dental benefit contacts

The HR Service Center manages your enrollment and eligibility. For all other questions regarding your coverage, contact the claims administrator/administrator. The claims administrator/administrator manage the administration of your plan — for example, claims, what's covered and what's not, certificates of insurance, and more. 

dental surcharge

• View your dental surcharge status  BenefitConnect website (go to View my current coverage) or call the HR Service Center
• Applies to  U.S. Payroll Employees enrolled in the Dental PPO or Dental HMO Plan
• Dispute dental surcharge  Get the dispute instructions here

dental PPO plan

• Plan Type  Dental plan
• Eligibility  U.S. Payroll Employees
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Delta Dental of California
• Group Number  18368
• Networks  Delta Dental PPO (greatest savings) and Delta Dental Premier (still save, but not as much as PPO)
• Phone (Inside U.S.) 1-800-228-0513 
• Phone (Outside U.S.) 415-972-8300
• Website  www.deltadentalins.com/chevron
• Mobile App  Delta Dental App on Google Play or Apple App Store
• Claim Form  Forms library

dental HMO plan

• Plan Type  Dental plan
• Eligibility  U.S. Payroll Employees
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Delta Dental Insurance Company
• Group Number 78713
• Network  DeltaCare USA
• Phone 1-800-422-4234 
• Website  www.deltadentalins.com/chevron
• Mobile App  Delta Dental App on Google Play or Apple App Store
• Claim Form  Forms library

dental PPO plan (expatriates in U.S.)

• Plan Type  Dental plan
• Eligibility  Expatriates on assignment in the U.S.
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Delta Dental of California
• Group Number  18368
• Networks  Delta Dental PPO (greatest savings) and Delta Dental Premier (still save, but not as much as PPO)
• Phone (Inside U.S.) 1-800-228-0513 
• Phone (Outside U.S.) 415-972-8300
• Website  www.deltadentalins.com/chevron
• Mobile App  Delta Dental App on Google Play or Apple App Store
• Claim Form  Forms library

dental PPO plan - hawaii only

• Plan Type  Dental plan
• Eligibility  U.S. Payroll Employees - Hawaii only
• Enrollment  Enroll on BenefitConnect or call the HR Service Center
• Claims Administrator  Health Plan Hawaii (HMSA)
• Group Number 1912
• Phone (Oahu) 1-808-521-1431 
• Phone (Interisland) 1-800-232-2533, ext. 248
• Website  www.hawaiidentalservice.com
• Claim Form  Contact the claims administrator directly

COBRA continuation coverage

• Plan Type  Continuation coverage for health plans
• Eligibility  U.S. Payroll Employees
• Enrollment  Call BenefitConnect|COBRA or access their website
• Claims Administrator  BenefitConnect|COBRA 
• Phone (Inside U.S.) 1-877-292-6272 
• Phone (Outside U.S.) 1-858-314-5108
• Website  https://cobra.ehr.com
• Claim Form  BenefitConnect|COBRA only manages eligibility, enrollment and monthly premium payments for COBRA coverage. If you need help with a claim for health services or questions about what the health plan covers or does not cover, contact your health plan claims administrator directly.
• Address  BenefitConnect COBRA | Dept:COBRA | PO Box 981915 | El Paso, TX 79998