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Rates

2024 and
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Provider Information

Vision Provider:Reliance Matrixwww.reliancematrix.com1-866-289-0614
Vision Network:EyeMed
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Tip
titleCurrent Coverage

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 levelMonthly Premium
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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Coverage levelMonthly Premium
Employee$6.88

Employee + 1 (Spouse or Child)

$13.04
Family$19.16


 
Note
Enrollment in the Vision enrollment plan requires submission of the 2025 a Cafeteria Plan Enrollment 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. 

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For mid-year enrollment at the start of employment, use the following form

Please follow the link below for the correct coverage term. If you want coverage in both years, you must submit both forms

Adding Dependents:

For more information on adding a dependent to coverage, see Adding a Dependent to Insurance.

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