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Comment: Removed link for enrollment form and added termination information

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Warning
titleIMPORTANT: Tier Two "High" Plan (Dental 1500) Orthodontia Coverage Details
  • The maximum lifetime Orthodontia benefit per person is $1500, if you select the Tier two (Dental 1500) Plan.
  • $1500 Orthodontia benefit is “in addition” to the annual benefit…so children on the plan in essence have $3,000 in benefit ($1,500 for annual + $1,500 for Orthodontia services).
  • There is a 12 month waiting period once someone enrolls in the Tier Two (Dental 1500) Plan before the Orthodontia benefits is available.
  • Orthodontia coverage applies only to dependents age 19 and under.

Enrollment

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Form:

Dental insurance - Enrollment FormIf 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.

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Summary of Benefits:

RSLI_benefits summary dental low&high

RSLI Dental Plan Documents: Full Policy Details

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Tier One Plan Summary

Tier Two Plan Summary

Terminating Dental Coverage

Without a qualifying event, you can only terminate your dental coverage during Open Enrollment.

If you have a valid qualifying event, you must 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.