The
ShopRite benefit plans described here and in the benfits guide are
available to full-time, non-union associates and
their eligible dependents.
Who Is Eligible for Benefits?
Your eligible dependents include:
The
ShopRite benefit plans described in this guide are available to full-time, non-union
associates and their eligible dependents.
Your eligible dependents include:
-
Your spouse
to whom you are legally
married. If your spouse is eligible
for medical coverage through his/her employer, then
he/she is not eligible for primary
medical coverage through ShopRite.
-
Your
same sex domestic partner (contact your Benefits Administrator for more
details). If your domestic partner is eligible for medical coverage through his/her employer, then
he/she is not eligible for primary medical coverage through ShopRite.
-
Your dependent child(ren) until the end
of the month he/she turns age 26. For example, if your child was born March 2, 1998, your child is eligible for medical, dental, and vision
coverage until March 31, 2024.
-
Eligible dependent child(ren):
—
Does not need to
be a full-time student
—
Is not required
to live with you
— Does not need to be an eligible dependent on the parent’s tax
return
— May be married or unmarried (your child’s spouse and children are not eligible)
-
Your unmarried
children of any age who are
permanently and totally disabled physically or mentally for whom
you provide financial
support. You must periodically provide
medical documentation of such disability.
Individuals Eligible
for Medicare
If you have Medicare, or will become eligible for
Medicare in the next 12 months, a federal law gives
you more choices about your prescription drug coverage. Please refer to the
Notice of Creditable Coverage & Medicare
Part D information located in the Legal Notices on your benefits
website.
Individuals Not Eligible for ShopRite
Medical Coverage
If you have a qualifying event and are offered continued coverage through COBRA, you may
want to consider buying an individual health insurance plan through your state’s Marketplace. The Marketplace
may offer you additional choices to better fit your budget and needs.
Notify your Benefits Administrator if You Lose Medicaid/CHIP Eligibility
If you or your dependents lose eligibility for Medicaid
or the Children’s Health Insurance Program (CHIP) coverage, or become eligible
for a state’s premium assistance subsidy under Medicaid or CHIP, you will have
60 days from the date of that Medicaid/eligibility change to request enrollment
in a ShopRite medical plan. Please refer to the Legal Notices
on your benefits website for more details.
Individuals Planning to Retire or Leave ShopRite
If
you are planning to retire, please contact your Benefits Administrator for
information about your benefit options.
Making changes during the year
You cannot change your elections during the
year unless you
have a “qualified change in family status” and you notify your Benefits Administrator.
Qualified life events (QLE) are defined by the IRS and include:
The
ShopRite benefit plans described in this guide are available to full-time, non-union
associates and their eligible dependents.
Your eligible dependents include:
-
Marriage, divorce
or legal separation
-
Birth or adoption of a child or placement
of a child for adoption
-
Death of a dependent
-
Child is no longer eligible due to reaching limiting age
-
Change in spouse’s employment status that results in a gain or loss of coverage,
such as beginning or terminating employment, or changing status from full-time
to part-time
Important Note:
If you experience any of the life events mentioned here or have questions, please contact your Benefits
Administrator.
-
The medical
plan may include
annual deductibles and
out-of-pocket maximums for individuals and families. In addition, when you enroll in the Health
Care Reimbursement Account (HCRA) Plan, you receive a fund with an amount based
on whether you are an individual or family.
-
If
you change your medical plan election due to a qualified change in family
status, your deductibles, out-of- pocket maximums, and HCRA Fund amount
(if applicable) are also subject to change based
on the specific life event. For example, if you get
married and add your spouse, you will change from Single to Family, and your deductibles, out-of-pocket maximums, and HCRA Fund (if applicable) will increase.
Please contact your Benefits Administrator for more
information about how this may impact you based on your current election and potential
change.
