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Rates
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Vision enrollment requires the submission of a Cafeteria Form. The cafe form must be submitted each year. Otherwise, the vision benefit will end. Please follow the link below for the correct coverage term. If you want coverage in both years, you must submit both forms.
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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.
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Please follow the link below for the correct coverage term. If you want coverage in both years, you must submit both forms.
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- 2025 Cafeteria Plan Enrollment Form - for coverage after
Adding Dependents:
For more information on adding a dependent to coverage, see Adding a Dependent to Insurance.
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