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titleWAIVER - I am an International worker who has an approved waiver of coverage.

Great News! We are not re-collecting waivers during Open Enrollment going forward. International workers permitted by their partnering organization to waive Reliant's employer-offered insurance, your current waiver will carry over into 2024 2025 and from now on.

  • Maintaining a waiver requires ongoing coverage offered to an ACA-allowed family member by their employer. 
  • Loss of coverage means the Reliant worker who waived is required to enroll in coverage through Reliant. 

If you believe you need to submit a waiver form, please contact international@reliant.org to confirm it is an approved waive, and the Benefits team will send you a waiver form.


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titleVOLUNTARY LIFE - Enroll, Change, Termination

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colorgreen
sizesmall
tooltipSelect if you do not currently have coverage but you need it for 2024.
titleVoluntary Life - New Enrollment
urlhttps://docs.google.com/forms/d/e/1FAIpQLSd7ZWwHfh_asOzBu_81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform

UI Button
colorblue
sizesmall
tooltipSelect if you are wanting to change the amount of coverage, or who is covered.
titleVoluntary Life Change
urlhttps://docs.google.com/forms/d/e/1FAIpQLSd7ZWwHfh_asOzBu_81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform

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colororange
sizesmall
tooltipSelect if you currently have coverage and want to terminate it effective 12/31/2023.
titleVoluntary Life - Termination
urlhttps://docs.google.com/forms/d/e/1FAIpQLSd7ZWwHfh_asOzBu_81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform

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tooltipSelect if you need help completing the 2024 Open Enrollment Voluntary Life Form
titleVoluntary Life Form VIDEO INSTRUCTIONS
urlhttps://reliantmission.sharepoint.com/:v:/s/OpenEnrollment/Eato8Nfw8kJHjgShOhh7_B0BnVz7sRHmXSy_pbRfNCSIkg?e=wzLtZQ
  The same form and video instructions are used for Voluntary Life coverage enrollment, changes, and terminations.

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