RFP_31786-00192_Appendix_7.1_Premium_Collections2023-June2026.xlsx

XLSX spreadsheet 708 KB Posted Aug 14, 2026

Attached to: Voluntary, Fully-Insured Vision Insurance Plan - UPDATED
Solicitation number: RFP 31786-00192
Issued by: Tennessee

About this file

Written by GovTribe AI · Aug 17, 2026

This is a premium collections data report for a Voluntary, Fully-Insured Vision Insurance Plan administered for the State of Tennessee covering the period from January 2023 through June 2026. The document tracks monthly pass-through payments processed by EyeMed, the vision insurance vendor, across multiple fund codes (51010, 52000, 53000, 55000, 56000, and 58000) and deduction codes. The plan offers two vision coverage tiers—Vision Basic and Vision Expanded—under the VISN product line. The report presents aggregated monthly data showing member enrollment counts and corresponding deduction amounts, with collection volumes remaining relatively stable throughout the period, averaging between approximately 79,000 and 91,000 total members monthly with total monthly deductions ranging from approximately $725,000 to $823,000.

The premium collections data reflects consistent month-to-month participation across six distinct fund codes, with fund code 55000 consistently representing the largest enrollment concentration. Vision Expanded plans consistently generated higher per-member deductions compared to Vision Basic plans. The data demonstrates no significant fluctuations in enrollment or collection patterns, indicating stable administration of the voluntary vision insurance program. Monthly collection totals ranged from $725,600.23 in February 2023 to $823,852.95 in May 2026, with an overall upward trend in member counts and total deductions observed from 2023 through 2026. The report structure and consistent formatting across all months suggest reliable administrative tracking and processing of vision insurance premiums throughout the three-year-plus contract period.

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Other files

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RFP_31786-00192_Appendix_7_16_Vision_Enrollment_Including_Zip_and_Status-1.xlsx	XLSX spreadsheet	Sep 30, 2026
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RFP_31786-00192_Appendix_7_15_Vision_Premium_Rates.xlsx	XLSX spreadsheet	Sep 30, 2026
RFP_31786-00192_Amendment_2.docx	DOCX document	Sep 29, 2026
RFP_31786-00192_Vision_Release_2.docx	DOCX document	Sep 29, 2026
RFP_31786-00192_Amendment_One.docx	DOCX document	Sep 25, 2026
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RFP_31786-00192_Appendix_7.12_Expanded_Plan_Certificate_Eff.%201-1-26_.docx	DOCX document	Aug 14, 2026
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RFP_31786-00192_Appendix_7.6_Benefits_Administration_834_Guidance_Manual.docx	DOCX document	Aug 14, 2026
RFP_31786-00192_Appendix_7.2_Quest_Analytics_Access_Report_Instructions.docx	DOCX document	Aug 14, 2026
RFP_31786-00192_Appendix_7.3_Sample_Quest_Analytics_Analysis_Report.docx	DOCX document	Aug 14, 2026
RFP_31786-00192_Appendix_7.13_Plan_Benefit_Changes.xlsx	XLSX spreadsheet	Aug 14, 2026
RFP_31786-00192_Appendix_7.5_Enrollment_by_Coverage_2023%E2%80%93June_2026.xlsx	XLSX spreadsheet	Aug 14, 2026
RFP_31786-00192_Appendix_7.11_Basic_Plan_Certificate_Eff.%201-1-26_.docx	DOCX document	Aug 14, 2026
RFP_31786-00192_Appendix_7.9_HIPAA_Business_Associate_Assessment.xlsx	XLSX spreadsheet	Aug 14, 2026
31786-00192%20Digital%20Submission%20Instructions.docx	DOCX document	Aug 14, 2026
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RFP%2031786-00192%20Vision.docx	DOCX document	Aug 14, 2026

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Jan 2023

RFP 31786-00192 Appendix 7.1 Premium Collections 2023 - June 2026
January 2023 Pass Through Payments			State of Tennessee
				Values
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	52000	VISN	Vision Basic	356	1,516.03
			Vision Expanded	908	7,188.95
		VISN Total		1,264	8,704.98
	53000	VISN	Vision Basic	17	74.46
			Vision Expanded	87	708.79
		VISN Total		104	783.25
	55000	VISN	Vision Basic	14,941	81,536.86
			Vision Expanded	33,809	375,105.09
		VISN Total		48,750	456,641.95
	56000	VISN	Vision Basic	5,263	27,845.62
			Vision Expanded	12,393	135,235.85
		VISN Total		17,656	163,081.47
	58000	VISN	Vision Basic	2,280	10,143.04
			Vision Expanded	6,648	62,550.17
		VISN Total		8,928	72,693.21
	51010	VISN	Vision Basic	896	3,897.25
			Vision Expanded	2,324	19,939.02
		VISN Total		3,220	23,836.27
EyeMed Total				79,922	725,741.13
Grand Total				79,922	725,741.13

Feb 2023

February 2023 Pass Through Payments			State of Tennessee
				Values
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	52000	VISN	Vision Basic	335	1,479.34
			Vision Expanded	873	7,195.62
		VISN Total		1208	8,674.96
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	84	714.90
		VISN Total		105	808.23
	55000	VISN	Vision Basic	14880	81,693.04
			Vision Expanded	33480	374,585.40
		VISN Total		48360	456,278.44
	56000	VISN	Vision Basic	5282	27,834.47
			Vision Expanded	12349	135,253.50
		VISN Total		17631	163,087.97
	58000	VISN	Vision Basic	2264	10,132.08
			Vision Expanded	6593	62,574.87
		VISN Total		8857	72,706.95
	51010	VISN	Vision Basic	812	3,915.24
			Vision Expanded	2039	20,128.44
		VISN Total		2851	24,043.68
EyeMed Total				79012	725,600.23
Grand Total				79012	725,600.23

