29 of 33 Before You Go How You Pay for Care Special Programs and Services Learn More Life happens and sometimes you need to make benefit changes outside of Open Enrollment. If you experience a life change, or a “qualifying life event,” you must notify the Associate Experience Center within 31 days of the event (60 days for the birth or adoption of a child or medical changes due to Medicaid or CHIP changes). The changes you make must be consistent with the event. Qualifying Life Events • C hange in employment status, such as part-time to full-time (will have 31 days to enroll) • Birth/adoption of child • Marriage • Divorce/legal separation • G ain/loss of other coverage for you or a dependent • B eginning/end of domestic partnership relationship • Death of a spouse, domestic partner or dependent • You or a covered dependent becomes eligible for Medicare or Medicaid Required Documentation Some documentation may be required. Acceptable forms of documentation may be a marriage certificate, divorce decree, benefit confirmation statement with dates, employer letter with dates, etc. If you are enrolling new dependents under your medical, dental or vision coverage, you must submit documentation verifying that they are eligible for coverage under Albertsons plans. Making Benefit Changes (Qualifying Life Events) To report the life event, access the online enrollment system: 1. Sign in to your account at myACI.albertsons.com. 2. From the Me tab, choose the Benefits tile. 3. Choose the Report a Life Event or Update HSA Contribution Amount tile. You may be required to submit proof of the change in status. Completed verification documents can be submitted with a cover page that includes your name, associate ID, last four digits of your SSN and daytime telephone number. You can upload using the online enrollment system at myACI.albertsons.com. From the Me page, click on the Benefits tile, then click on the Pending Actions tile. Select the name of the family member to whom the documentation applies and follow the onscreen instructions to upload the document. If you miss the 31-day or 60-day deadline to enroll or make changes for yourself and/or your dependent(s) or to submit documentation verifying eligibility, you and/or your dependent(s) will not be covered under the Albertsons Companies plan(s). You will have to wait until the next annual Open Enrollment period. For More Information • See the Life Changes page on myACI-benefits.com. • Download a Dependent Verification Requirements flyer.
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