IMPORTANT NOTE: If you enrolled in benefits during Open Enrollment, please review your coverage in Employee Self-Service (Insurance tab).  Open Enrollment-related corrections will not be allowed after February 29, 2024.

Open Enrollment was November 1 through November 30, 2023, at 11:59 p.m. MST.  Late/incomplete applications will not be processed.  Open Enrollment benefit elections are effective January 1, 2024; health insurance start date is subject to meeting the hours (eligibility) requirement.

Open enrollment is your annual opportunity to update your WinCo benefits without a qualified life event. If you have no changes, you do not need to take action – with the exception of Flexible Spending, which requires annual re-enrollment if you want it.

A VERY IMPORTANT NOTE:  Benefits will confirm receipt of your application with an e-mail sent to your personal e-mail address on file in Employee Self-Service.  If you do not receive a response e-mail from Benefits within three business days, please e-mail benefits@wincofoods.com to check the status of your application (prior to the November 30 deadline).

Looking for Open Enrollment Applications?  You’ve Come to the Right Place!

2024 OE Health Insurance Application (Follow Instructions Below for the Application!)

2024 OE Voluntary Benefits Application (includes Flexible Spending!)

Life Insurance Beneficiary Form

 

To enroll in (or change) health insurance coverage:

    1. Starting November 1, click here for the application to enroll in or update your health insurance.    Please note – if you already have health insurance coverage and do NOT want to make changes, you do NOT need to fill out a new form.
    2. Fill out the application.
      • To enroll dependents, attach required photocopies (not originals) of proof documents (see application).
      • Applications missing required proof documents are INCOMPLETE; a notice explaining the incomplete status will be mailed.  If the completed application with all required proof documents is not returned by the deadline, no coverage will take effect.
    3. Do you have a family member that works for WinCo?  If not, SKIP and go to #4.
      • If yes, you have the option to separate coverage if you are already covered or you can combine/transfer coverage with an eligible family member under the health insurance plan (legal spouse, dependent child under 26). Starting November 1, click here for the Transfer/Combine or Separate Coverage Form.
      • WinCo’s plan does not double cover anyone covered by another WinCo employee. For example, two employees cannot cover the same child on 2 separate policies. For questions about this, contact Benefits.
    4. Turn in your complete, signed application and required proof documents by fax or U.S. Mail (postmarked no later than November 30 – no exceptions).  Applications CANNOT be accepted by email; deadline for enrollment is November 30.
    5. For new coverage, after your application and documentation is processed, you will receive a letter in mid-January after your benefit eligibility is verified and your benefits start.

Your Summary Plan Description, which details Plan benefits, is available for review on the Plan Documents tab of this website.

ID cards will be mailed approximately 2 weeks after you receive your new coverage letter; schedule appointments accordingly.

To enroll in flexible spending (health care and/or dependent care) and/or voluntary benefits:

    1. Starting November 1, print off the voluntary benefits application (above) if you wish to elect either Flexible Spending (FSA) or other voluntary benefits.
    2. Fill out the application, sign (required), and fax or mail in the application (not the instruction/rate pages).
      • For flex, complete the employee information & flex spending section.
      • To sign up or to cancel voluntary benefits, complete the employee information and the voluntary benefits section.
    3. Applications CANNOT be accepted by email; deadline for enrollment is November 30.