Copy_of_San_Mateo_County_Vision_RFP_Workbook_FINAL.xlsx

XLSX spreadsheet 6 MB Posted Feb 19, 2026

Attached to: County of San Mateo Vision Request for Proposal
Solicitation number: 2026-RFP-00349
Issued by: San Mateo County, San Bernardino City, California

About this file

Written by GovTribe AI · Mar 30, 2026

This is a Vision Request for Proposal (RFP) workbook and supporting documentation from the County of San Mateo's Benefits Division seeking competitive proposals for comprehensive vision services coverage. The RFP solicits proposals to serve approximately 16,140 covered lives across three plan offerings: VSP Actives Core (4,051 enrollees, self-funded), VSP Actives Buy-Up (1,695 enrollees, self-funded), and VSP Retirees Voluntary (1,100 enrollees, fully insured). The RFP was released to market on February 23, 2026, with proposals due by March 13, 2026 at 5:00 pm. The evaluation timeline includes Committee Meeting #2 on April 7, 2026 to review results and select finalists, Committee Meeting #3 on April 30, 2026 for finalist presentations, and presentation of results to the Benefits Committee on July 23, 2025, with an award date of July 31, 2026. Implementation is scheduled to begin September 1, 2026, with the plan effective date of January 1, 2027. The County requests a minimum three-year ASO rate guarantee through January 1, 2030, with the resulting contract having an initial five-year term and one optional two-year extension exercisable at the County's sole discretion.

Proposers must submit pricing on a net-of-commission basis with no mandatory participation requirements and must provide quotes for both 85% UCR and MAC reimbursement options for out-of-network services based on 24 months of claims data. The incumbent carrier is Vision Service Plan (VSP), with existing agreements expiring December 31, 2026. Minimum qualification requirements include at least ten years of vision coverage experience, demonstrated ability to integrate with Workday and BCC systems, a national vision provider network with 90% or greater geographic access match and at least 60% provider match, experience serving California public agency clients with over 5,000 employees (with three references required), financial rating of A or greater (AM Best, Moody's, or S&P), and professional liability insurance of $1,000,000 with the County named as additional insured. The evaluation process applies Phase 1 criteria weighting financial terms (30 percent), provider network capabilities (30 percent), plan offering flexibility (20 percent), and customer service quality (20 percent), followed by Phase 2 application of local business preference points (10 percent) in accordance with San Mateo County Ordinance Code Chapter 2.89.

View the file

Other files

File	Type	Posted
County_of_San_Mateo_Vision_Request_for_Proposal_(Addendum_#1_Revision).pdf	PDF	Mar 3, 2026
County_of_San_Mateo_Vision_Request_for_Proposal.pdf	PDF	Feb 23, 2026
Copy_of_San_Mateo_County_Vision_RFP_Workbook_FINAL.xlsx	XLSX spreadsheet	Feb 19, 2026
Standard_Contract_Template_-_Under_$200K_DRAFT.docx	DOCX document	Feb 10, 2026
Standard_Contract_Template_-_Over_$200K_DRAFT.docx	DOCX document	Feb 10, 2026

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Vision Timeline

	County of San Mateo Vision Request for Proposal
	Vision RFP Timeline
	Establish RFP Committee	November 1, 2020
	Vision RFP Documents - 1st Draft
(Review with Benefits Team)	May 4, 2021
	Committee #1 Kick-Off meeting
(Review plans, market trends, goals & objectives, finalize RFP documents)	May 18, 2021

	Activity	Date
	Kick-Off Committee Meeting #1	January 27th
	Send RFP to Market	February 23, 2026
	Alliant and the County will evaluate all proposals and prepare a comparative analysis
	RFP Submission Deadline	March 13, 2026
	Committee Meeting #2 & Alliant to Review Results
(select finalists and get clarifying questions)	April 7, 2026
	Committee Meeting #3

Finalists Presentations (In-Person)

Select vision provider	April 30, 2026
	Present results to Benefits Committee	July 23, 2025
	Board Meeting/approval	August 25th

submission deadline is July 30th

Start Implementation	September 1, 2026
Plan Effective Date	January 1, 2027
*Please note the County/Alliant has the authority to adjust dates

General Info

County of San Mateo Vision Request for Proposal
Vision RFP - General Information
Client Information			Comments
01	Client Name	County of San Mateo
02	Client Address, City, State, and ZIP Code	500 County Center

Redwood City, CA 94063

	03	Where is the group sitused (legal jurisdiction)?	CA
	04	Size of Client	Actives - 5,734
Retirees - 2,092	Vision Plan Enrollment Breakdown:

Actives Core - 4,051 Actives Buy-Up - 1,695 Retirees - 1,100 Total covered lives - 16,140

05	Industry (SIC) Code	9121-04
06	Industry Description	Local Government
Alliant Contact Information			Comments
01	First Vice President/Consultant	Kimberly Miller

(415) 730-6255 kmiller@alliant.com 02 Client Manager Taylor Steinberg taylor.steinberg@alliant.com 03 Benefit Analyst Cole Wright cole.wright@alliant.com

Commission Information			Comments
01	Commission Level	0%
Provider Access and Provider Disruption Reporting for RFP			Comments
01	Is a Geo-Access Report requested?	Yes
02	Is a Provider Disruption Report required?	Yes
03	Claims Repricing?	Yes	Please provide a claims projection based on the 24 months of claims included in this RFP workbook.
Plan Information			Comments
01	Current Carrier	VSP Vision
02	Plan Renewal Date	January 1, 2027	Requesting 3 year ASO rate guarantee for a next plan renewal on January 1, 2030
03	Match current plan design	Yes	The County offers Core & Buy-Up plans and we expect that any vision provider would have the ability to do the same. Any deviations should be clearly outlined in the exhibit provided in this RFP workbook.