March 2023

Vendor Name	Fund Code	Deduction Code	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	3241	24009.95
	52000	VISN	1256	8649.96
	53000	VISN	105	798.75
	55000	VISN	49114	458848.48
	56000	VISN	17742	163471.57
	58000	VISN	8921	72886.61

April 2023 January 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,164	83,137.84
			Vision Expanded	33,747	375,123.38
		VISN Total		48,911	458,261.22
	51010	VISN	Vision Basic	811	3,901.46
			Vision Expanded	2,035	19,996.20
		VISN Total		2,846	23,897.66
	52000	VISN	Vision Basic	332	1,497.20
			Vision Expanded	863	7,085.94
		VISN Total		1,195	8,583.14
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	83	702.30
		VISN Total		104	795.63
	56000	VISN	Vision Basic	5,315	28,080.56
			Vision Expanded	12,370	135,350.80
		VISN Total		17,685	163,431.36
	58000	VISN	Vision Basic	2,266	10,236.56
			Vision Expanded	6,625	62,946.76
		VISN Total		8,891	73,183.32
EyeMed Total				79,632	728,152.33
Grand Total				79,632	728,152.33

May 2023 May 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,289	83,219.76
			Vision Expanded	33,974	375,480.63
		VISN Total		49,263	458,700.39
	51010	VISN	Vision Basic	899	3,852.44
			Vision Expanded	2,314	20,067.73
		VISN Total		3,213	23,920.17
	52000	VISN	Vision Basic	344	1,419.72
			Vision Expanded	898	7,028.72
		VISN Total		1,242	8,448.44
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	82	696.00
		VISN Total		103	789.33
	56000	VISN	Vision Basic	5,324	28,324.80
			Vision Expanded	12,414	135,358.70
		VISN Total		17,738	163,683.50
	58000	VISN	Vision Basic	2,303	10,333.21
			Vision Expanded	6,685	63,078.84
		VISN Total		8,988	73,412.05
EyeMed Total				80,547	728,953.88
Grand Total				80,547	728,953.88

June 2023

Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,437	83,842.63
			Vision Expanded	34,140	377,348.99
		VISN Total		49,577	461,191.62
	51010	VISN	Vision Basic	899	3,898.51
			Vision Expanded	2,306	19,833.23
		VISN Total		3,205	23,731.74
	52000	VISN	Vision Basic	350	1,470.01
			Vision Expanded	886	6,930.14
		VISN Total		1,236	8,400.15
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	82	658.20
		VISN Total		103	751.53
	56000	VISN	Vision Basic	5,325	28,123.70
			Vision Expanded	12,388	135,024.31
		VISN Total		17,713	163,148.01
	58000	VISN	Vision Basic	2,294	10,302.11
			Vision Expanded	6,643	62,730.47
		VISN Total		8,937	73,032.58
EyeMed Total				80,771	730,255.63
Grand Total				80,771	730,255.63

July 2023 July 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,513	84,191.77
			Vision Expanded	34,162	377,232.36
		VISN Total		49,675	461,424.13
	51010	VISN	Vision Basic	892	3,873.30
			Vision Expanded	2,287	19,907.96
		VISN Total		3,179	23,781.26
	52000	VISN	Vision Basic	346	1,436.25
			Vision Expanded	867	6,827.28
		VISN Total		1,213	8,263.53
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	84	701.68
		VISN Total		105	795.01
	56000	VISN	Vision Basic	5,297	27,854.53
			Vision Expanded	12,313	134,732.89
		VISN Total		17,610	162,587.42
	58000	VISN	Vision Basic	2,286	10,269.87
			Vision Expanded	6,631	62,805.35
		VISN Total		8,917	73,075.22
EyeMed Total				80,699	729,926.57
Grand Total				80,699	729,926.57

August 2023 August 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,533	84,337.50
			Vision Expanded	34,068	376,735.87
		VISN Total		49,601	461,073.37
	51010	VISN	Vision Basic	888	3,836.45
			Vision Expanded	2,297	19,667.90
		VISN Total		3,185	23,504.35
	52000	VISN	Vision Basic	349	1,476.71
			Vision Expanded	864	6,899.94
		VISN Total		1,213	8,376.65
	53000	VISN	Vision Basic	20	90.15
			Vision Expanded	82	719.60
		VISN Total		102	809.75
	56000	VISN	Vision Basic	5,324	28,051.16
			Vision Expanded	12,291	133,614.71
		VISN Total		17,615	161,665.87
	58000	VISN	Vision Basic	2,283	10,063.35
			Vision Expanded	6,636	62,348.73
		VISN Total		8,919	72,412.08
EyeMed Total				80,635	727,842.07
Grand Total				80,635	727,842.07

September 2023 September 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,662	85,055.34
			Vision Expanded	34,245	378,582.30
		VISN Total		49,907	463,637.64
	51010	VISN	Vision Basic	896	3,825.58
			Vision Expanded	2,287	19,635.94
		VISN Total		3,183	23,461.52
	52000	VISN	Vision Basic	386	1,639.24
			Vision Expanded	966	7,744.76
		VISN Total		1,352	9,384.00
	53000	VISN	Vision Basic	21	93.33
			Vision Expanded	81	694.40
		VISN Total		102	787.73
	56000	VISN	Vision Basic	5,542	29,089.85
			Vision Expanded	12,421	134,883.65
		VISN Total		17,963	163,973.50
	58000	VISN	Vision Basic	2,276	10,180.73
			Vision Expanded	6,658	62,467.58
		VISN Total		8,934	72,648.31
EyeMed Total				81,441	733,892.70
Grand Total				81,441	733,892.70

