WinCo Holdings Inc. Plan Document and Summary Plan Description (SPD) – The SPD contains information about all of the health and voluntary insurance benefits provided by WinCo Holdings. The SPD is the main source of information on the Plan that describes eligibility requirements, details about coinsurance and copays, what each benefit covers, plan exclusions, and more.
Summary of Benefits & Coverage (SBC) – The SBC is a form required by the Affordable Care Act. It is a summary of WinCo’s covered benefits, benefit cost sharing amounts, and coverage limitations.
Required Legal Notices – Includes the Medicare Part D Notice; HIPAA Notice of Special Enrollment Rights, CHIP Notice, and more!
- WinCo Annual Notices
- Summary Annual Report – 2023 (issued 7/24)
- 2025 Health Insurance Model Marketplace Notice
The documents listed below give additional details on the benefit beyond what is in the WinCo SPD.
Short-term Disability
- Short-term Disability – Summary Plan Description – Updated 5-1-24
- Short-term Disability Summary – salaried employees
- Short-term Disability Summary – hourly employees over 5 years of employment
- Short-term Disability Summary- hourly employees under 5 years of employment
Long-term Disability
- Long-term Disability – Summary Plan Description
- Long-term Disability Summary – salaried employees only (hourly employees are not covered)
Company Paid Life and Accidental Death & Dismemberment Insurance
- Class 1 Summary – All Eligible Executives, District Managers, Directors, and Store Manager
- Class 1 Certificate
- Class 2 Summary – All Other Eligible Employees
- Class 2 Certificate
Voluntary Paid Life and Accidental Death & Dismemberment Insurance (paid by employee)
- Vol Life Class 1 Summary (current plan)
- Vol Life Class 1 Certificate (current plan)
- Vol Life Class 2 Summary (applies to a group of select grandfathered employees)
- Vol Life Class 2 Certificate (applies to a group of select grandfathered employees)
- Vol Life Class 3 Summary (applies to a group of select grandfathered employees)
- Vol Life Class 3 Certificate (applies to a group of select grandfathered employees)
- Vol AD&D Certificate (bundled with Class 1 Vol Life product)
Voluntary Accidental Death & Dismemberment (AD&D) Insurance (STAND-ALONE PRODUCT) (paid by employee)
- Vol AD&D Summary Plan Description
- Vol AD&D Certificate (STAND-ALONE PRODUCT) – EE Only Plan
- Vol AD&D Certificate (STAND-ALONE PRODUCT) – Family Plan
LegalShield (paid by employee)