04	Plan Options	Yes	Please provide a cost impact for adding Safety Glasses & Prescription Computer Glasses. In addition, please provide coverage levels and details on how members would access these benefits.
Detailed Plan Information
01	VSP Core Plan (Self Funded)	Refer to plan summaries (VSP Actives Core)	Self-Funded
02	VSP Buy Up plan (Self Funded)	Refer to plan summaries (VSP Actives Buy Up)	Self-Funded
03	VSP Retiree Voluntary plan (Fully Insured)	Refer to plan summaries (VSP Retirees Vol)	Fully-Insured
Goals & Objectives			Comments
01	RFP Objectives	1. Matching or improving current vision plan designs at current or lower costs

2. Providing a strong and accessible provider network offering competitive discounts

3. Offering multi-year rate guarantees (minimum 3 years requested)

4. Exceptional customer service

5. Meaningful performance guarantees tied to service & quality

Cooperative Agreement (Piggyback)

The services, terms and conditions of any Agreement that is entered into by the County as a result of this RFP

may be used by other public entities as a Cooperative Agreement in accordance with the rules and requirements of

such public entities.

Min Qual

County of San Mateo Vision RFP
Minimum Qualifications
Minimum Qualifications	Bidder Attestation/Response
1. Must be able to integrate with the County's HRIS system (Workday) and the TPA for retiree administration (BCC)	Yes/No - a Yes confirms you can integrate with BOTH
2. At least 10 years of experience providing vision coverage	Yes/No
3. National vision provider network with a 90%+ GeoAccess match - use the census to run the analysis	Yes/No
4. Must have a provider match of at least 60% - use the provider file to run the disruption analysis	Yes/No
5. Must match current plan structure at a minimum	Yes/No
6. Experience with Public Agency clients with over 5,000 employees in California	Yes/No - must be able to provide at least 3 references with submission. Note references do not have to all be over 5,000 employees in California, but you must have experience with clients of this size.
7. Certificate of Insurance showing Errors & Omissions coverage for a minimum of $1 million	Yes/No
8. Strong financial rating of A or greater (AM Best, Moody's, S&P)	Yes/No
9. Must have a network that includes in-office locations for care	Yes/No

Carrier Questions

Questions Answers

1	Please provide the budget rates on all Self-Funded plans	1	Included in the updated plan tabs
2	Please provide the Cigna Retiree PPO rates	2	Included in the updated plan tabs
3	How does the group currently track employee movement from, Y1 to Y2 and Management?	3	Rep EE's (Non MGMT) are in the Y1 plan for first year and Y2+ for the remaining years, MGMT stays in MGMT plan
4	We see that you would like proposals for 85% UCR and MAC. Please confirm the current Out-of-Network Reimbursement on all PPO plans is MAC.	4	Confirmed, please see D31 on general info tab
5	Is this a mandatory market check? If not, why is it out to bid?	5	We are submitting this RFP to comply with the county's procurement obligations, all submitted proposals will be considered

6	Cigna DPPO is currently ASO and are you requesting a Fully Insured DPPO quote as well?	6	We are NOT requiring a claims repricing analysis at this time, instead we are requesting a PEPM claims projection, as well as fully insured quotes for comparison purposes (The county is not considering changing their funding type at this time)
7	Delta DHMO is currently Fully Insured and are you requesting both a Full Insured and ASO quote?	7	No, just a fully insured quote for Delta plans
8	Please confirm you are only requesting a claims re-pricing on the ASO DPPO portion of the proposal?	8	We are not requesting a claims repricing at this time, this may happen when we decide finalists
9	Are both carriers considered for renewal?	9	Yes
10	May our proposal be based on replacing each carrier and then a total replacement of both Delta and Cigna?	10	Total replacement with unbundled and bundled pricing (DHMO/DPPO)
11	Please confirm the current contract period is also three years?	11	Current Cigna contract period is 1/1/2020 - 12/31/2022 and Delta is 1/1/2017 - 12/31/2021
12	Will you provide the last 3 years of admin fee and rate history for the DPPO and DHMO?	12	DPPO admin fee has been at $2.75 since moving to Cigna, DHMO plans have been in a rate guarantee since 1/1/2017
13	Please confirm we are submitting an electronic copy our proposal?	13	Confirmed
14	Will you share any other bidder’s questions/responses posed along with ours?	14	Yes
15	Are there any service issues, administration challenges with either the DHMO or DPPO incumbents to be aware of as part of this marketing?	15	The County is satisfied with the incumbent carriers. The primary goal of the RFP is to ensure the County plans remain competitive, however, all bids will be considered and dialogue on how administration may be improved will be welcomed at the finalist stage.

16	On Cigna Core PPO Actives tab Confirm if one composite rate is wanted including Represented Year 1 and Year 2 combined or one composite for each.	16	One combined rate for Represented Y1/Y2
17	On Cigna Core PPO Actives tab Please confirm that 3-tier rates are not wanted as they are requested for each of the buy up options.	17	Just composite rates for Management and Represented
18	Is there a file size limitation on Alliant’s end for the proposal submission?	18	No
19	Are zip files acceptable for the final submission?	19	Yes
20	Are you seeking a fully insured and ASO quote?	20	Yes, please see response to question #6. Delta plans will remain fully insured
21	Please provide a DHMO provider file for the requested disruption.	21	Pending