October 2023 October 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,670	85,425.91
			Vision Expanded	34,025	379,234.46
		VISN Total		49,695	464,660.37
	51010	VISN	Vision Basic	798	3,885.83
			Vision Expanded	1,992	19,787.75
		VISN Total		2,790	23,673.58
	52000	VISN	Vision Basic	383	1,692.22
			Vision Expanded	922	7,716.00
		VISN Total		1,305	9,408.22
	53000	VISN	Vision Basic	19	84.12
			Vision Expanded	79	694.40
		VISN Total		98	778.52
	56000	VISN	Vision Basic	5,608	29,500.15
			Vision Expanded	12,430	136,494.27
		VISN Total		18,038	165,994.42
	58000	VISN	Vision Basic	2,278	10,366.13
			Vision Expanded	6,633	62,359.72
		VISN Total		8,911	72,725.85
EyeMed Total				80,837	737,240.96
Grand Total				80,837	737,240.96

November 2023 November 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,731	85,780.02
			Vision Expanded	34,097	379,910.13
		VISN Total		49,828	465,690.15
	51010	VISN	Vision Basic	789	3,795.51
			Vision Expanded	1,984	19,651.04
		VISN Total		2,773	23,446.55
	52000	VISN	Vision Basic	380	1,686.54
			Vision Expanded	915	7,680.42
		VISN Total		1,295	9,366.96
	53000	VISN	Vision Basic	19	84.12
			Vision Expanded	78	663.62
		VISN Total		97	747.74
	56000	VISN	Vision Basic	5,630	29,526.45
			Vision Expanded	12,448	136,180.23
		VISN Total		18,078	165,706.68
	58000	VISN	Vision Basic	2,284	10,155.87
			Vision Expanded	6,690	63,013.92
		VISN Total		8,974	73,169.79
EyeMed Total				81,045	738,127.87
Grand Total				81,045	738,127.87

December 2023 December 2023 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,909	85,976.27
			Vision Expanded	34,525	380,586.12
		VISN Total		50,434	466,562.39
	51010	VISN	Vision Basic	881	3,860.16
			Vision Expanded	2,253	19,455.24
		VISN Total		3,134	23,315.40
	52000	VISN	Vision Basic	394	1,665.30
			Vision Expanded	970	7,930.26
		VISN Total		1,364	9,595.56
	53000	VISN	Vision Basic	19	84.12
			Vision Expanded	76	632.12
		VISN Total		95	716.24
	56000	VISN	Vision Basic	5,650	29,565.19
			Vision Expanded	12,522	135,918.73
		VISN Total		18,172	165,483.92
	58000	VISN	Vision Basic	2,307	10,405.31
			Vision Expanded	6,789	63,424.18
		VISN Total		9,096	73,829.49
EyeMed Total				82,295	739,503.00
(blank)	(blank)	(blank)	(blank)
		(blank) Total
(blank) Total
Grand Total				82,295	739,503.00

January 2024 January 2024 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	15,979	87,037.33
			Vision Expanded	36,137	400,816.15
		VISN Total		52,116	487,853.48
	51010	VISN	Vision Basic	879	3,861.85
			Vision Expanded	2,298	20,003.24
		VISN Total		3,177	23,865.09
	52000	VISN	Vision Basic	389	1,599.03
			Vision Expanded	991	8,009.46
		VISN Total		1,380	9,608.49
	53000	VISN	Vision Basic	19	84.12
			Vision Expanded	83	701.68
		VISN Total		102	785.80
	56000	VISN	Vision Basic	5,590	29,196.45
			Vision Expanded	12,581	136,241.87
		VISN Total		18,171	165,438.32
	58000	VISN	Vision Basic	2,361	10,786.62
			Vision Expanded	7,105	66,998.05
		VISN Total		9,466	77,784.67
EyeMed Total				84,412	765,335.85
Grand Total				84,412	765,335.85

February 2024 February 2024 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	16,058	87,596.71
			Vision Expanded	36,081	400,247.48
		VISN Total		52,139	487,844.19
	51010	VISN	Vision Basic	874	3,830.81
			Vision Expanded	2,291	19,641.72
		VISN Total		3,165	23,472.53
	52000	VISN	Vision Basic	391	1,611.30
			Vision Expanded	1,005	8,159.18
		VISN Total		1,396	9,770.48
	53000	VISN	Vision Basic	20	80.94
			Vision Expanded	77	651.90
		VISN Total		97	732.84
	56000	VISN	Vision Basic	5,604	29,167.22
			Vision Expanded	12,593	136,201.22
		VISN Total		18,197	165,368.44
	58000	VISN	Vision Basic	2,360	10,857.93
			Vision Expanded	7,094	67,091.79
		VISN Total		9,454	77,949.72
EyeMed Total				84,448	765,138.20
Grand Total				84,448	765,138.20

March 2024 March 2024 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	16,168	87,688.42
			Vision Expanded	36,156	400,643.52
		VISN Total		52,324	488,331.94
	51010	VISN	Vision Basic	881	3,794.49
			Vision Expanded	2,283	19,687.32
		VISN Total		3,164	23,481.81
	52000	VISN	Vision Basic	384	1,535.04
			Vision Expanded	981	7,900.14
		VISN Total		1,365	9,435.18
	53000	VISN	Vision Basic	19	84.12
			Vision Expanded	80	670.54
		VISN Total		99	754.66
	56000	VISN	Vision Basic	5,621	29,407.72
			Vision Expanded	12,613	135,769.39
		VISN Total		18,234	165,177.11
	58000	VISN	Vision Basic	2,380	10,819.99
			Vision Expanded	7,107	66,836.27
		VISN Total		9,487	77,656.26
EyeMed Total				84,673	764,836.96
Grand Total				84,673	764,836.96

