Life happens and sometimes you need to make benefit changes outside of Open Enrollment.

If you experience a qualifying life event, you must provide documentation supporting the life event within 31 days of the event (60 days if you are adding a newborn or newly adopted child or if you or a covered dependent becomes eligible for Medicare/Medicaid). The changes you make to your benefits must be consistent with the qualifying life event.

Qualifying life events

  • Change in employment status, such as part-time to full-time
  • Birth/adopting of child
  • Marriage
  • Divorce/legal separation
  • Gain/loss of other coverage for you or a dependent
  • Beginning/end of domestic partnership relationship
  • Death of a family member
  • You or a covered dependent becomes eligible for Medicare or Medicaid

Required documentation

Some documentation may be required. Acceptable forms of documentation may be a marriage certificate, divorce decree, benefit confirmation statement with dates, employer letter with dates, etc.

If you are enrolling new dependents under your medical, dental or vision coverage, you must submit documentation verifying that they are eligible for coverage under Albertsons plans.

Download a Dependent Verification Requirements Flyer which lists the allowable documents you can submit to verify your dependent’s eligibility to be covered under Albertsons healthcare plans. If you cover a domestic partner, a declaration of common law marriage or an affidavit of domestic partnership is required.

Completed verification documents can be submitted with a cover page that includes your name, associate ID, last four digits of your SSN and daytime telephone number. You can:

Upload a cover page and verification documents through the online enrollment system. Log in to myACI and access benefits self-service.

Mail the cover page and verification documents to:

Benefits Service Center
P.O. Box 534077
St. Petersburg, FL 33747-4077

Fax the cover page and verification documents to 877-282-1999.