Welcome to Solomon!

Enter the Access Code below

Access code is invalid

Solomon Logo

For assistance, problems or questions, please email us.

solomon@reliant.org

Versions Compared

Old Version 31

changes.mady.by.user Tonya Bartels

Saved on

compared with

New Version 32

changes.mady.by.user user-c95f3

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.
Comment: updated to 2025 form (including alternative link)


Warning
titlePlease Note:

This is the 2024 Cafeteria Plan Enrollment Form, which should be used for changes to 2024 benefits only through 12/31/24.

Please follow the link below for the correct coverage term. If you want coverage in both years, you must submit both forms. 

Info
Before filling out the Cafeteria Plan Enrollment Form below, please make sure you've read the Cafeteria Plan.
HTML
<iframe src="https://docs.google.com/forms/d/e/1FAIpQLScfqH2PzWVEpqRf90EA2SlQsd0K5Gw5Us1FAIpQLSfIoDHHj0rs4HKRt_mU9Nyq9gfIaitRgH5cYwHp9YzD363hgjuxOvclYMtFh5L0A/viewform?embedded=true" width="700640" height="5201495" frameborder="0" marginheight="0" marginwidth="0">Loading…</iframe>
Note
titleTroubleshooting Tips
  • If you do not see the form above, make sure you are logged in to your reliant.org Google Account on this browser. You can do this at mail.reliant.org or drive.reliant.org. Refresh this page after you sign in.
  • You will need to use the scroll bar within the form to navigate down to more questions.
  • If you are on a mobile device or using Internet Explorer and have trouble reading the form, you can use this alternate link.
  • If you still have trouble, please contact benefits@reliant.org.

...