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For assistance, problems or questions, please email us.

solomon@reliant.org

Provider Information 

Dental Provider:

Reliance Matrix formerly Reliance Standard Life Insurance (RSLI) http://www.reliancestandard.com/dental-vision/

Dental Network:

Ameritas https://dentalnetwork.ameritas.com/

Dental Group Number:420855
Dental Carrier Phone Number 1-800-497-7044


2025 Monthly Premium Rates 


Plan Options
Employee only		Employee + 1
(Spouse or Child)		Employee + 2 or more
(Family)
Tier One "Low" Plan (Dental 1250)$42.24$83.24$128.56

Tier Two "High" Plan (Dental 1500)

$52.44$103.40$159.72

2024 Monthly Premium Rates 


Plan Options
Employee only		Employee + 1
(Spouse or Child)		Employee + 2 or more
(Family)
Tier One "Low" Plan (Dental 1250)$40.24$79.28$122.44

Tier Two "High" Plan (Dental 1500)

$49.92$98.44$152.08

Tier Two "High" Plan (Dental 1500) Orthodontia Coverage Details

  • The maximum lifetime Orthodontia benefit per person is $1,500 if you select the Tier two (Dental 1500) Plan.
  • $1,500 Orthodontia benefit is "in addition" to the annual benefit…so children on the plan have $3,000 in benefits ($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 benefit is available.
  • Orthodontia coverage applies only to dependents aged 19 and under.

Summary of Benefits

RSLI_benefits summary dental low&high

RSLI Dental Plan Documents: Full Policy Details

Tier One Plan Summary

Tier Two Plan Summary

Enrollment Form

If you wish to enroll in Dental coverage, please contact benefits@reliant.org. Keep in mind, that 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.

Terminating or Changing Dental Coverage

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

If you have a valid Qualifying Event, 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.

Additional Information and Resources

  • In order to access your certificate of coverage, you must visit www.reliancestandard.com/dental-vision and sign into your secure account, where you also have direct access to your benefit information and the most current and complete provider listing.
  • For questions regarding your dental benefit coverage or concerns contact RSLI's customer relations department at 1-800-497-7044 Monday through Thursday, 7:00 am – midnight and Friday, 7:00 am – 6:30 pm Central Time.
  • Dental Insurance Card - RSLI


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