Vision insurance through EyeMed is optional. This insurance is available to ALL U.S. field workers, regardless of hours worked. In other words, you can be either a full-time or part-time staff and still elect EyeMed Vision Insurance. The premiums are paid by the field staff pre-tax through the Reliant Cafeteria Plan. The monthly insurance premiums will be deducted from field staff paychecks. Coverage is optional. Enrollment in Vision Insurance is made each year using the Cafeteria Plan Form.
Vision Provider: | Reliance Matrix | www.reliancematrix.com | 1-866-289-0614 |
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Vision Network: | EyeMed |
Benefits
- $10 eye exam at in-network providers.
- Annual lens and bi-annual frames for glasses after a $25 copay.
- Contact lens coverage up to $120/year, $0 copay.
- In-network providers including Target, Pearl Vision, Lenscrafters, Sears, JC Penny's, and more. Find a provider by visiting www.eyemedvisioncare.com or by calling 1-866-939-3633.
- Field staff can also choose to process an annual eye exam separately through GuideStone.
- A tax-free benefit means that you pay no Federal income taxes or FICA taxes on the premiums paid through the Reliant Cafeteria Plan.
2024 Monthly Premium Rates
Coverage level | Cost |
---|---|
Employee | $6.09 |
Employee + One | $11.56 |
Family | $16.97 |
Enrollment form
For mid-year enrollment at the start of employment, use the following form.
Adding Dependents:
For more information on adding a dependent to coverage, see Adding a Dependent to Insurance.
Other information
- Reliance Matrix Website
- EyeMed Vision Summary (PDF)
- Vision Insurance FAQ (PDF)
- Out of Network Claim Form (PDF)
1 Comment
Unknown User (daniel.cone@reliant.org)
Unknown User (ed.courtney@reliant.org) The EyeMed enrollment form is the old GCM form. I'll HipChat you the current Vision enrollment form.