ELIGIBILITY

We encourage all non-union, full-time Price Rite Team Members to review the benefit options and resources available.

Medicamentos médicos y de prescripción
Usted tiene acceso a varias opciones de beneficios para usted y su familia — incluyendo cuatro opciones médicas diseñadas para ayudarle a gestionar su salud y presupuesto. Comprender tus opciones es el primer paso para tomar una decisión que te ayude a ti y a tu familia.

Programas de bienestar
Ofrecemos recursos y herramientas para ayudarle a obtener y mantenerse saludable. Esto incluye 100% cobertura para la atención preventiva y recursos gratuitos para vivir un estilo de vida saludable. Programas especiales para ayudarle a obtener gran cuidado y ahorrar dinero también, como Aetna Concierge Customer Service, Meru Health Mental Health Care, MSK Direct, Prudent Rx Copay Optimization Program, PinnacleCare health advisory services, and more.

Dental
Ofrecemos beneficios para ayudar a pagar servicios preventivos, básicos y dentales importantes.


Your eligible dependents include:

  • Your spouse to whom you are legally married
  • Your same sex domestic partner (contact your Benefits Administrator for more details
  • Your dependent child(ren) until the end of the month he/she turns age 26. For example, if your child was born March 2, 1920, your child is eligible for medical, dental, and vision coverage until March 31, 2026.
  • 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.

Visión
Nuestros beneficios ayudan a pagar exámenes oculares y gafas/contactos.

Seguro básico de vida

Price Rite Team Los miembros son elegibles para 1,5 veces su salario anual en seguro básico de vida.

Discapacidad a largo plazo
Aproveche los beneficios que proporcionan una parte de su salario en caso de que se desactive y no pueda trabajar.

Seguro de vida opcional adicional

Los asociados son elegibles para hasta 3 veces su salario anual en seguro de vida opcional. Pueden comprar protección financiera adicional para su familia a precios muy competitivos (sujeto a la aprobación de la subescritura del asegurador).

Resumen del plan

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 Price Rite 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 Price Rite medical plan. Please refer to the Legal Notices on your benefits website for more details.

Individuals Planning to Retire or Leave Price Rite
If you are planning to retire, please contact your Benefits Administrator for information about your benefit options.

Making Changes During the Year

Medicamentos médicos y de prescripción
Usted tiene acceso a varias opciones de beneficios para usted y su familia — incluyendo cuatro opciones médicas diseñadas para ayudarle a gestionar su salud y presupuesto. Comprender tus opciones es el primer paso para tomar una decisión que te ayude a ti y a tu familia.

Programas de bienestar
Ofrecemos recursos y herramientas para ayudarle a obtener y mantenerse saludable. Esto incluye 100% cobertura para la atención preventiva y recursos gratuitos para vivir un estilo de vida saludable. Programas especiales para ayudarle a obtener gran cuidado y ahorrar dinero también, como Aetna Concierge Customer Service, Meru Health Mental Health Care, MSK Direct, Prudent Rx Copay Optimization Program, PinnacleCare health advisory services, and more.

Dental
Ofrecemos beneficios para ayudar a pagar servicios preventivos, básicos y dentales importantes.


After the Open Enrollment period ends, you cannot change your elections during the year unless you have a “qualified change in family status”. Team Members have up to 30 days of the event. Qualified life events (QLE) are defined by the IRS and 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.

Visión
Nuestros beneficios ayudan a pagar exámenes oculares y gafas/contactos.

Seguro básico de vida

Price Rite Team Los miembros son elegibles para 1,5 veces su salario anual en seguro básico de vida.

Discapacidad a largo plazo
Aproveche los beneficios que proporcionan una parte de su salario en caso de que se desactive y no pueda trabajar.

Seguro de vida opcional adicional

Los asociados son elegibles para hasta 3 veces su salario anual en seguro de vida opcional. Pueden comprar protección financiera adicional para su familia a precios muy competitivos (sujeto a la aprobación de la subescritura del asegurador).

Resumen del plan

Important Note
If you experience any of the life events mentioned here or if you 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 basedon 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-of­pocket 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.

After the Open Enrollment period ends, you cannot change your elections during the year unless you have a “qualified change in family status.”

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