Form: Life insurances - Voluntary Life RSLI Application - current year.pdf

Enrollment deadline: 31 days from the date of the Qualifying Event

Please be sure to fill out all required information. Although changes must be submitted to RSLI within 31 days, please submit information to Reliant within 20-25 days to allow for internal processing.

Form: GuideStone Special and Late Applicant Enrollment Form (PDF)

Enrollment deadline: 60 days from the date of the Qualifying Event

*If adding a new baby to insurance all you need to do is email benefits@reliant.org with the baby's name, birth date, gender, and if possible the social security number. 

Although changes must be submitted to Guidestone within 60 days, please submit information to Reliant within 52-55 days to allow for internal processing.

Enrollment deadline: 31 days from the date of the Qualifying Event.

*If adding a new baby to insurance all you need to do is email benefits@reliant.org with the baby's name, birth date, gender, and if possible the social security number. 

*If adding a newly married spouse to insurance all you need to do is email benefits@reliant.org with the spouse's full legal name, the wedding date, gender, and his/her social security number.

Although changes must be submitted to GBG within 31 days, please submit information to Reliant within 20-25 days to allow for internal processing. If the notification is received after 31 days, the employee will have to fill out the GBG enrollment form and medical questionnaire to add the dependent to coverage.  See GBG enrollment form.pdf

Form: Cafeteria Plan Enrollment Form - 2019

Enrollment deadline: 30 days for enrollment, but coverage begins the month following the date of enrollment

Form: Dental change request (PDF)

Fields of the form to complete:

• • Employer
  • Policy Number if you have it. If not, Missionary Resources has it.
  • Insured’s Name (yours)
  • Social Security Number
  • Dependents to be added
    • Under Relationship also include gender by specifying son or daughter
    • Late Entrant: No
  • Date, Insured’s Signature, Witness’ Signature

Adding a spouse: You have 31 days to add a spouse if you had dental insurance prior to marriage or if you are being involuntarily termed from another plan. After the 31-day deadline, your spouse will be considered a Late Entrant and will not receive full coverage for a year. 

Adding baby: You may enroll your baby now or later. If you already have family dental coverage, it is recommended to add the baby immediately since it will not increase your premiums. You have until 31 days after your child turns 3 years old to enroll the baby. If you wait until after 31 days following the third birthday, your baby would be considered a Late Entrant and would not receive full coverage for a year.