document library

summary of benefits and coverage (SBC)

for U.S.-payroll employees and expatriates in the U.S.

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Learn more about your health plans, including resources that may be available.

summary plan descriptions

Summary Plan Descriptions (SPDs) provide specific details about your Chevron benefits, such as eligibility, covered services and participation rules.

Summary of Benefits and Coverage (SBCs) provide summary information about your health plans, such as benefits, copayments, deductibles, coinsurance and plan contact information. SBCs are not required for all health plans; only those listed below. You can open and print any of the SBCs on this page as desired. You can also call the HR Service Center and ask that an SBC be mailed to you free of charge.

2025

Medical PPO Plan (100)
Medical PPO Plan - Medicare eligible on a leave of absence (700)

High Deductible Health Plan (HDHP) (105)
High Deductible Health Plan Basic (HDHP Basic) (110)

HDHP - Medicare eligible on a leave of absence (705)
HDHP Basic - Medicare eligible on a leave of absence (710)

For employees not enrolled in a Chevron medical plan option (050)
For employees enrolled in the Medical PPO plan (100)
For employees enrolled in the HDHP (105)
For employees enrolled in the HDHP Basic (110)
For employees enrolled in the Global Choice (U.S.-payroll expatriates) (115)
For employees enrolled in the Global Choice (Expatriates in the U.S.) (120)
For employees enrolled in these Medical HMOs (B130): Kaiser Hawaii, Kaiser USW
For employees enrolled in all other Medical HMO Plans (A125)

2024



This communication provides only certain highlights about 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. 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. Unless required by applicable law, there are no vested rights with respect to any Chevron health and welfare plan benefit or to any company contributions towards the cost of such health and welfare plan benefits. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union-represented employees.