January 25, 1983

(Opinion issued in letter form; name and address deleted)

Re: Opinion of Trustees
Resolution of Dispute
Case No. 81-19

Pursuant to Article IX of the United Mine Workers of America 1950 Benefit Plan and Trust, and under the authority of an exemption granted by the United States Department of Labor, the Trustees have reviewed a question concerning the 24-month limitation provision of the Vision Care Benefit under the Employer’s Benefit Plan.

Under the Vision Care Program of the Employer’s Benefit Plan Article III. A. (9) (a) provides benefits for examinations, lenses, and frames once every 24 months. On July 11, 1980, benefits were provided for a vision examination, lenses, and frames for your daughter under the terms of the Employer’s Benefit Plan in effect from March 27, 1978 through June 7, 1981. On June 7, 1981 a new Employer Benefit Plan was initiated to be effective through September 30, 1984. On October 17, 1981, your daughter again received an examination and lenses. Although the required prescription change was met for the lenses, your Employer denied coverage for the examination and lenses because your daughter did not satisfy the 24-month limitation. Because the 24-month limitation had not been met, your Employer is not responsible for the provision of benefits for your daughter’s October 17, 1981 examination and lenses.

Harrison Combs, Chairman

John J. O’Connell, Trustee
Paul R. Dean, Trustee