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Provider Information
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Rates
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| Vision enrollment requires submission of the Reliant Cafeteria Plan Enrollment Form LINK THE 2025 CAFETERIA FORM. The cafe form must be submitted each year. Otherwise, the vision benefit will end. |
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 include 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.
Additional Information and Resources
- Reliance Matrix Website
- EyeMed Vision Summary (PDF)
- Vision Insurance FAQ (PDF)
- Out of Network Claim Form (PDF)
Open Enrollment Pages
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Enrollment formFor 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. |
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