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.

Vision Provider:	Reliance Matrix	www.reliancematrix.com	1-866-289-0614
Vision Network:	EyeMed

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 including 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.

2024 Monthly Premium Rates

Coverage level	Cost
Employee	$6.09
Employee + One	$11.56
Family	$16.97

Enrollment form

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

Cafeteria Plan Enrollment Form

Adding Dependents:

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

Vision enrollment requires submission of the Reliant Cafeteria Plan Enrollment Form. The cafe form must be submitted each year. Otherwise, the vision benefit will end.

Other information