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| Coverage level | Cost |
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| Employee | $5.91 |
| Employee + One | $11.22 |
| Family | $16.48 |
EyeMed Vision Enrollment Form
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Forms to complete
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| Vision enrollment requires submission of the Reliant Cafeteria Plan Enrollment Form. |
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| The cafe form must be submitted each year. Otherwise, the vision benefit will end. |
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http://www.eyemedvisioncare.com/
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