| Pay Period | Monthly | |||||
| AVESIS VISION PLANS | EMPLOYEE | EMPLOYEE | UNIVERSITY | TOTAL | COBRA | 35% COBRA thru 12/31/09* |
| Advantage Vision Care Program | ||||||
| SINGLE | $2.23 | $4.83 | N/A | $4.83 | $4.93 | $1.73 |
| EMP + 1 | $6.24 | $13.52 | N/A | $13.52 | $13.79 | $4.83 |
| FAMILY | $7.78 | $16.86 | N/A | $16.86 | $17.20 | $6.02 |
| Discount Vision Care Program | ||||||
| No Cost | ||||||
| * If eligible for premium assistance | ||||||