22	Have there been any plan design changes over the past 24 months? If so, please provide the details and dates of any change(s).	22	None
23	Does the monthly claims experience include any payments to dentists for the cost of Personal Protective Equipment (PPE)? If so, please provide the monthly amounts or percentage of claims payments due to Covid-related PPE.	23	Cigna allowed payments up to $8 for dentist billed PPE charges processed between 6/15/2020 and 7/31/2020. A breakout of these charges/payments is not available
24	In the Cigna monthly claims data, do the paid dollar amounts include anything for network charges, shared savings, retained fees, or any other dollars that were not paid to the dentists or patients? If the Cigna monthly claims data include dollars for network charges, shared savings, retained fees, etc., please provide the monthly claims dollars without any such charges, savings, or fees.	24	Yes, Please see attached excel file to the right which has been revised to show only amount paid to dentists or patients
25	The RFP requests out of network R&C at 85th percentile. Our plans can be administered at the 80th or 90th percentile. Please confirm which R&C you would like us to use for our quote, or if you would like to see both.	25	Please quote both
26	For the GeoAccess reporting, please confirm if all carriers should use “estimated driving distance” or “straight line” methodology to determine network access.	26	Estimated driving distance
27	On the dental provider report, can you please denote which providers are Cigna DPPO versus Cigna Advantage which comprise the Total network?	27	The County uses Cigna’s Total DPPO network. The report indicates whether or not the provider is in that network. Cigna will not release information on Cigna DDPO versus Cigna Advantage.
28	For the management plan, please provide an annual maximum usage report showing how many enrollees reached certain levels in benefits paid. For example, the % of participants that used $0-$999, $1000-$1999, $2000-$2999, $3000-$3999, $4000-$4999, $5000-$9999, or more than $10000. If this detail isn’t available, please confirm the % of participants (or count) that exceeded $5000 in benefits for CY 2019 and CY 2020.	28	a. In 2020: 7.1% of membership in Management plan had payments exceeding $2,000. Breakdown is not available for participants exceeding $5,000.

b. In 2019: 9.1% of membership in Management plan had payments exceeding $2,000 The experience report shows breakdown of total payment by plan

29 Is the County of San Mateo experiencing any pain points with their current vendors? What are they looking to improve with a new carrier? 29 See # 15 above

30	Provide complete booklets for all plans	30	Included in attached Zip
31	On the census there are employees listed as “Cigna Represented Core” without further indicators of plan such as “1+ Year or 2+ Year”. Can you confirm which plans these members should be assigned to as there are two plans on the Cigna “Core” tab.	31	Please place the Cigna Represented Core EE's on the Y2+ Core plan

Questionnaire (Vision)

County of San Mateo Vision Request for Proposal
Vision RFP - Questionnaire	Provide a succinct response in this workbook to supplement your proposal. Please use the excel document for your submission, not a PDF.

General Information	Proposed Carrier Response
Full name; Legal and Trade Name
Address
Phone Number
Parent Company (if operating as a subsidiary)
Date Company Founded
Provide relevant information providing proof of your organization’s financial soundness (i.e. AM Best, Moody's).
Provide the number of California Public Agency vision clients you service, as well as the average vision client size.
Is your company licensed to issue this insurance in all fifty United States, Puerto Rico and the District of Columbia?
Financial Proposal
Proposal Valid for (indicate date range)

30, 60, 90 or 120 days

Please indicate any assumptions made with your Financial Proposal

Minimum 3 Year ASO Rate Guarantee

Implementation

Provide an implementation timeline based on the implementation date provided in this RFP - January 1, 2027

Confirm that there will be an Implementation team assigned for The County that includes members of the assigned and ongoing service team

Confirm you will provide an implementation allowance for transition that can be used for communications, and/or soft dollar costs

Confirm you will grandfather all current Buy-Up plans and enrollment

Service & Support

Account Manager Information

Name

Office Location for Account Management

# of years with the company

# of years in current position with the company

# of years in the industry

List any other team members that will serve the County

What was the percent turnover rate for your service and support team in the past 36 months? And how will potential staff turnover be addressed during a term Agreement?

Confirm your ability to meet with the County Benefits staff upon request, as well as attend open enrollment meetings as needed

Claims Administration

What is your claims processing accuracy and average claims processing turn around time?

What is your process for fraud detection and prevention?

What cybersecurity measures are in place to protect member data?

Have you had any data breaches in the past five years?

Do you have the capability to coordinate vision claims with disease management/medical plan?

Please describe the process for submitting and getting reimbursed for OON claims

Provider Network

Provide a detailed breakdown of your contracted provider network by retail chains vs. private practice (including counts, percentages, and geographic distribution).

Identify any major chain providers not participating in your network and explain the underlying contracting barriers.

Describe your out-of-network reimbursement strategy and how you ensure competitive access in counties with low in-network saturation.

Provide a 24-month lookback of provider terminations and additions, including rationale and impact on membership.

Describe your provider retention strategy and incentives to mitigate churn within high-volume practices.

Discount Strategy & Cost of Care

Outline your discounting methodology, including how discounts vary across retail chains, private practice, and optical labs.

Explain how you monitor and control up charging, add-on fees, and non-covered services within the network.

Detail your lab strategy, including lab network penetration and how lab partnerships influence cost and quality.

Are providers in your network able to opt out of discounts or fixed pricing? If so, what percentage do not offer discounts/fixed pricing? If they do offer discounts, are they able to limit discounts to specific services or products or do discounts apply to the entire pair of eyewear?

What is your average discount on lens options?

How do you help members determine the most cost effective method to get the most out of their allowance?

Eligibility

Confirm your ability to receive electronic eligibility data from a third-party vendor. The County currently uses Workday for actives and BCC for retiree administration. Please confirm that you can accommodate these systems.

