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The enrollment form that needs to be submitted to Aetna is usually completed during New Staff Training.  We hold it on file, and set-up your enrollment near your hire date.  If you need to submit a new form, find it in the list on this page under Forms.  

We understand that enrollment choices may change during the MTD season, any changes in your enrollment wishes or your family structure also should be sent to international@reliant.org.

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Note
titleNotify Reliant within 20 days of a qualifying event to enroll a spouse/dependent in coverage

Eligible employees and dependents requesting coverage during the policy year must enroll within 30 days of the date of the qualifying event (birth, marriage, status change, loss of coverage from parent/spouse's employer, etc.)  To ensure timely adequate time for processing, Reliant requests that the employee email benefits@reliant.org (cc international@reliant.org) the completed enrollment form within please notify Reliant within 20 days of the a qualifying event , to ensure we have sufficient processing time to complete the enrollment.to enroll, remove or change coverage for yourself, a spouse or a dependent. 

Requests for enrollment that are received by Reliant in time to process within the initial 30 days of eligibility will require a Health Statement for coverage consideration.  Coverage is not guaranteed and is subject to underwriting approval in order for the enrollment to be approved.

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