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Dental Provider: | Reliance Standard Life Insurance (RSLI) |
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| Dental Network: | Ameritas |
| Dental Group Number: | 420855 |
| Dental Carrier Phone Number | 1-800-497-7044 |
For more information about this plan see:
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For questions regarding your dental benefit coverage or concerns contact RSLI's customer relations department at 1-800-497-7044 Monday through Thursday, 7:00 am – midnight and Friday, 7:00 am – 6:30 pm Central Time.
Monthly Premium Rates
Plan Options: | Employee only | Employee + 1 (Spouse or Child) | Employee + 2 or more (Family) |
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| Tier One "Low" Plan (Dental 1250) | $40.24 | $79.28 | $122.44 |
Tier Two "High" Plan (Dental 1500) *See details below about Orthodontia coverage | $49.92 | $98.44 | $152.08 |
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Enrollment
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Form
If you wish to enroll in Dental coverage, please contact benefits@reliant.org. Keep in mind, you need a qualifying event to enroll in dental coverage outside of Open Enrollment. If you have a valid qualifying event, the Benefits Coordinator will send you an enrollment form via DocuSign.
Terminating or Changing Dental Coverage
Without a qualifying event, you can only terminate your dental coverage during Open Enrollment.
If you have a valid Qualifying Event, email benefits@reliant.org to request that your dental coverage be terminated. Include in your request the details of your qualifying event and the date you wish to terminate dental coverage.Dental insurance - Enrollment Form
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RSLI_benefits summary dental low&high
RSLI Dental Plan Documents: Full Policy Details
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