April 2024 April 2024 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	16,196	87,784.69
			Vision Expanded	36,177	400,602.04
		VISN Total		52,373	488,386.73
	51010	VISN	Vision Basic	869	3,826.40
			Vision Expanded	2,281	19,548.72
		VISN Total		3,150	23,375.12
	52000	VISN	Vision Basic	380	1,550.02
			Vision Expanded	967	7,766.40
		VISN Total		1,347	9,316.42
	53000	VISN	Vision Basic	20	87.30
			Vision Expanded	80	651.64
		VISN Total		100	738.94
	56000	VISN	Vision Basic	5,601	29,125.62
			Vision Expanded	12,591	135,865.92
		VISN Total		18,192	164,991.54
	58000	VISN	Vision Basic	2,401	10,938.11
			Vision Expanded	7,167	67,596.73
		VISN Total		9,568	78,534.84
EyeMed Total				84,730	765,343.59
Grand Total				84,730	765,343.59

- 0

May 2024 May 2024 Pass Through Payments State of Tennessee

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	55000	VISN	Vision Basic	16,319	88,257.08
			Vision Expanded	36,263	401,138.55
		VISN Total		52,582	489,395.63
	51010	VISN	Vision Basic	877	3,789.52
			Vision Expanded	2,267	19,361.84
		VISN Total		3,144	23,151.36
	52000	VISN	Vision Basic	385	1,574.45
			Vision Expanded	960	7,642.88
		VISN Total		1,345	9,217.33
	53000	VISN	Vision Basic	23	93.99
			Vision Expanded	76	657.94
		VISN Total		99	751.93
	56000	VISN	Vision Basic	5,610	29,369.98
			Vision Expanded	12,571	135,506.94
		VISN Total		18,181	164,876.92
	58000	VISN	Vision Basic	2,393	10,842.59
			Vision Expanded	7,187	67,089.45
		VISN Total		9,580	77,932.04
EyeMed Total				84,931	765,325.21
Grand Total				84,931	765,325.21

- 0

June 2024

June 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	874	3,818.80
			Vision Expanded	2,253	19,479.38
		VISN Total		3,127	23,298.18
	52000	VISN	Vision Basic	384	1,612.10
			Vision Expanded	946	7,551.22
		VISN Total		1,330	9,163.32
	53000	VISN	Vision Basic	21	87.63
			Vision Expanded	77	670.54
		VISN Total		98	758.17
	55000	VISN	Vision Basic	16,384	88,827.82
			Vision Expanded	36,259	401,282.23
		VISN Total		52,643	490,110.05
	56000	VISN	Vision Basic	5,614	29,380.58
			Vision Expanded	12,537	135,162.43
		VISN Total		18,151	164,543.01
	58000	VISN	Vision Basic	2,395	10,954.84
			Vision Expanded	7,153	67,427.08
		VISN Total		9,548	78,381.92
Grand Total				84,897	766,254.65

July 2024

July 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	864	3,771.98
			Vision Expanded	2,255	19,477.88
		VISN Total		3,119	23,249.86
	52000	VISN	Vision Basic	389	1,624.03
			Vision Expanded	947	7,570.58
		VISN Total		1,336	9,194.61
	53000	VISN	Vision Basic	21	87.63
			Vision Expanded	82	713.92
		VISN Total		103	801.55
	55000	VISN	Vision Basic	16,407	88,919.41
			Vision Expanded	36,219	400,895.94
		VISN Total		52,626	489,815.35
	56000	VISN	Vision Basic	5,569	29,118.63
			Vision Expanded	12,436	134,558.96
		VISN Total		18,005	163,677.59
	58000	VISN	Vision Basic	2,412	11,086.80
			Vision Expanded	7,137	67,515.08
		VISN Total		9,549	78,601.88
Grand Total				84,738	765,340.84

August 2024

August 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	870	3,809.98
			Vision Expanded	2,257	19,491.88
		VISN Total		3,127	23,301.86
	52000	VISN	Vision Basic	391	1,657.58
			Vision Expanded	959	7,707.58
		VISN Total		1,350	9,365.16
	53000	VISN	Vision Basic	22	90.81
			Vision Expanded	81	658.56
		VISN Total		103	749.37
	55000	VISN	Vision Basic	16,520	89,632.69
			Vision Expanded	36,195	400,405.50
		VISN Total		52,715	490,038.19
	56000	VISN	Vision Basic	5,582	29,061.31
			Vision Expanded	12,379	133,786.37
		VISN Total		17,961	162,847.68
	58000	VISN	Vision Basic	2,421	11,113.84
			Vision Expanded	7,163	67,473.91
		VISN Total		9,584	78,587.75
Grand Total				84,840	764,890.01

September 2024

September 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	875	3,780.81
			Vision Expanded	2,257	19,432.18
		VISN Total		3,132	23,212.99
	52000	VISN	Vision Basic	434	1,841.47
			Vision Expanded	1,012	8,228.58
		VISN Total		1,446	10,070.05
	53000	VISN	Vision Basic	22	90.81
			Vision Expanded	79	664.86
		VISN Total		101	755.67
	55000	VISN	Vision Basic	16,703	90,406.64
			Vision Expanded	36,306	401,073.78
		VISN Total		53,009	491,480.42
	56000	VISN	Vision Basic	5,777	30,303.81
			Vision Expanded	12,475	135,411.74
		VISN Total		18,252	165,715.55
	58000	VISN	Vision Basic	2,443	11,120.08
			Vision Expanded	7,186	67,095.94
		VISN Total		9,629	78,216.02
Grand Total				85,569	769,450.70

