A Summary of Benefits and Coverage (SBC) explains things like what a health insurance plan covers, what it doesn’t cover, and what you share of costs will be. An SBC also shows estimated costs for sample medical events. The examples are meant to help you understand what you might pay, and compare that to other SBCs for the plans in which you are eligible to enroll in for medical coverage.

Safeway Pharmacists Hawaii, Safeway Hourly Hawaii, Safeway Salaried Hawaii

Applies to Benefits Code: HI4, HI5, H18

Depending on where you live, you may be eligible for one or more medical plans. You can check the specific medical plans you can choose from when you enroll in your benefits using myACI Benefits Self-Service.


Kaiser Permanente HMO Hawaii SBC