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 Full-time and Part-time Hourly Alaska and Montana Special Store

Applies to Benefits Code: 507

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

EPO Network Medical Plan SBC

EPO High Performance Network Medical Plan SBC

HSA Plan SBC (single coverage)

HSA Plan SBC (family coverage)

PPO Plan SBC