General Life Insurance CompanyGroup Vision Certificate - PreferredVISION 01 - PREFERRED
Fidelity Security Life Insurance CompanyEyeMed Vision Plan - AccessC-9059MA(05/08)
Fidelity Security Life Insurance CompanyEyeMed Vision Plan - AdvantageC-9059MA (12/08)
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Insight
 
C-9059MA (05/09)
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Access
 
C-9083MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Advantage
 
C-9083MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Insight
 
C-9083MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Select
 
C-9083MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Access
 
C-9093MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Advantage
 
C-9093MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Insight
 
C-9093MA
 
Fidelity Security Life Insurance Company
 
EyeMed Vision Plan - Select
 
C-9093MA
 
(The) Guardian Life Insurance Company of AmericaVisionGuardCGP-3-VSN-96-VIS et al.
(The) Guardian Life Insurance Company of AmericaDavis VisionCGP-3-Davis-11-MA
Humana Insurance CompanyHumana Vision Care PlanHUM VGRP CERT.002 (MA)
Humana Insurance CompanyHumana Vision Care PlanMA-70147-01
Massachusetts Vision Service Plan, Inc.Group Vision Care PlanREG COC-7/00
(The) MEGA Life and Health Insurance CompanyVision One25213-P
Mid-West National Life Insurance Company of TNVision Service CertificateMW-25213-MA (3/06)
 
National Guardian Life Insurance CompanySuperior Vision Plan
 
NVIGRP 5/07-MA
 
National Union Fire Insurance Co. of Pitt., PAGroup Vision PPO PlanC22439DBG-MA
National Union Fire Insurance Co. of Pitt., PAGroup Vision PPO PlanC22439DBG-MA (EyeMed)
Reliance Standard Life Insurance CompanyGroup Eye Care Insurance9021 Ed. 01-05
United HealthCare Insurance CompanyGroup Vision Care
 
VCOC.INT.06
 
Union Security Insurance CompanyGroup Vision Certificate w/VSPGC-10 Vis CFP et al.
* Please note that the following companies or product(s) do not appear above due to their decision to discontinue the offer of the plan(s) in Massachusetts - (The) Chesapeake Life Insurance Company (Form# CH-25213-MA-7/01) Columbian Life Insurance Company (Form# 9F121P-CL (Rev. 8/01)) and (The) MEGA Life and Health Insurance Company (Form# 25215-P) and ReliStar Life Insurance Company.