Qualifying Life Events: Employees who experience any of the following qualifying life events have 31 days from the date of the event to make changes to insurance coverage by submitting an application and required supporting documentation.
- Click here to print the application to update your health insurance. (The application is not setup to be filled out or submitted online.)
- Fill out the application.
- Attach the required documentation to update your insurance as explained on the chart below or see the application.
- Applications turned in without the required documentation are incomplete. If the completed application and requested information is not returned by the deadline, no coverage will take effect.
- Please send copies of the documentation. Originals will not be returned.
- 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 to your own plan or you can combine/transfer coverage with an eligible family member (legal spouse, dependent child under 26).
- 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.
- Combine/transfer coverage becomes effective the first day of the next month following the qualified life event.
- Complete the Beneficiary Form. (This is not the same as the ESOP/401K beneficiary form.) Click here for the form.
- Turn in your application, form, and required documentation, if applicable, following the instructions on the form as soon as possible to the Benefits Department. Applications and documentation CANNOT be accepted by email. The deadline to turn in your application and documentation is based on the event and is generally 31 days.
- After your application and documentation is processed, you will receive a confirmation e-mail and a letter in the mail stating the change took place.