open enrollment for COBRA participants
Open enrollment for 2022 COBRA benefits ended November 17, 2021
The open enrollment deadline has passed. If you need to make a change to your health coverage, you must wait until the next open enrollment period in October 2022 for 2023 benefits. However, you can make changes to certain benefits outside of the open enrollment period within the 31-day deadline after a qualifying life event, such as a marriage or birth. Any changes you made to your benefit coverage during open enrollment become effective January 1, 2022.
enrollment closed, get information here
benefitconnect COBRA
- Confirm your benefits effective January 1, 2022 from the BenefitConnect COBRA website
- View now
COBRA service center
- 1-877-292-6272
- 1-858-314-5108 outside the U.S.
- 6 a.m. to 4 p.m. Pacific time
- 8 a.m. to 6 p.m. Central time
- Monday through Friday
dependent verification
If you enrolled a new dependent in your health plan(s) during open enrollment, you have 60 days to provide documents to verify that your dependents are eligible to participate. Get more information.
2023 plan information
medical PPO
Plan changes
Plan tools and resources
high deductible health plan
Plan changes
Plan tools and resources
high deductible health plan basic
Plan changes
Plan tools and resources
medical HMO
Plan changes
- The Chevron Medical HMO – Humana Total Health Choice and the Chevron Medical HMO – Humana USW Local 447 plans will no longer be offered effective January 1, 2022. If you’re enrolled, your coverage will be automatically changed to the Medical PPO Plan. You can select a different plan during open enrollment, if desired.
- Contact your HMO directly for changes to your coverage effective January 1, 2022.
Plan tools and resources
medical PPO
If you are enrolled in the Chevron Medical PPO you automatically have Chevron Prescription Drug Program coverage with Express Scripts. There is no separate monthly premium for prescription drug coverage.
Plan changes
Plan tools and resources
- 2022 Prescription Drug Program Formulary
- Express Scripts Price a Prescription tool
- Summary of Benefits and Coverage (SBCs)
- Contact the plan to ask questions
high deductible health plan (HDHP)
If you are enrolled in the Chevron HDHP you automatically have Chevron Prescription Drug Program coverage with Express Scripts. There is no separate monthly premium for prescription drug coverage.
Plan changes
Plan tools and resources
- 2022 Prescription Drug Program Formulary
- 2022 Prescription Drug Program List of Standard Preventive Medications
- Express Scripts Price a Prescription tool
- Summary of Benefits and Coverage (SBC)
- Contact the plan to ask questions
high deductible health plan basic (HDHP basic)
If you are enrolled in the Chevron HDHP Basic you automatically have Chevron Prescription Drug Program coverage with Express Scripts. There is no separate monthly premium for prescription drug coverage.
Plan changes
Plan tools and resources
- 2022 Prescription Drug Program Formulary
- 2022 Prescription Drug Program List of Standard Preventive Medications
- Express Scripts Price a Prescription tool
- Summary of Benefits and Coverage (SBCs)
- Contact the plan to ask questions
medical HMO
If you are enrolled in a Chevron Medical HMO Plan prescription drug coverage is included and provided by your plan. There is no separate monthly premium for prescription drug coverage.
Plan changes
- Contact your HMO directly for changes to your coverage effective January 1, 2022.
Plan tools and resources
dental PPO plan (U.S.-payroll)
With the Dental PPO, you can see any dentist you choose, but using a network provider saves you money. Delta Dental offers two different types of networks, the Delta Dental PPO and the Delta Dental Premier networks. Both options are considered network providers, so they cover the same services, have the same annual maximums, the same coinsurance or copayment levels, and covered services from these providers aren’t subject to the deductible. You also don’t have to worry about balance billing when you see a provider from either network option. The difference between the two comes down to the reduced fees the dentists have agreed to provide Dental PPO plan participants. Providers in the Delta Dental PPO network provide the greatest savings.
Plan changes
Plan tools and resources
dental HMO plan
Because this is an HMO plan, you must use a network dentist in order to access benefits under the Dental HMO Plan. In addition, you must visit your selected DeltaCare USA primary care dentist to receive benefits under your Dental HMO Plan. Most services not performed by your primary care dentist must be authorized by DeltaCare. When you first enroll in the Dental HMO Plan, you will be auto assigned to a primary care dentist, when applicable, by DeltaCare. You will receive a confirmation in the mail containing your primary care dentist name, your Enrollee ID, and ID card and a description of your benefits from DeltaCare. This package will also provide instructions about how you can change the primary care dentist auto assigned to you. Be sure you take action right away if you want to change to another DeltaCare USA network primary care dentist.
Plan changes
- No plan changes for 2022. Contact DeltaCare USA directly with coverage questions.
Plan tools and resources
vision plus program
The Vision Plus program is a voluntary coverage option that provides prescription eyewear coverage at an additional payroll deduction. Your Chevron medical plan already provides some level of basic vision coverage. Vision Plus is additional coverage for prescription eyewear that goes beyond your basic vision coverage. Any U.S.-payroll employee eligible for Chevron's health plans can enroll, and you can enroll even if you waive Chevron health coverage.
Plan changes
- No plan changes for 2022.
Plan tools and resources
- 2022 Vision Plus Program Summary and Highlights (U.S.-payroll)
basic vision - HMO plans
If you are enrolled in a Chevron Medical HMO Plan basic vision coverage is included and provided by your plan. There is no separate monthly premium for basic vision coverage.
Plan changes
- Contact your HMO directly for changes to your coverage effective January 1, 2022.
Plan tools and resources
basic vision - Medical PPO, HDHP, HDHP basic
If you are enrolled in the Chevron Medical PPO, HDHP, or HDHP Basic you automatically have basic vision coverage under the Chevron Vision Program with VSP. There is no separate monthly premium for basic vision coverage.
Plan changes
- No plan changes for 2022
Plan tools and resources
mental health and substance use disorder (MHSUD) plan changes
The MHSUD Plan with Beacon Health Options covers treatment as a result of a diagnosis of a mental illness or substance abuse. It also covers treatment for behavioral health concerns including services for depression, stress/anxiety, family or relationship issues, personal or work concerns, drug and alcohol recovery, dealing with domestic violence, eating disorders, and others.
Plan changes
- No plan changes for 2022.
Plan tools and resources
health care spending account (HCSA)
You're only permitted to elect COBRA coverage for the remainder of the year in which your employment ended. However, recent temporary carryover rules may apply to you, depending on your situation. Read the plan changes below to see if carryover applies to you.
- Terminated Employees: Carryover of 2020 amounts to 2021; extended claims deadline continues
- Terminated Employees: Carryover of 2021 amounts to 2022; extended claims deadline continues
dependent day care spending account (DCSA)
COBRA coverage is not available for the DCSA. However, recent temporary carryover rules may apply to you, depending on your situation. Read the plan changes below to see if carryover applies to you.
- Terminated Employees: Carryover of 2020 amounts to 2021; extended claims deadline continues
- Terminated Employees: Carryover of 2021 amounts to 2022; extended claims deadline continues
This web page provides only certain highlights about changes of benefit provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and the legal plan documents, the legal plan documents will prevail to the extent permitted by law. Oral statements about plan benefits are not binding on Chevron or the applicable plan. There are no vested rights with respect to Chevron health care plans or any company contributions towards the cost of such health care plans. Rather, Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union-represented employees.
plan documentation
contact
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