October 2024

September 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	891	3,855.50
			Vision Expanded	2,252	19,402.96
		VISN Total		3,143	23,258.46
	52000	VISN	Vision Basic	446	1,920.01
			Vision Expanded	1,034	8,383.04
		VISN Total		1,480	10,303.05
	53000	VISN	Vision Basic	22	90.81
			Vision Expanded	79	664.86
		VISN Total		101	755.67
	55000	VISN	Vision Basic	16,847	91,112.88
			Vision Expanded	36,414	402,138.10
		VISN Total		53,261	493,250.98
	56000	VISN	Vision Basic	5,840	30,181.43
			Vision Expanded	12,577	136,141.84
		VISN Total		18,417	166,323.27
	58000	VISN	Vision Basic	2,447	11,195.96
			Vision Expanded	7,151	67,306.41
		VISN Total		9,598	78,502.37
(blank)	(blank)	(blank)	(blank)
		(blank) Total
Grand Total				86,000	772,393.80

November 2024

November 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	891.00	3,868.63
			Vision Expanded	2,266.00	19,534.38
		VISN Total		3,157.00	23,403.01
	52000	VISN	Vision Basic	444.00	1,899.06
			Vision Expanded	1,037.00	8,415.45
		VISN Total		1,481.00	10,314.51
	53000	VISN	Vision Basic	22.00	90.81
			Vision Expanded	80.00	664.86
		VISN Total		102.00	755.67
	55000	VISN	Vision Basic	16,909.00	91,207.24
			Vision Expanded	36,491.00	402,105.15
		VISN Total		53,400.00	493,312.39
	56000	VISN	Vision Basic	5,848.00	30,446.35
			Vision Expanded	12,577.00	135,579.09
		VISN Total		18,425.00	166,025.44
	58000	VISN	Vision Basic	2,473.00	11,374.39
			Vision Expanded	7,165.00	67,523.65
		VISN Total		9,638.00	78,898.04
Grand Total				86,203.00	772,709.06

December 2024

December 2024 Pass Through Payments			State of Tennessee
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	863.00	3,720.54
			Vision Expanded	2,252.00	19,252.44
		VISN Total		3,115.00	22,972.98
	52000	VISN	Vision Basic	441.00	1,875.96
			Vision Expanded	1,020.00	8,221.97
		VISN Total		1,461.00	10,097.93
	53000	VISN	Vision Basic	20.00	84.45
			Vision Expanded	78.00	658.56
		VISN Total		98.00	743.01
	55000	VISN	Vision Basic	16,937.00	91,719.18
			Vision Expanded	36,538.00	403,287.69
		VISN Total		53,475.00	495,006.87
	56000	VISN	Vision Basic	5,863.00	30,433.86
			Vision Expanded	12,587.00	135,969.06
		VISN Total		18,450.00	166,402.92
	58000	VISN	Vision Basic	2,469.00	11,299.30
			Vision Expanded	7,183.00	67,638.16
		VISN Total		9,652.00	78,937.46
Grand Total				86,251.00	774,161.17

January 2025 January 2025 Pass Through Payments

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	873.00	3,715.41
			Vision Expanded	2,281.00	19,152.70
		VISN Total		3,154.00	22,868.11
	52000	VISN	Vision Basic	436.00	1,874.52
			Vision Expanded	1,049.00	8,449.39
		VISN Total		1,485.00	10,323.91
	53000	VISN	Vision Basic	20.00	87.30
			Vision Expanded	74.00	614.82
		VISN Total		94.00	702.12
	55000	VISN	Vision Basic	16,891.00	92,105.80
			Vision Expanded	37,725.00	418,591.76
		VISN Total		54,616.00	510,697.56
	56000	VISN	Vision Basic	6,129.00	32,104.86
			Vision Expanded	13,012.00	140,677.71
		VISN Total		19,141.00	172,782.57
	58000	VISN	Vision Basic	2,273.00	10,517.66
			Vision Expanded	6,735.00	64,226.23
		VISN Total		9,008.00	74,743.89
Grand Total				87,498.00	792,118.16

February 2025

February 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	865.00	$ 3,678.25
			Vision Expanded	2,306.00	$ 19,762.78
		VISN Total		3,171.00	$ 23,441.03
	52000	VISN	Vision Basic	439.00	$ 1,813.93
			Vision Expanded	1,049.00	$ 8,436.89
		VISN Total		1,488.00	$ 10,250.82
	53000	VISN	Vision Basic	20.00	$ 87.30
			Vision Expanded	76.00	$ 652.26
		VISN Total		96.00	$ 739.56
	55000	VISN	Vision Basic	16,929.00	$ 92,653.06
			Vision Expanded	37,626.00	$ 417,414.28
		VISN Total		54,555.00	$ 510,067.34
	56000	VISN	Vision Basic	6,150.00	$ 32,243.10
			Vision Expanded	13,040.00	$ 140,347.11
		VISN Total		19,190.00	$ 172,590.21
	58000	VISN	Vision Basic	2,279.00	$ 10,502.61
			Vision Expanded	6,766.00	$ 64,513.78
		VISN Total		9,045.00	$ 75,016.39
Grand Total				87,545.00	$ 792,105.35

March 2025

March 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	873.00	$ 3,766.51
			Vision Expanded	2,302.00	$ 19,406.64
		VISN Total		3,175.00	$ 23,173.15
	52000	VISN	Vision Basic	435.00	$ 1,848.07
			Vision Expanded	1,066.00	$ 8,423.52
		VISN Total		1,501.00	$ 10,271.59
	53000	VISN	Vision Basic	20.00	$ 87.30
			Vision Expanded	75.00	$ 639.66
		VISN Total		95.00	$ 726.96
	55000	VISN	Vision Basic	16,964.00	$ 92,588.23
			Vision Expanded	37,511.00	$ 415,713.79
		VISN Total		54,475.00	$ 508,302.02
	56000	VISN	Vision Basic	6,156.00	$ 32,084.32
			Vision Expanded	13,047.00	$ 140,714.82
		VISN Total		19,203.00	$ 172,799.14
	58000	VISN	Vision Basic	2,271.00	$ 10,580.64
			Vision Expanded	6,752.00	$ 64,275.02
		VISN Total		9,023.00	$ 74,855.66
Grand Total				87,472.00	$ 790,128.52

April 2025

April 2025 Pass Through Payments
				Values
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	871.00	3,776.50
			Vision Expanded	2,290.00	19,661.86
		VISN Total		3,161.00	23,438.36
	52000	VISN	Vision Basic	428.00	1,795.30
			Vision Expanded	1,038.00	8,276.92
		VISN Total		1,466.00	10,072.22
	53000	VISN	Vision Basic	21.00	90.48
			Vision Expanded	78.00	652.00
		VISN Total		99.00	742.48
	55000	VISN	Vision Basic	17,007.00	92,864.42
			Vision Expanded	37,519.00	416,233.17
		VISN Total		54,526.00	509,097.59
	56000	VISN	Vision Basic	6,177.00	32,227.93
			Vision Expanded	13,049.00	140,715.98
		VISN Total		19,226.00	172,943.91
	58000	VISN	Vision Basic	2,295.00	10,492.12
			Vision Expanded	6,744.00	64,473.53
		VISN Total		9,039.00	74,965.65
EyeMed Total				87,517.00	791,260.21
Grand Total				87,517.00	791,260.21

May 2025

May 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	884.00	3,794.62
			Vision Expanded	2,295.00	19,575.12
	51010 Total			3,179.00	23,369.74
	52000	VISN	Vision Basic	419.00	1,773.16
			Vision Expanded	1,025.00	8,233.18
	52000 Total			1,444.00	10,006.34
	53000	VISN	Vision Basic	21.00	90.48
			Vision Expanded	77.00	658.30
	53000 Total			98.00	748.78
	55000	VISN	Vision Basic	17,044.00	93,051.86
			Vision Expanded	37,530.00	416,463.96
	55000 Total			54,574.00	509,515.82
	56000	VISN	Vision Basic	6,180.00	32,358.65
			Vision Expanded	13,033.00	140,087.01
	56000 Total			19,213.00	172,445.66
	58000	VISN	Vision Basic	2,280.00	10,530.30
			Vision Expanded	6,735.00	64,035.79
	58000 Total			9,015.00	74,566.09
EyeMed Total				87,523.00	790,652.43
Grand Total				87,523.00	790,652.43

June 2025

June 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	885.00	3,813.69
			Vision Expanded	2,274.00	19,217.30
	51010 Total			3,159.00	23,030.99
	52000	VISN	Vision Basic	419.00	1,767.33
			Vision Expanded	1,011.00	8,083.58
	52000 Total			1,430.00	9,850.91
	53000	VISN	Vision Basic	22.00	96.51
			Vision Expanded	75.00	626.80
	53000 Total			97.00	723.31
	55000	VISN	Vision Basic	17,106.00	93,376.87
			Vision Expanded	37,573.00	415,961.99
	55000 Total			54,679.00	509,338.86
	56000	VISN	Vision Basic	6,173.00	32,236.87
			Vision Expanded	12,988.00	139,921.93
	56000 Total			19,161.00	172,158.80
	58000	VISN	Vision Basic	2,302.00	10,652.72
			Vision Expanded	6,686.00	64,188.63
	58000 Total			8,988.00	74,841.35
EyeMed Total				87,514.00	789,944.22
Grand Total				87,514.00	789,944.22

July 2025

July 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	881.00	3,788.54
			Vision Expanded	2,294.00	19,509.54
	51010 Total			3,175.00	23,298.08
	52000	VISN	Vision Basic	424.00	1,774.67
			Vision Expanded	1,010.00	8,079.14
	52000 Total			1,434.00	9,853.81
	53000	VISN	Vision Basic	22.00	93.53
			Vision Expanded	74.00	614.82
	53000 Total			96.00	708.35
	55000	VISN	Vision Basic	17,121.00	93,259.87
			Vision Expanded	37,497.00	413,661.63
	55000 Total			54,618.00	506,921.50
	56000	VISN	Vision Basic	6,187.00	32,301.54
			Vision Expanded	12,945.00	139,651.70
	56000 Total			19,132.00	171,953.24
	58000	VISN	Vision Basic	2,367.00	10,775.79
			Vision Expanded	6,737.00	64,053.21
	58000 Total			9,104.00	74,829.00
EyeMed Total				87,559.00	787,563.98
Grand Total				87,559.00	787,563.98

August 2025

August 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	886	3851.03
			Vision Expanded	2301	19625.18
		VISN Total		3187	23476.21
	52000	VISN	Vision Basic	420	1770.94
			Vision Expanded	1033	8287.56
		VISN Total		1453	10058.50
	53000	VISN	Vision Basic	23	109.02
			Vision Expanded	72	583.32
		VISN Total		95	692.34
	55000	VISN	Vision Basic	17094	93564.67
			Vision Expanded	37296	413545.35
		VISN Total		54390	507110.02
	56000	VISN	Vision Basic	6221	32383.34
			Vision Expanded	12927	139157.32
		VISN Total		19148	171540.66
	58000	VISN	Vision Basic	2370	10837.94
			Vision Expanded	6728	64532.89
		VISN Total		9098	75370.83
EyeMed Total				87371	788248.56
Grand Total				87371	788248.56

September 2025

September 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	923.00	4,033.13
			Vision Expanded	2,314.00	19,540.15
		VISN Total		3,237.00	23,573.28
	52000	VISN	Vision Basic	460.00	1,995.16
			Vision Expanded	1,088.00	8,643.10
		VISN Total		1,548.00	10,638.26
	53000	VISN	Vision Basic	22.00	96.51
			Vision Expanded	69.00	583.32
		VISN Total		91.00	679.83
	55000	VISN	Vision Basic	17,339.00	94,358.76
			Vision Expanded	37,415.00	414,429.28
		VISN Total		54,754.00	508,788.04
	56000	VISN	Vision Basic	6,311.00	32,985.13
			Vision Expanded	12,889.00	138,986.92
		VISN Total		19,200.00	171,972.05
	58000	VISN	Vision Basic	2,369.00	10,891.57
			Vision Expanded	6,714.00	64,570.89
		VISN Total		9,083.00	75,462.46
EyeMed Total				87,913.00	791,113.92
Grand Total				87,913.00	791,113.92

October 2025

October 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	906.00	3,946.86
			Vision Expanded	2,292.00	19,473.03
		VISN Total		3,198.00	23,419.89
	52000	VISN	Vision Basic	481.00	2,039.85
			Vision Expanded	1,121.00	8,984.38
		VISN Total		1,602.00	11,024.23
	53000	VISN	Vision Basic	22.00	102.66
			Vision Expanded	70.00	595.92
		VISN Total		92.00	698.58
	55000	VISN	Vision Basic	17,437.00	94,949.95
			Vision Expanded	37,417.00	414,217.50
		VISN Total		54,854.00	509,167.45
	56000	VISN	Vision Basic	6,396.00	33,424.43
			Vision Expanded	12,917.00	139,569.21
		VISN Total		19,313.00	172,993.64
	58000	VISN	Vision Basic	2,386.00	10,753.82
			Vision Expanded	6,743.00	64,679.04
		VISN Total		9,129.00	75,432.86
Grand Total				88,188.00	792,736.65

November 2025

November 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	928.00	4,057.13
			Vision Expanded	2,279.00	19,288.21
		VISN Total		3,207.00	23,345.34
	52000	VISN	Vision Basic	470.00	1,994.78
			Vision Expanded	1,118.00	8,915.24
		VISN Total		1,588.00	10,910.02
	53000	VISN	Vision Basic	22.00	102.66
			Vision Expanded	69.00	589.62
		VISN Total		91.00	692.28
	55000	VISN	Vision Basic	17,457.00	94,990.29
			Vision Expanded	37,350.00	413,767.13
		VISN Total		54,807.00	508,757.42
	56000	VISN	Vision Basic	6,433.00	33,379.49
			Vision Expanded	12,896.00	138,823.09
		VISN Total		19,329.00	172,202.58
	58000	VISN	Vision Basic	2,377.00	10,962.46
			Vision Expanded	6,764.00	64,860.43
		VISN Total		9,141.00	75,822.89
Grand Total				88,163.00	791,730.53

December 2025

December 2025 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	928.00	4,065.28
			Vision Expanded	2,272.00	19,271.23
		VISN Total		3,200.00	23,336.51
	52000	VISN	Vision Basic	468.00	1,991.36
			Vision Expanded	1,085.00	8,668.04
		VISN Total		1,553.00	10,659.40
	53000	VISN	Vision Basic	21.00	96.63
			Vision Expanded	69.00	589.62
		VISN Total		90.00	686.25
	55000	VISN	Vision Basic	17,512.00	95,397.41
			Vision Expanded	37,407.00	414,789.58
		VISN Total		54,919.00	510,186.99
	56000	VISN	Vision Basic	6,441.00	33,536.77
			Vision Expanded	12,888.00	138,469.28
		VISN Total		19,329.00	172,006.05
	58000	VISN	Vision Basic	2,388.00	10,881.44
			Vision Expanded	6,770.00	64,390.41
		VISN Total		9,158.00	75,271.85
EyeMed Total				88,249.00	792,147.05
Grand Total				88,249.00	792,147.05

January 2026

January 2026 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	984.00	4,357.02
			Vision Expanded	2,431.00	20,986.24
	51010 Total			3,415.00	25,343.26
	52000	VISN	Vision Basic	458.00	1,928.19
			Vision Expanded	1,139.00	9,181.22
	52000 Total			1,597.00	11,109.41
	53000	VISN	Vision Basic	21.00	90.48
			Vision Expanded	75.00	656.70
	53000 Total			96.00	747.18
	55000	VISN	Vision Basic	17,536.00	96,071.43
			Vision Expanded	38,310.00	425,375.80
	55000 Total			55,846.00	521,447.23
	56000	VISN	Vision Basic	6,568.00	34,454.38
			Vision Expanded	13,709.00	147,546.99
	56000 Total			20,277.00	182,001.37
	58000	VISN	Vision Basic	2,602.00	11,891.97
			Vision Expanded	7,407.00	71,054.63
	58000 Total			10,009.00	82,946.60
Grand Total				91,240.00	823,595.05

