Summary of Benefits
		Election of Coverage and Eligibility Provisions
		Comprehensive Medical Benefits
		Income Protection Benefit
		Dental Benefit
		Dental Schedule of Benefits
		Prescription Drug Benefit
		Vision Benefit
		Life Insurance Benefit
		General Exclusions and Limitations

		Summary of Benefits
		Election of Coverage and Eligibility Provisions
		Comprehensive Medical Benefits
		Prescription Drug Benefit
		General Exclusions and Limitations

		How to File a Claim
		When to Call Us
		Request an ID Card
		Continuation of Coverage (COBRA)
		Claim Appeal Procedure
		Coordination of Benefits
		Privacy Practices
		Health Benefits Plan Claim Procedures
		Summary of the Cafeteria Plan
		Forms & Publications

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This website provides benefits information for persons enrolled in Plan D5 and Plan B5 and whose employer contributes to this Health Fund based on contracts negotiated between the stores and the UFCW local unions.

Benefit information on other plans offered by the Fund—Plan DH, Plan DM, Plan 7, Plan 8, Plan F and Plan M—is not included in this website presentation. For information on these plans, refer to your Summary Plan Description (plan booklet) or contact the Benefits Fund Office.

Maternity Benefits

Disability Income Protection

Work-Related and On-the-Job Injuries

Surgical Benefits and Information

Stop Smoking Benefits

Coverage for College Students

Coverage for Retirees

Traveling Outside of the United States or Canada