Licensed agents can download a vision insurance application on behalf of their client groups here.
Employer groups are also welcome to download applications, but we strongly encourage them to apply for coverage through their agents. A menu of U.S. states is found below. Highlight the state in which the group's home office is based, and you will be automatically sent to the page with the correct application for that state. Please note that different states require different applications. All applications are saved in the .PDF format.