Beneficial Administration Company
You can either submit form on-line or print out, fill out and send it to us. Please call (800)854-7417 Customer Service Dept for any questions
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Double click here to go to Vision Service Plan web site

The nation’s largest provider of exceptional eye care coverage. More than one in 10 Americans rely on VSP for eye care wellness. Please contact VSP with any questions.

Forms and benefit summaries are available in PDF below.
 

SVBET FORMS

Underwriting Guidelines

Plans and Rates

New Group Enrollment Kit

New Hire/Change Form

Employee Termination of Coverage Form

Employer Guide

Privacy Notice

VSP BENEFIT SUMMARIES

Signature A-10

Signature A-25

Signature B-10

Signature B-25

Signature C-10

Signature C-25

Choice A-0

Choice B-0

   
Beneficial Administration Company
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