Reporting

The County expects to receive monthly reporting that includes claims and enrollment, as well as quarterly reporting on utilization metrics

Can you customize your standard reports based on client needs?

Please provide a sample of your standard reporting package

Communications & Open Enrollment

What marketing and communication material will be available to SMC at no cost? Please provide samples. Identify any of these materials that may be customized at no additional cost to SMC.

Do you have the capability to support a strategic employee communications campaign aimed at ensuring members know how to maximize the vision benefits provided to the County?

Please describe how you will help to ensure that members are using their preventive benefits on a regular basis

Do you have a representative available to present relevant plan information to SMC membership (if requested) either during Open Enrollment or for educational seminars/webinars?

Misc.…

What Value Added Benefit/Programs are included in your proposal?

Please explain how the Coordination of Benefits (COB) structure works? Dual coverage?

Is retinal imaging a covered service? Please describe the process and cost for this service.

COS

	Vision Utilization and Cost of Services - Northern California
	Instructions: Please fill out tan shaded cells with plan specific information for the most recent calendar year (Q2 2021)
	In-Network						Out of Network
	Type of Service	# of Services	Average Retail Cost (per service)	Plan Pays
(per service)	Member Pays
(per service)	Allowable to Provider (plan + member)		Type of Service	# of Services	Average Retail Cost (per service)	Plan Pays
(per service)	Member Pays

(per service)

Exams	Exams
Lenses	Lenses
Single	Single
Bifocal	Bifocal
Trifocal	Trifocal
Frames	Frames
Contacts	Contacts
Lens Options	Lens Options
Progressives	Progressives
Standard	Standard
Premium Tier 1 - Custom	Premium Tier 1 - Custom
Premium Tier 2 - Premium	Premium Tier 2 - Premium
Premium Tier 3 - N/A	Premium Tier 3
Premium Other - N/A	Premium Other
Other lens options	Other lens options
UV	UV
Tint	Tint
Scratch	Scratch
Polycarbonate	Polycarbonate
Anti-reflective Tier 1	Anti-reflective Tier 1
Anti-reflective Tier 2	Anti-reflective Tier 2
Anti-reflective Tier 3	Anti-reflective Tier 3
Photo/Transition	Photo/Transition

Questionnaire

County of San Mateo
Vision RFP - Questionnaire
	Please provide a succinct response in this workbook to supplement the full response in your proposal.

General Information	Proposed Carrier Response
Full name; Legal and Trade Name
Address
Phone Number
Website Address
Parent Company (if operating as a subsidiary)
Date Company Founded
State of Incorporation
List of branch offices or other subordinate elements that will perform or assist in performing work herein
Provide relevant information providing proof of your organization’s financial soundness (i.e. AM Best, Moody's).
Provide the number of clients you service, as well as the average size employer client.
Financial Proposal
Proposal Valid for (indicate date range)

30, 60, 90 or 120 days

Please indicate any assumptions made with your Financial Proposal
Minimum 3 Year Rate Guarantee
All bids should be net of commission
Please identify any plan participation requirements
Implementation
Provide an implementation timeline based on the implementation date provided in this RFP - January 1, 2022
Confirm that there will be an Implementation team assigned for The County that includes members of the assigned and ongoing service team
Confirm you will provide an implementaiton allowance for transition that can be used for communications, and/or soft dollar costs
Will members get ID cards upon the initial effective date?
Desctibe how treatment in progress will be handled during a transition? Including orthodontia.
Confirm that rates will not change until next renewal, even if enrollment shifts within plans
Confirm you will grandfather all current Buy-Up plans and enrollment
Service & Support
Account Manager Information
Name
Address
Phone Number
# of years with the company
# of years in current position with the company
# of years in the industry
List any other team members that will serve the County
Location, Days and Times of operation
What was the percent turnover rate for your service and support team in the past 36 months? And how will potential staff turnover be addressed during a term Agreement?
What location / city would the resources for the County's account reside?
Confirm your ability to meet with the County Benefits staff upon request, as well as attend open enrollment meetings as needed
Confirm that you will respond to all inquiries within 24 hours
Claims Administration
Confirm the operating hours for claims processing
Confirm a dedicated claims team will support The County
Describe the metrics used to track and monitor claims processing
Please confirm that claims can be filed both electronically and telephonically
Do you have a Member Portal that members can use to access/view claims and payment history?
Will there be a dedicated Claims Representative assigned to the County?
Provider Network
What are the provider network(s) you propose to use for the County?
Do you own and operate your network(s)? If not, please describe the relationship and how the network is managed.
Are you planning any changes to the network, products or programs being offered to the County?
Please descrie your willingness and capability to add providers to yur network to meet the County's needs. Are you willing to offer Performance Guarantees around provider recruitment?
Please confirm your Out of Network fee schedule	We would like to see proposlas for 85% UCR, PPO fee schedule and MAC. Please confirm
What is your anticipated dental trend for 2021 and 2022?
Please share the level of informaiton that shows up on your website when doing a provider search (i.e. patient reviews, rating, number of years in business, etc…)
DHMO - describe how DHMO providers are evaluated and/or rated? How are those evaluations and/or ratings shared (in the aggregate?) with plan sponsors and/or target populations?
DHMO - Which of your DHMO network providers are and are not accepting new patients? What is the percentage? How is the network managed to maximize its availability to new patients?
Eligibility
Confirm your ability to receive electronic eligibility data from a third-party vendor. The County currently uses Workday for actives and BCC for retiree administration. Please confirm that you can accommodate these systems.
Payment and Banking
What are the approved methods of payment your company can receive from the County?
Describe your options for billing and payment process
Do you require a pre-fund to pay claims?
Reporting
The County expects to receive monthly reporting that includes claims and enrollment, as well as quarterly reporting on utilization metrics
Please provide a sample of your monthly/quarterly reporting package
Communications & Open Enrollment
What marketing and communication material is available to members and employers at no cost? Please provide samples.
Do you have a Mobile Application?
What level of involvement will your company play in open enrollment and annual benefit fairs?
Misc.…
What Value Added Benefit/Programs are included in your proposal?
Please explain how the Coordination of Benefits (COB) structure works? Dual coverage?
Please describe your Opiod Management programs. Are there any contract limitations for Opiod medications? Would the County have any influence over such programs?
Please describe how you will help to ensure that members are using their preventive benefits on a regular basis
Adherence to County Templates
County Service Provider Template	Confirm - Yes/No
County Contract Template	Confirm - Yes/No

