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| If you're recently married or have added a child to your family, you may want to add a dependent to your insurance. Please read more about the forms you'll timing and what you need to submit , as well as the deadline for each form. All forms should be emailed to benefits@reliant.org.to add your dependent. If you need to complete a form, please email your request to benefits@reliant.org, and we will send you a DocuSign envelope. |
Insurances
Life Insurance - Voluntary Coverage |
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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. |
Medical Insurance - Domestic/US coverage (Guidestone) |
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. |
Medical Insurance - International Coverage (Aetna) |
Form: International Medical Insurance - Aetna Enrollment Form.pdf Enrollment deadline: 30 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 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 Aetna within 30 days, please submit information to Reliant within 20-25 days to allow for internal processing. |
Vision Insurance |
Form: Cafeteria Plan Enrollment Form - 2021 Enrollment deadline: 30 days for enrollment, but coverage begins the month following the date of enrollment. |
Dental Dental Insurance |
Form: Dental Insurance - Change Request.pdf Fields of the form to complete:
Adding a spouse: You have 31 days to add a spouse if you had dental insurance before marriage or if you are 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. |
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Please be aware that adding a dependent may increase your premiums (e.g., moving from Employee to Employee+Spouse coverage or from Employee+Spouse to Family coverage). For info on premiums, please see: |
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