Open Enrollment

Welcome, MED-1000 Participants! Click on the links below to complete the enrollment process for 2020 coverage!

Please download and complete the appropriate form if you wish to update your enrollment election for the 2020 Plan year.

Have you completed enrollment or need to upload supporting documents? Click the "Upload Documents" button below.

For assistance, contact the Fund Office at (800) 567-5899 or click here.

Links:

Upload Documents

Enrollment Documents:

Value Plan Application - Employee Only Coverage

Value Plan Application - Employee and Dependent Coverage

Premium Plan Application - Employee Only Coverage

Premium Plan Application - Employee and Dependent Coverage

Premium Plan SBC 2020

Value Plan SBC 2020

SMM – 2020 Eligibility Changes

Other Actions:

Take me to the Member Portal where I can view my benefit records.

Take me to the UFCW Local 1000 and Kroger Dallas H&W Fund home page.