February 2026

February 2026 Pass Through Payments
				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	1,016.00	4,446.97
			Vision Expanded	2,499.00	21,525.46
		VISN Total		3,515.00	25,972.43
	52000	VISN	Vision Basic	469.00	1,954.55
			Vision Expanded	1,148.00	9,141.82
		VISN Total		1,617.00	11,096.37
	53000	VISN	Vision Basic	22.00	93.66
			Vision Expanded	72.00	638.42
		VISN Total		94.00	732.08
	55000	VISN	Vision Basic	17,514.00	95,978.63
			Vision Expanded	38,188.00	424,815.81
		VISN Total		55,702.00	520,794.44
	56000	VISN	Vision Basic	6,576.00	34,409.64
			Vision Expanded	13,715.00	147,350.55
		VISN Total		20,291.00	181,760.19
	58000	VISN	Vision Basic	2,585.00	11,772.97
			Vision Expanded	7,375.00	70,904.25
		VISN Total		9,960.00	82,677.22
Grand Total				91,179.00	823,032.73

March 2026 March 2026 Pass Through Payments

				Data
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	1,034.00	4,542.28
			Vision Expanded	2,548.00	21,998.22
		VISN Total		3,582.00	26,540.50
	52000	VISN	Vision Basic	462.00	1,900.04
			Vision Expanded	1,167.00	9,339.08
		VISN Total		1,629.00	11,239.12
	53000	VISN	Vision Basic	23.00	87.30
			Vision Expanded	78.00	626.44
		VISN Total		101.00	713.74
	55000	VISN	Vision Basic	17,580.00	96,506.12
			Vision Expanded	38,137.00	424,645.68
		VISN Total		55,717.00	521,151.80
	56000	VISN	Vision Basic	6,595.00	34,530.71
			Vision Expanded	13,716.00	147,064.88
		VISN Total		20,311.00	181,595.59
	58000	VISN	Vision Basic	2,580.00	11,757.46
			Vision Expanded	7,395.00	70,612.86
		VISN Total		9,975.00	82,370.32
Grand Total				91,315.00	823,611.07

April 2026

April 2026 Pass Through Payments
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	1,055.00	4,589.35
			Vision Expanded	2,582.00	22,432.46
	51010 Total			3,637.00	27,021.81
	52000	VISN	Vision Basic	458.00	1,909.58
			Vision Expanded	1,156.00	9,189.58
	52000 Total			1,614.00	11,099.16
	53000	VISN	Vision Basic	21.00	90.48
			Vision Expanded	76.00	657.32
	53000 Total			97.00	747.80
	55000	VISN	Vision Basic	17,665.00	96,691.10
			Vision Expanded	38,215.00	423,774.85
	55000 Total			55,880.00	520,465.95
	56000	VISN	Vision Basic	6,598.00	34,722.83
			Vision Expanded	13,701.00	146,812.76
	56000 Total			20,299.00	181,535.59
	58000	VISN	Vision Basic	2,583.00	12,050.18
			Vision Expanded	7,389.00	70,251.43
	58000 Total			9,972.00	82,301.61
EyeMed Total				91,499.00	823,171.92
Grand Total				91,499.00	823,171.92

May 2026

May 2026 Pass Through Payments
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	1,055.00	4,613.45
			Vision Expanded	2,625.00	23,042.22
	51010 Total			3,680.00	27,655.67
	52000	VISN	Vision Basic	461.00	1,949.60
			Vision Expanded	1,159.00	9,188.44
	52000 Total			1,620.00	11,138.04
	53000	VISN	Vision Basic	22.00	93.66
			Vision Expanded	78.00	687.58
	53000 Total			100.00	781.24
	55000	VISN	Vision Basic	17,721.00	97,020.97
			Vision Expanded	38,226.00	423,551.76
	55000 Total			55,947.00	520,572.73
	56000	VISN	Vision Basic	6,604.00	34,708.02
			Vision Expanded	13,681.00	147,025.47
	56000 Total			20,285.00	181,733.49
	58000	VISN	Vision Basic	2,600.00	11,765.50
			Vision Expanded	7,358.00	70,206.28
	58000 Total			9,958.00	81,971.78
EyeMed Total				91,590.00	823,852.95
Grand Total				91,590.00	823,852.95

June 2026

June 2026 Pass Through Payments
Vendor Name	Fund Code	Deduction Code	Plan Description	Sum of Count	Sum of Sum Current Deduction
EyeMed	51010	VISN	Vision Basic	1,063.00	4,644.65
			Vision Expanded	2,649.00	22,992.26
		VISN Total		3,712.00	27,636.91
	51010 Total			3,712.00	27,636.91
	52000	VISN	Vision Basic	460.00	1,918.34
			Vision Expanded	1,167.00	9,166.24
		VISN Total		1,627.00	11,084.58
	52000 Total			1,627.00	11,084.58
	53000	VISN	Vision Basic	22.00	93.66
			Vision Expanded	77.00	668.68
		VISN Total		99.00	762.34
	53000 Total			99.00	762.34
	55000	VISN	Vision Basic	17,721.00	97,239.78
			Vision Expanded	38,119.00	423,020.34
		VISN Total		55,840.00	520,260.12
	55000 Total			55,840.00	520,260.12
	56000	VISN	Vision Basic	6,593.00	34,592.85
			Vision Expanded	13,630.00	146,267.99
		VISN Total		20,223.00	180,860.84
	56000 Total			20,223.00	180,860.84
	58000	VISN	Vision Basic	2,587.00	11,757.04
			Vision Expanded	7,311.00	69,993.92
		VISN Total		9,898.00	81,750.96
	58000 Total			9,898.00	81,750.96
Grand Total				91,399.00	822,355.75

File details come from the government source that posted it. Updated Aug 17, 2026.