SOW

	County of San Mateo
	Dental Plan Administration - Scope of Services
1)	Plan Administration - Claims processing, fund accounting

2) Customer Service - answer calls on a toll free 800# between 8:00am and 5:00pm PST (at a minimum)

3) Reporting - Provide monthly statistical plan data reports including utilization, claims, enrollment

4) Account Management - Dedicated service team that will attend meetings, research and resolution of complaint, investigate and resolve problems

5) Prepare plan documents, benefit simmaries, communication materials EE's and retirees

6) Compliance - advise the County on any pending legislation affecting the administration of the dental plans and help with compliance requirements

7) Meetings - OE, annual meetings, education seminars, trainings attend various employee, benefits team and labor management meetigs as requeted

8) Dedicated claims and eligibility represntative

9) Adherence to Performance Guarantees

VSP Actives Core (SF)

	County of San Mateo Vision Request for Proposal
	VSP Actives / Early Retirees - Self Funded Core Plan
	The below chart is a high level overview of the plans benefits. For a more comprehensive document of all covered benefits please refer to the attached Benefit Summary below.
	INSTRUCTIONS: Please fill in the below chart labeled "Proposed 1/1/2027" with your quoted plan. Please also provide the full benefit summary for the quoted plan. Complete in excel, not a PDF.
	Vision (Self-Funded)	VSP Core Plan (Signature)		Proposed 1/1/2027
	Benefits	In-Network	Non-Network	In-Network	Non-Network
	Frequency
	Exam	Every 12 months
	Lenses/Contacts	Every 12 months
	Frames	Every 24 months
	Copayment
	Prescription Glasses	$10
	Contacts	15% off contact fitting and evaluation exam, not to exceed $60
	Exam	Copay	Plan Pays up to:	Copay	Plan Pays up to:
	Exam	$10	$50
	Lenses
	Single Lenses	Covered in full	$50
	Bifocal Lenses	Covered in full	$75
	Trifocal Lenses	Covered in full	$100
	Standard Progressive Lenses	Covered in full	Varies
	Premium & Custom Progressive Lenses	$80 - $160	Varies
	Frames
	Frames	$170 Allowance;
20% off over $170	$70

	Anti-Reflective Coating	Not Covered	Not Covered
	UV Coating	Not Covered	Not Covered
	LightCare	Not Covered	Not Covered
	Contacts
	Elective	$170 Allowance;
in lieu of lens and frame*	$105**

	Current	Proposed
ASO Fee PEPM	$1.31
Rate Guarantee (3 years requested)	N/A
Claims Projection	N/A
Enrollment	4,051

Plan Documents:

VSP Actives Buy Up (SF)

	County of San Mateo Vision Request for Proposal
	VSP Actives Only - Self Funded Buy up plan
	The below chart is a high level overview of the plans benefits. For a more comprehensive document of all covered benefits please refer to the attached Benefit Summary below.
	INSTRUCTIONS: Please fill in the below chart labeled "Proposed 1/1/2027" with your quoted plan. Please also provide the full benefit summary for the quoted plan. Complete in excel, not a PDF.
	Vision (Self-Funded)	VSP Buy-Up Plan (Signature)		Proposed 1/1/2027
	Benefits	In-Network	Non-Network	In-Network	Non-Network
	Frequency
	Exam	Every 12 months
	Lenses/Contacts	Every 12 months
	Frames	Every 12 months
	Copayment
	Prescription Glasses	$10
	Contacts	15% off contact fitting and evaluation exam, not to exceed $60
	Exam	Copay	Plan Pays up to:	Copay	Plan Pays up to:
	Exam	$10	$50
	Lenses
	Single Lenses	Covered in full	$50
	Bifocal Lenses	Covered in full	$75
	Trifocal Lenses	Covered in full	$100
	Standard Progressive Lenses	Covered in full	Varies
	Premium & Custom Progressive Lenses	$80 - $160	Varies
	Frames
	Frames	$250 Allowance;
20% off over $250	$70

Anti-Reflective Coating	$35 Copay	Not Covered
UV Coating	No Charge	Not Covered
LightCare	Upgrade to LightCare

$250 Allowance for ready made non prescription sunglasses or Blue Light Computer Glasses instead of prescription glasses or contacts

	Contacts
	Elective	$250 Allowance;
in lieu of lens and frame*	$105**

	Current	Proposed
ASO Fee (PEPM)	$2.48
Rate Guarantee (3 years requested)	N/A
Claims Projection	N/A
Enrollment	1,695

Plan Documents:

VSP Retirees Vol (FI)

