EXHIBIT A VISION SERVICE PLAN OF ILLINOIS, NFP SCHEDULE OF BENEFITS VSP Choice Plan® BASE GENERAL This Schedule of Benefits lists the vision care services and materials to which Covered Persons of VISION SERVICE PLAN INSURANCE COMPANY("VSP") are entitled, subject to any Copayments and other conditions, limitations and/or exclusions stated herein, and forms a part of the Policy or Evidence of Coverage to which it is attached. VSP Network Providers are those doctors that have agreed to participate in VSP’s Choice Network. BENEFIT PERIOD A twelve-month period beginning on January 1st and ending on December 31st. ELIGIBILITY The following are Covered Persons under this Plan, pursuant to eligibility criteria established by Client: • Enrollee • Legal Spouse of Enrollee • Domestic Partner • Any child of Enrollee, including a natural child from date of birth, legally adopted child from the date of placement for adoption with the Enrollee, or other child for whom a court or administrative agency holds the Enrollee responsible. Dependent children are covered up to the end of the month in which they turn age 26. A dependent unmarried child over the limiting age may continue to be eligible as a dependent if the child is incapable of self-sustaining employment because of mental or physical disability, and chiefly dependent upon Enrollee for support and maintenance. PLAN BENEFITS VSP NETWORK PROVIDERS COPAYMENT There shall be a Copayment of $15.00 for the examination payable by the Covered Person at the time services are rendered. If materials (lenses, frames or Necessary Contact Lenses) are provided, there shall be an additional $25.00 Copayment payable at the time the materials are ordered. The Copayment shall not apply to Elective Contact Lenses. Lens Enhancements, if covered under this Plan, may have a separate Copayment. Please refer to COVERED SERVICES AND MATERIALS, below. 6