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Enrollment Kit - Reliance Standard (Dental)

 
This checklist is provided as a guide. The carrier may require additional items and documentation. Please refer to the carrier's underwriting guidelines for a complete list of requirements. Please use the latest version of forms.
 
Our goal is to process your new group enrollment easily and efficiently in order to provide you and your client with a quick approval.  The following list outlines Reliance Standard’s case submission requirements.​​
 
If applicable:
  • Notification of Waiver Form(s)​​(2-19 lives)
  • Quarterly State Wage Reports may be requested at the discretion of Reliance Standard (2-19 lives)
  • Prior carrier information required for Dental, STD and LTD coverage takeover (2+ lives)
  • Evidence of Insurability Applications for Life benefits exceeding Non-Medical Issue (Guaranteed Issue Amount) Limits (2+ lives).
NOTE:  If any of the above items are missing or incomplete, processing of case may be delayed.

After approval, prior carrier termination letter must be submitted by the employer or broker.​
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​​For other useful or older documents, please refer to the Forms database.