	County of San Mateo Vision Request for Proposal
	VSP Retiree Voluntary Plan - Fully insured
	The below chart is a high level overview of the plans benefits. For a more comprehensive document of all covered benefits please refer to the attached Benefit Summary below.
	INSTRUCTIONS: Please fill in the below chart labeled "Proposed 1/1/2027" with your quoted plan. Please also provide the full benefit summary for the quoted plan. Complete in excel, not a PDF.
	Vision (Fully-Insured)	VSP (Signature)		Proposed 1/1/2027
	Benefits	In-Network	Non-Network	In-Network	Non-Network
	Frequency
	Exam	Every 12 months
	Lenses/Contacts	Every 12 months
	Frames	Every 24 months
	Copayment
	Prescription Glasses	$10
	Contacts*	15% off contact fitting and evaluation exam, not to exceed $60
	Exam	Copay	Plan Pays up to:	Copay	Plan Pays up to:
	Exam	$10	$50
	Lenses
	Single Lenses	Covered in full	$50
	Bifocal Lenses	Covered in full	$75
	Trifocal Lenses	Covered in full	$100
	Standard Progressive Lenses	Covered in full	Varies
	Premium & Custom Progressive Lenses	$80 - $160	Varies
	Frames
	Frames	$170 Allowance;
20% off over $170	$70
	Contacts*
	Elective	$170 Allowance	$105
	Medically Necessary	Covered in full	$210

Rates	Current	Proposed
Single	$9.34
Two Party	$18.68
Family	$30.06
Enrollment	1,100
Rate Guarantee (3 years requested)	N/A

Plan Documents:

Claims Repricing Examples

Plan Deviations

County of San Mateo Vision Request for Proposal

Dental Plan Design Deviations

Vision Plan - Actives
Item #	Current Benefit Description	Proposed Benefit Description	Comments/Notes
1
2
3
4
5
6
7
8
9
10
Vision Plan - Retirees
Item #	Current Benefit Description	Proposed Benefit Description	Comments/Notes
1
2
3
4
5
6
7
8
9
10

Instructions:

Please use the attached Plan Documents for each current benefit design and indicate areas where you are unable to administer the benefit as it exists today. Please also clarify how you would propose to administer something as similar as possible. Please use the template below to respond to this component in excel. It will be understood that any benefit not identified here can be administered identically to its current form. Please note there is a separate tab for each current plan's benefit design.

References

County of San Mateo Vision Request for Proposal

Customer References - 3 CURRENT REFERENCES REQUIRED WITH SUBMISSION

CURRENT CUSTOMERS
Customer 1 (Required)		Bidder
	Organization Name
	Contact Name
	Contact Phone Number
	Contact Email Address
	Number of years as a Customer
Customer 2 (Required)
	Organization Name
	Contact Name
	Contact Phone Number
	Contact Email Address
	Number of years as a Customer
Customer 3 (Required)
	Organization Name
	Contact Name
	Contact Phone Number
	Contact Email Address
	Number of years as a Customer
FORMER CUSTOMER
Customer 1 (Required)
	Organization Name
	Contact Name
	Contact Phone Number
	Contact Email Address
	Number of years as a Customer
	Reason for Terming
Customer 2 (Required)
	Organization Name
	Contact Name
	Contact Phone Number
	Contact Email Address
	Number of years as a Customer
	Reason for Terming

INSTRUCTIONS:

Offeror shall provide a minimum of five (5) Public Entity references that are currently using or have previously used services of the type proposed in this RFP. The references should include at least two (2) prior customers who no longer obtain services with your organization, and at least three (3) current customers.

The County of San Mateo reserves the right to use any information or additional references deemed necessary to establish the ability of the offeror to perform the contract. Negative references may be grounds for proposal disqualification.

Performance Guarantees

	County of San Mateo Vision Request for Proposal
	Performance Guarantees
	1. Are you able to match the performance measures below:
	Performance Guarantee Measure	PG
Value	Bidder Response
	Claims Processing
	Claims financial accuracy (+/- .5% margin of error)	99%
	Claims processing accuracy	99%
	All preferred provider claims processed within five business days	95%
	All member claims processed within five business days	95%
	All claims processed within 15 business days	99%
	Call Center Management
	Abandoned call rate

Average speed of answer Average call blockage rate <=3% <=25 secs <=2%

Call resolution (same day response)	98%
Complaint acknowledgement within five business days	96%
Complaint resolution within 30 calendar days	99%
Average response to e-mail inquiries within two business days	100%
Satisfaction
Overall satisfaction with VSP	96%
Overall experience with VSP preferred provider	96%
VSP preferred provider retention rate (based on voluntary turnover)	98%
Account Administration
Electronic eligibility online within 24 hours (based on maintenance files)	98%
Online reports on VSP's Resource Center by 25th of month	100%
Web portal availability	99%
Total funds at risk - 1% of administrative fee up to a maximum of $100,000

