Learn how to submit a benefits administrative appeal.

What is a benefits administrative appeal?

If you have contacted the Benefits Service Center (BSC) about an administrative claim related to your benefits (e.g., an issue related to enrollment or dependent eligibility), and you disagree with the outcome, you can submit a benefits administrative appeal.

For example, say the BSC denied your request because you missed the deadline to enroll or you did not provide your dependent eligibility documents in a timely manner. You could submit a benefits administrative appeal to ask the Administrative Claims Committee to review the claim. You have 60 days after your initial denial to submit a complete appeal.

If you have a question or concern about what services are covered under your Albertsons benefit plans, please do not file a benefits administrative appeal. Instead, reach out to the claims administrator (e.g., your health insurance company). You can find contact information for each claims administrator on the Contacts page.

How do I submit a benefits administrative appeal?

Follow the steps below:

  1. Fill out the Benefits Administrative Appeal Form.
  2. Gather supporting documentation, like screenshots, records or any other information related to your issue.
  3. Log in to myACI and submit a help desk ticket using the category “Benefits” and topic “Administrative Appeal.” Attach your form and supporting documentation to the help desk ticket.

For more detailed instructions, check out this Quick Reference Guide.

You may request reasonable access to, and copies of, all documents, records, and other information relevant to your dispute at no cost to you.

If you are asked to provide more information about your appeal, you must provide the additional documentation within 30 days of the request, or your appeal will be automatically denied.

What happens after I submit my appeal?

After reviewing your appeal form and any materials you’ve provided, the Administrative Claims Committee will make a decision about your issue. Watch your help desk ticket for updates and a final decision on your appeal. You will find out the committee’s decision within 60 days after the date your appeal form and all required documents are submitted.

If you have questions about the Benefits Administrative Appeal Form or the appeal process, please contact the BSC toll free at 888-255-2269. Press 2, then press 2 again. Representatives are available Monday through Friday between 6 am and 6 pm MST.