Page History
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| Coverage level | Cost |
|---|---|
| Employee | $6.09 |
| Employee + One | $11.56 |
| Family | $16.97 |
Enrollment form
For mid-year enrollment at the start of employment, use the following form.
For Open Enrollment Season, use the Open Enrollment information found at:
| Note |
|---|
| Vision enrollment requires submission of the Reliant Cafeteria Plan Enrollment Form. The cafe form must be submitted each year. Otherwise, the vision benefit will end. |
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