Census

County of San Mateo Vision Request for Proposal

Census

Date: February 2026

	Employee Status
(Active, Retiree, Cobra)	Employee ID #	Gender	Date of Birth	Date of Hire	Zip Code	State	Vision Plan Elected	Vision Coverage Tier
	Active	000000209	Male	6/1/72	4/3/06	94107	California	Vision - Vision Service Plan SMC	Employee
	Active	000000260	Female	8/20/53	12/1/03	94010	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000000290	Female	8/13/69	5/30/01	94303	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000000324	Female	3/1/75	7/2/01	94112	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000000359	Female	10/23/65	5/8/95	94061	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000000458	Female	2/25/64	11/17/03	94539	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000000470	Male	8/12/60	9/24/01	94609	California	Vision - Vision Service Plan SMC	Employee
	Active	000000518	Male	8/10/64	9/5/00	94121	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000000604	Female	1/7/55	4/2/98	94403	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000000622	Female	1/28/67	2/22/99	94544	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000000623	Female	8/7/83	10/27/03	94002	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000000659	Female	10/6/67	1/8/01	94030	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000000660	Female	9/16/76	8/10/00	94062	California	Vision - Vision Service Plan SMC	Employee
	Active	000000721	Female	9/30/58	9/4/90	94303	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000000993	Male	11/8/59	4/4/01	94040	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000001042	Female	11/3/68	4/11/07	94544	California	Vision - Vision Service Plan SMC	Employee + Domestic Partner
	Active	000001064	Female	5/24/73	11/6/00	94002	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000001177	Female	9/5/66	4/8/21	94544	California	Vision - Vision Service Plan Buy-Up (IHSSPA)	Employee, Domestic Partner + Family
	Active	000001281	Female	11/19/74	6/17/02	94044	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000001292	Female	2/28/70	8/22/03	94114	California	Vision - Vision Service Plan SMC	Employee
	Active	000001357	Male	6/25/62	4/29/12	94110	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000001580	Female	11/9/68	7/13/92	94403	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000001700	Female	9/8/62	3/13/14	94014	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000001780	Female	7/26/72	6/11/00	95051	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000001826	Male	3/28/74	1/30/02	95128	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000001886	Male	7/15/71	2/5/01	94019	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000001917	Female	11/3/74	12/19/04	94044	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002059	Female	2/14/58	8/1/83	94070	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000002096	Female	12/28/74	8/27/01	94015	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002103	Female	7/6/56	3/10/97	94061-2812	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002111	Female	3/17/72	1/25/09	94942-1627	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002153	Male	7/5/49	4/2/84	94062	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000002195	Male	10/19/68	11/5/96	94541	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000002218	Female	5/13/66	12/3/03	94107	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000002246	Male	2/1/71	4/7/03	94070	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002281	Male	11/7/68	6/17/02	94062	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000002308	Male	2/6/67	8/3/98	95008	California	Vision - Vision Service Plan SMC	Employee
	Active	000002367	Female	7/9/67	2/3/92	94062	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000002382	Male	7/7/73	11/24/03	94070	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000002416	Female	2/11/71	9/21/98	94536	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000002427	Male	5/19/73	4/15/02	94080	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000002826	Male	6/1/67	8/1/01	94044	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000003117	Male	7/16/73	9/6/04	94018	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000003129	Female	6/21/62	5/15/02	94403	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000003186	Female	9/2/52	12/2/07	94019	California	Vision - Vision Service Plan SMC	Employee
	Active	000003272	Male	8/18/66	8/26/02	94541	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000003410	Female	7/6/60	12/15/97	94010	California	Vision - Vision Service Plan SMC	Employee
	Active	000003446	Female	4/29/64	5/27/03	94080	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000003547	Female	2/6/62	12/4/00	94044	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000003700	Female	7/1/62	6/1/02	94303	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000003759	Female	6/8/75	8/26/07	94401	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000004019	Male	3/27/61	7/24/00	94062	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000004125	Male	5/24/66	10/15/96	94018-1502	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000004161	Female	1/17/75	1/22/13	94020	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000004308	Female	6/13/61	11/26/01	94403	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000004393	Female	3/7/71	9/17/01	95117	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000004540	Female	2/11/66	9/23/96	95050	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000004635	Male	2/16/63	4/20/98	94010	California	Vision - Vision Service Plan Courts	Employee
	Active	000004700	Female	8/16/83	2/12/06	94403	California	Vision - Vision Service Plan SMC	Employee
	Active	000004749	Female	10/7/83	12/11/03	94002	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000004832	Female	2/13/67	7/12/99	94609	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000004870	Female	6/11/75	11/17/03	94579	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000004932	Female	1/7/60	9/21/98	95472	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000004971	Male	5/16/66	9/1/99	94061	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000005338	Male	3/16/72	4/16/01	94402-2329	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005365	Female	3/29/62	4/9/90	94401	California	Vision - Vision Service Plan SMC	Employee, Domestic Partner + Family
	Active	000005386	Male	1/2/72	9/7/04	94403	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000005399	Female	4/10/73	11/1/93	94541	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005419	Female	10/10/75	10/10/96	94061	California	Vision - Vision Service Plan Courts	Employee + Family
	Active	000005440	Female	12/28/64	5/15/00	94303	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005455	Female	9/21/63	8/9/98	94080	California	Vision - Vision Service Plan Courts	Employee + 1
	Active	000005472	Female	7/25/63	6/11/00	94005	California	Vision - Vision Service Plan SMC	Employee
	Active	000005473	Female	6/18/75	2/26/01	94544	California	Vision - Vision Service Plan SMC	Employee + Domestic Partner
	Active	000005500	Male	12/15/72	10/16/91	94074	California	Vision - Vision Service Plan SMC	Employee + Domestic Partner
	Active	000005507	Female	3/15/66	7/8/96	94560	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000005565	Male	6/3/71	9/16/02	94015	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005597	Male	12/6/64	5/14/01	94127	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000005636	Female	5/6/77	12/10/00	94070	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000005829	Female	1/14/73	3/5/01	94080	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000005842	Male	10/4/65	11/12/85	95212	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005873	Female	10/18/69	4/2/01	94063	California	Vision - Vision Service Plan Courts	Employee + Family
