Sign up for 2024 Medical, Dental or Vision Coverage Decide who will be covered. If needed, provide Marriage License and/or Child(ren) Birth Certificate(s). |
Complete a benefit enrollment form.
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Waive your Price Rite benefits. | Select the waiver option on the benefit enrollment form. |
Short Term Disability Benefits (STD) | Complete the STD enrollment form. |
Long Term Disability Benefits (LTD) - How do you want to receive your benefit? | Complete the LTD enrollment form. |
Basic Life Insurance | Complete the basic life insurance enrollment form. |
Optional Life Insurance | Complete the optional life insurance enrollment form. |
Complete the LTD enrollment form.
Complete the LTD enrollment form.
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Summary of Benefits and Coverage: How the plan would share the cost for coverage services. Download a 2024 SBC here: