Document Library

Noteworthy Documents

Superior Vision Plus Benefits Guide
This Certificate provides a general description of Your vision care benefits. All benefits are governed by the terms and conditions of the Policy.
Provider Nomination Form
Please complete this form if you wish to recommend a provider for possible contracting into the Superior Vision Plan Preferred Provider Panel.
Superior Vison Claim Form
Use this form for reimbursement for services received from an out-of-network provider, or when you’ve utilized an in-store sale or promotion from an in-network provider.
Finding-In-Network Providers
Superior Vision has one of the nations largest provider network, offering some 42,000 ophthalmologists and optometrists as well as opticians and optical chain locations. Finding the right eye care provider for you within our provider network is easy.
Smart Alert - Partnering for Total Wellness
Superior Vision’s SmartAlert provides an easy way to foster communication between members, their eye care provider and their primary care physicians or specialists. Vision exams can play an important role in the accurate diagnosis and monitoring of…
Getting Started with the Online Member Portal
Your Member Portal within the Superior Vision web site was developed with feedback from valued members like you, and affords quick access to your vision benefits.
UT FLEX Letter of Medical Necessity Form
This form should be completed by the attending physician to confirm treatment is necessary for a specific medical condition.
UT FLEX Health Care Reimbursement Claim Form
Use this form to file a Health Care FSA Claim Did you know that you can file this claim online? Login to and select Submit Claims.You can also submit claims and manage your account via the mobile app:
Create Your Own Will Online
Online will preparation is a value-added service with your group life insurance coverage from Dearborn National. The service provides you the ability to simply and quickly create a standard will that meets your needs and is valid in all states—free of…