	Active	000005903	Male	10/29/76	1/30/02	94404	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000005933	Female	9/30/62	11/28/94	94401	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000005946	Male	8/9/68	3/20/01	94116	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000005950	Male	4/19/59	1/7/03	94131	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000005983	Female	7/19/81	10/29/03	94015	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000005994	Female	11/18/67	11/2/97	94132	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000006008	Female	1/25/68	1/18/00	94044	California	Vision - Vision Service Plan SMC	Employee
	Active	000006026	Female	9/28/64	5/15/89	94587	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006029	Male	6/3/51	1/7/01	94010	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006052	Female	6/26/79	9/26/04	94560	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006054	Female	6/27/71	12/11/01	95118	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006055	Female	5/27/76	12/26/00	94588	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006103	Female	5/17/73	1/6/05	94019	California	Vision - Vision Service Plan SMC	Employee
	Active	000006161	Female	2/16/67	11/25/91	94401	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee, Domestic Partner + Family
	Active	000006184	Female	7/20/71	7/22/96	94044	California	Vision - Vision Service Plan SMC	Employee
	Active	000006191	Female	5/13/69	2/8/93	94066	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006193	Female	12/10/65	6/14/98	94610	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006204	Female	12/29/71	1/7/03	94010	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006220	Female	5/9/62	12/18/89	94402	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006239	Female	9/21/67	12/1/96	94080	California	Vision - Vision Service Plan Courts	Employee + 1
	Active	000006285	Female	12/18/71	11/2/98	95376	California	Vision - Vision Service Plan SMC	Employee
	Active	000006319	Male	12/13/75	9/16/02	95304	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006432	Male	2/8/64	3/22/99	95051	California	Vision - Vision Service Plan SMC	Employee
	Active	000006437	Female	3/4/69	8/7/00	94112	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006456	Female	1/9/73	4/7/19	94401	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006489	Female	5/25/55	8/13/85	94080	California	Vision - Vision Service Plan Buy-Up (Courts)	Employee
	Active	000006522	Female	12/2/79	4/26/99	94403	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006535	Female	6/20/68	7/24/00	94070	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006541	Female	10/27/69	6/10/04	94403	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006589	Female	10/4/73	3/12/01	94030	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006593	Female	1/12/73	12/18/00	94015	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006612	Female	10/22/69	6/18/90	94303	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006659	Female	9/24/70	2/5/96	94063	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee, Domestic Partner + Family
	Active	000006685	Female	4/21/64	1/3/93	94560	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006721	Male	3/11/66	9/10/01	94080	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006747	Female	12/29/73	7/22/01	95336	California	Vision - Vision Service Plan SMC	Employee
	Active	000006752	Female	7/2/68	11/9/98	94002	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006756	Female	8/27/55	2/7/83	94539	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006761	Male	11/13/70	4/4/02	94134	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006773	Female	11/17/77	4/7/03	95330	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006777	Male	3/11/77	2/28/05	94025	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000006786	Male	7/22/62	4/19/98	94061	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000006788	Male	1/15/68	2/25/02	94030	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000006856	Female	11/17/66	10/10/00	94063	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006880	Male	10/18/71	3/22/99	94063	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000006890	Female	4/17/48	2/6/11	94112	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006954	Female	1/17/68	9/30/03	94080	California	Vision - Vision Service Plan SMC	Employee
	Active	000006993	Female	11/29/73	8/17/03	94541	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000006998	Female	10/1/62	3/13/95	94015	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000007055	Male	5/5/72	7/10/00	94070	California	Vision - Vision Service Plan SMC	Employee
	Active	000007058	Female	2/18/67	12/22/03	94544	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000007064	Female	2/25/57	7/3/94	94080	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000007068	Male	10/1/65	5/3/04	94404	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000007178	Female	11/13/75	8/19/02	94070	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000007208	Female	1/1/77	3/3/03	92563	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Family
	Active	000007223	Female	10/31/72	8/2/99	94403	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007226	Female	4/28/71	1/22/12	94403	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000007339	Female	8/24/77	11/22/99	94026	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007349	Female	4/16/70	8/3/98	94018	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000007475	Female	11/7/58	3/30/03	94063	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000007513	Male	1/25/68	9/26/04	94568	California	Vision - Vision Service Plan SMC	Employee + Domestic Partner
	Active	000007533	Female	5/27/60	8/2/04	94037	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee
	Active	000007581	Female	12/8/62	4/26/96	94080	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000007603	Female	5/29/65	10/14/97	95357	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007677	Female	8/12/67	6/30/96	94112	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007738	Female	11/25/70	10/6/97	94002	California	Vision - Vision Service Plan SMC	Employee
	Active	000007744	Female	2/17/79	8/6/01	94404	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + Domestic Partner
	Active	000007767	Male	7/16/78	3/29/04	94560	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007809	Male	9/4/70	3/8/99	94010	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000007815	Male	8/22/73	12/24/07	94019	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000007896	Female	6/12/56	12/26/99	94303	California	Vision - Vision Service Plan SMC	Employee
	Active	000007922	Female	8/8/76	5/29/01	94112	California	Vision - Vision Service Plan SMC	Employee + Family
	Active	000008063	Male	12/19/70	1/21/92	94114	California	Vision - Vision Service Plan SMC	Employee + 1
	Active	000008065	Female	1/12/68	4/7/97	94303	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000008072	Male	2/15/66	5/19/90	95060	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000008074	Female	12/25/65	2/20/00	94080	California	Vision - Vision Service Plan Buy-Up (Courts)	Employee + 1
	Active	000008120	Female	2/26/70	5/21/01	94580	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000008125	Male	5/26/66	5/19/97	94019	California	Vision - Vision Service Plan Buy-Up (SMC)	Employee + 1
	Active	000008126	Male	9/5/77	9/18/00	94402	California	Vision - Vision Service Plan SMC	Employee
	Active	000008142	Female	3/29/67	11/2/97	94002	California	Vision - Vision Service Plan SMC	Employee
	Active	000008143	Male	12/5/78	6/9/03	94122	California	Vision - Vision Service Plan Buy-Up (Courts)	Employee + Domestic Partner

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Mar 30, 2026.