legal notices

Chevron is legally required to provide certain notices to plan participants. These notices are also posted here for your reference. Questions should be directed to the Human Resources Service Center.
state-specific notices
- California COVID-19 Supplemental Paid Sick Leave
- California Disability Insurance Overview
- California State Disability Insurance Program Pamphlet (DE2515)
- Paid Family Leave Insurance Program (DE2511)
- Paid Family Leave Insurance Program (DE8714CF)
- Chevron Medical Provider Network for Worker’s Compensation
- Notice to Employees: Injuries Caused by Work (DWC7)
- California’s Programs for the Unemployed (DE2320)
- Time of Hire Pamphlet (DWC FORM 9783.1)
- Chevron Lactation Accommodation - HR Policy 395 (intranet only)
- Rights of Victims of Domestic Violence, Sexual Assault and Stalking
- VSP Grievance Process
- California State and Federal Labor Laws Poster English | Spanish
- Colorado Paid Leave and Whistleblower Poster
- Colorado Overtime and Minimum Pay Standards Order (COMPS Order #38) Poster
- Colorado State and Federal Labor Laws Poster English | Spanish
- New Jersey Earned Sick Leave – Notice of Employee Rights
- New Jersey State and Federal Labor Laws Poster English | Spanish
- HR Policy 400 - Equal Employment Opportunity (intranet only)
- HR Policy 420 - Harassment in the Workplace (intranet only)
- Oregon State Law Addendum to HR Policies 400 and 420 (intranet only)
- Oregon State and Federal Labor Laws Poster English | Spanish
- Pennsylvania Residency Certification Form
- Pennsylvania State and Federal Labor Laws Poster English | Spanish
- Texas Worker’s Compensation Notice
- Texas State and Federal Labor Laws Poster English | Spanish
employment notices
Chevron Mining, Inc. UMWA Benefit Plans comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.
benefit notices
This legally-required notice describes how medical information about you may be used and disclosed and how you can get access to this information.
The Americans with Disabilities Act (ADA) requires employers, like Chevron, who offer wellness programs that collect employee health information to provide a notice to employees informing them what information will be collected, how it will be used, who will receive it, and what will be done to keep it confidential.
The Patient Protection and Affordable Care Act, which is the law that’s known simply as “Health Care Reform,” generally requires all U.S. citizens and resident aliens to have medical coverage beginning January 1, 2014, or pay a penalty. To make affordable coverage available to everyone, the government created the public Health Insurance Marketplace. The Marketplace offers one-stop shopping to find and compare private health insurance options.
The Marketplace is designed to serve those who cannot get medical coverage through their employer or a public program. Chevron currently plans to continue to offer comprehensive, quality medical plans as part of your overall benefits package. In addition, Chevron’s health benefits meet the minimum essential coverage standard set by the Affordable Care Act. This means you can certainly shop around in the Marketplace, but keep the following in mind:
- If you are eligible for Chevron’s health benefits, you aren’t required to go to the Marketplace to shop for health coverage. You can still buy private medical insurance through the Marketplace, but if you do, you won’t qualify for a discount (subsidy) on your monthly premium. This means you’ll have to pay for that coverage on an after-tax basis, and Chevron will not contribute to the cost of the coverage you purchase. Call the HR Service Center if you have questions about your eligibility for Chevron health coverage.
- If you aren’t eligible for Chevron’s health benefits, you may qualify to save money and lower your monthly premium by shopping for coverage on the Marketplace. The possible savings on your premium depends on if you have other employer coverage available, your household income and your family size. If you decide to apply for medical coverage through the Marketplace, you must submit an application during the government’s Open Enrollment period. Applications are available on www.healthcare.gov. Use the information on the notice below to fill out the Employer section on the application. Call the HR Service Center if you have questions about your eligibility for Chevron health coverage.
Note that there is a separate open enrollment period for the Marketplace. The Marketplace enrollment period has no connection to Chevron’s open enrollment.
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs.
The Employee Retirement Income Security Act of 1974 (ERISA) requires companies to file an annual report for each benefit plan with the Employee Benefits Security Administration. ERISA also requires that participants be given an annual summary of these financial reports within 60 days after the annual report is filed. This summary is called the Summary Annual Report (SAR). The publications listed below contain the SARs for the benefit plans shown. You can also get a copy of the full report without charge from the internet at: http://www.efast.dol.gov. Click Form 5500/5500-SF Search in the upper left corner. Questions should be directed to the HR Service Center.
Chevron Corporation, which covers the following plans:
- Chevron Employee Savings Investment Plan
- Supplemental Life Insurance Plan
- On-the-Job Accident Insurance Plan
- Basic Life Insurance Plan
- Chevron Omnibus Health Care Plan
- Dependent Life Insurance Plan
- Long-Term Disability Plan
- Chevron Long-Term Disability Restoration Plan
- Chevron Business Travel Accident Insurance Plan
- Chevron Voluntary Group Accident Insurance Plan
- Chevron Long-Term Care Plan
- Term Life Insurance Plan of Texaco Inc.
- Retired Participants in the Gulf Group Life Insurance Plan
- Unocal Life Insurance Plan
Chevron is required to mail an Annual Funding Notice to retirement plan participants once every year. The Annual Funding Notice provides information about your Plan's funded status, the value of its assets and liabilities, a description of how the assets are invested, and an explanation of the benefits that are guaranteed by the Pension Benefit Guaranty Corporation (PBGC), a federal agency. Questions should be directed to the HR Service Center.
state and federal labor law posters
The state and federal labor law poster for each state is listed below for your reference at any time. You can also view the printed version of your state’s poster on display at your work site. Reference this document to locate the state-specific contact and other information that applies to your state’s poster.
- Hawaii English | Spanish
- Idaho English | Spanish
- Illinois English | Spanish
- Indiana English | Spanish
- Iowa English | Spanish
- Kansas English | Spanish
- Kentucky English | Spanish
- Louisiana English | Spanish
- Maine English | Spanish
- Maryland English | Spanish
- Massachusetts English | Spanish
- Michigan English | Spanish
- Minnesota English | Spanish
- Mississippi English | Spanish
- Missouri English | Spanish
- Montana English | Spanish
- Nebraska English | Spanish
- Nevada English | Spanish
- New Hampshire English | Spanish
- New Jersey English | Spanish
- New Mexico English | Spanish
- New York English | Spanish
- North Carolina English | Spanish
- North Dakota English | Spanish
- Ohio English | Spanish
- Oklahoma English | Spanish
- Oregon English | Spanish
- Pennsylvania English | Spanish
- Rhode Island English | Spanish
- South Carolina English | Spanish
- South Dakota English | Spanish
- Tennessee English | Spanish
- Texas English | Spanish
- Utah English | Spanish
- Vermont English | Spanish
- Virginia English | Spanish
- Washington English | Spanish
- West Virginia English | Spanish
- Wisconsin English | Spanish
- Wyoming English | Spanish