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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

employment notices

benefit notices

notice of health privacy practices (HIPAA)

This legally-required notice describes how medical information about you may be used and disclosed and how you can get access to this information.

notice regarding wellness program

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.

notice of health insurance marketplace coverage

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. 

health insurance tax form 1095

The Patient Protection and Affordable Care Act (ACA) requires that almost everyone in the U.S. have health coverage that qualifies as minimum essential coverage. U.S. taxpayers must be able to provide proof of such coverage for themselves and their dependents. Form 1095 is required to report information about offers of health coverage and enrollment in health coverage for federal tax purposes. Depending on the source of your health care coverage, you may receive a Form 1095-B, a Form 1095-C, or even both. Learn more about Form 1095.

family and medical leave act

women's health and cancer rights

medicaid and the children’s health insurance program (CHIP)

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.

mental health and substance abuse plan grandfathered plan notice

The Mental Health and Substance Abuse Plan (MHSA) is a grandfathered health plan under the Patient Protection and Affordable Care Act. Chevron Corporation believes the Chevron Corporation Mental Health and Substance Abuse Plan (the MHSA Plan) is a grandfathered health plan under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at 1-888-825-5247. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at 1-866-444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

mercer privacy statement

aflac group certification statements

summary annual reports

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 Human Resources 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

annual funding notice

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 Human Resources Service Center.