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Vision insurance through EyeMed is optional. This insurance is available to ALL U.S. field workers, regardless of hours worked. In other words, you can be either a full-time or part-time staff and still elect EyeMed Vision Insurance. The premiums are paid by the field staff pre-tax through the Reliant Cafeteria Plan. The monthly insurance premiums will be deducted from field staff paychecks. Coverage is optional. Enrollment in Vision Insurance is made each year using the Cafeteria Plan Form. |
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Selections made during Open Enrollment are effective January 1, 2025. |
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You can find your current coverage listed in your most recent pay stub. Match the rate in the chart below to determine your coverage amount. |
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Provider Information
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You can review your current coverage and deductions in here on Toolbox→ Employment → Benefits, or by checking your most recent pay stub. |
Rates
2025 Monthly Premium Rates
| Coverage level | Monthly Premium |
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| Employee | $6.09 |
Employee + 1 (Spouse or Child) | $11.56 |
| Family | $16.97 |
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2026 Monthly Premium Rates
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| Enrollment in the Vision enrollment plan requires submission of the Reliant a Cafeteria Plan Enrollment Form LINK THE 2025 CAFETERIA FORM. The cafe . This form must be submitted each year. Otherwise, the vision benefit will end. during Open Enrollment. If the form is not submitted, Vision coverage will end on December 31, 2025. The Cafeteria Form link will become active at the start of Open Enrollment. |
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.
Additional Information and Resources
- Reliance Matrix Website
- EyeMed Vision Summary (PDF)
- Vision Insurance FAQ (PDF)
- Out of Network Claim Form (PDF)
Open Enrollment Pages
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Enrollment
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form
For mid-year enrollment at the start of employment, use the following form.
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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.
- 2025 Cafeteria Plan Enrollment Form - use this link for mid-year changes before
Adding Dependents:
For more information on adding a dependent to coverage, see Adding a Dependent to Insurance.
Additional Information and Resources
- Reliance Matrix Website
- EyeMed Vision Summary (PDF)
- Vision Insurance FAQ (PDF)
- Out of Network Claim Form (PDF)
