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titleCHANGE - I am an International worker who is benefits eligible (PT30 or more) and wants to make changes to my coverage.

To change your current insurance, please select the button below and submit the Aetna Change Form no later than November 18, 2024, for coverage effective January 1, 2025.

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titleI would like to ADD DEPENDENTS to my Aetna coverage.
urlhttps://signnow.com/s/oxt0EN4J?name_formula=OE%20Aetna%20Add%20Dependents%20Form%7CLast%20Name%7CFirst%20Name

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    sizesmall
    titleAdding Dependents Form Instructional Video
    urlhttps://reliantmission.sharepoint.com/:v:/s/OpenEnrollment/Eevk2bOC6Y1Gqp24Y06eBm8BomQdf7DRH3xat5kW5krVnA?e=2OzV9U

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newWindowtrue
titleI would like to REMOVE DEPENDENTS from my Aetna coverage.
urlhttps://signnow.com/s/Fvzs5Gve?name_formula=OE%20Aetna%20Dependent%20Waiver%20Form%7CEmployee%20Name

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    titleRemoving Dependents Form Instructional Video
    urlhttps://reliantmission.sharepoint.com/:v:/s/OpenEnrollment/EXfKNKwqluZBvzuF-xq2x9sBseFE5hgTYk-BZKAbDzpwZg?e=IHoRjW
Note

If you would like to both add and remove dependents, please email benefits@reliant.org with the specific information of the changes you would like to make, and a team member will get back to you shortly.


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titleENROLL - I am an international worker who previously opted out or waived coverage but now wants to enroll in a health plan.

Any benefits-eligible worker who wishes to enroll in Reliant's employer-offered insurance may do so during Open Enrollment. 

International workers have the right to opt out of Reliant's international insurance plan if they receive coverage from the National Health System of their host country. Reliant allows a one-time re-enrollment option for any employee who opted out; this opportunity is during Open Enrollment. For example, some workers may have enrolled in their national plan expecting good things, only to discover the national coverages were insufficient for their specific needs, especially while traveling in the United States.  Note: You cannot opt-out again once you re-enroll in the Reliant International Health Plan.


To enroll, select the button below and submit the Aetna Enrollment Form no later than November 18, 2024, for coverage effective January 1, 2025.   

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titleAetna New Enrollment
urlhttps://signnow.com/s/CDN2o6NG?name_formula=OE%20Aetna%20Enrollment%20Form%7CLast%20Name%7CFirst%20Name

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    titleAetna New Enrollment Form Instructional Video
    urlhttps://reliantmission.sharepoint.com/:v:/s/OpenEnrollment/EXfKNKwqluZBvzuF-xq2x9sBseFE5hgTYk-BZKAbDzpwZg?e=IHoRjW


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titleWAIVER - I am an International worker who has an approved waiver of coverage.

Great News! We are not re-collecting waivers during Open Enrollment going forward. International workers permitted by their partnering organization to waive Reliant's employer-offered insurance, your current waiver will carry over into 2024 2025 and from now on.

  • Maintaining a waiver requires ongoing coverage offered to an ACA-allowed family member by their employer. 
  • Loss of coverage means the Reliant worker who waived is required to enroll in coverage through Reliant. 

If you believe you need to submit a waiver form, please contact international@reliant.org to confirm it is an approved waive, and the Benefits team will send you a waiver form.


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titleVOLUNTARY LIFE - Enroll, Change, Termination

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tooltipSelect if you do not currently have coverage but you need it for 2024.
titleVoluntary Life - New Enrollment
urlhttps://docs.google.com/forms/d/e/1FAIpQLSdrF1FAIpQLSd7ZWwHfh_ELXZrv6rgKb2asOzBu_A2_wiuGJ0aySR9aridqFtFFbJbL6BpA81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform?usp=sf_link

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tooltipSelect if you are wanting to change the amount of coverage, or who is covered.
titleVoluntary Life Change
urlhttps://docs.google.com/forms/d/e/1FAIpQLSdrF1FAIpQLSd7ZWwHfh_ELXZrv6rgKb2asOzBu_A2_wiuGJ0aySR9aridqFtFFbJbL6BpA81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform?usp=sf_link

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tooltipSelect if you currently have coverage and want to terminate it effective 12/31/2023.
titleVoluntary Life - Termination
urlhttps://docs.google.com/forms/d/e/1FAIpQLSdrF1FAIpQLSd7ZWwHfh_ELXZrv6rgKb2asOzBu_A2_wiuGJ0aySR9aridqFtFFbJbL6BpA81u8hU6S8OJsrKqJGb9eZolHr6Q6qskA/viewform?usp=sf_link

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tooltipSelect if you need help completing the 2024 Open Enrollment Voluntary Life Form
titleVoluntary Life Form VIDEO INSTRUCTIONS
urlhttps://reliantmission.sharepoint.com/:v:/s/OpenEnrollment/Eato8Nfw8kJHjgShOhh7_B0BnVz7sRHmXSy_pbRfNCSIkg?e=wzLtZQ
  The same form and video instructions are used for Voluntary Life coverage enrollment, changes, and terminations.


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titleChild-Care Benefit for International Workers

More good news! If you pay US Income Tax and meet the other eligibility requirements you can sign up for the Child-Care Benefit during Open Enrollment for 2025. You must do this each year via the Child-Care Benefit International Cafeteria Plan Enrollment Form. Please follow the link below for more information and select the button below to start contributions in January 2025. 

Child-Care Benefit for International Workers

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title2025 Child-Care Benefit International Cafeteria Plan Enrollment Form
urlhttps://docs.google.com/forms/d/e/1FAIpQLSfIoDHHj0rs4HKRt_H5cYwHp9YzD363hgjuxOvclYMtFh5L0A/viewform


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FMHOME:International Staff Contact
FMHOME:International Staff Contact

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