summary plan descriptions
Summary plan descriptions (SPDs) provide specific details about your benefits, such as eligibility, covered services and participation rules. You can open and print any of the SPDs on this page as desired. You can also call the HR Service Center and ask that an SPD be mailed to you free of charge. Recent updates to an SPD – if any – are included in the applicable summary of material modification (SMM), also posted on this page.
health plans
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- COVID-19 immunization coverage under the Prescription Drug Program (February 15, 2021)
- Temporary extension of coverage for out-of-network COVID-19 immunizations under medical coverage (December 11, 2020)
- Temporary coverage for flu shots under the Prescription Drug Program (September 15 - December 31, 2020)
- New address for benefits correspondence (June 1, 2020)
- COVID-19 testing and treatment, preventive services; Online visit coverage extended (Update to the March 19 document/March 27, 2020)
- COVID-19 testing and treatment coverage; Online visit temporary fee waiver (March 19, 2020)
- Update to Infertility Services (January 1, 2020)
- Prescription Drugs: Managed prior authorization for Xyrem (January 1, 2020)
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
- Prescription Drugs: Advanced Opioid Management Program (January 1, 2019)
- New Dependent Verification Requirement (January 1, 2019) | Learn more
- New Qualifying Life Event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
- Medical PPO Deductibles (January 1, 2018)
- New coverage for adult hearing aids (January 1, 2018)
- Prescription Drugs: Condition-specific prescription drug programs (January 1, 2018)
prescription drug formulary & exclusions
- Prescription Drug administrative changes due to COVID-19
- Prescription Drug Plan Formulary (January 1, 2020)
- Prescription Drug Plan List of Exclusions (January 1, 2020)
summary plan description (SPD)
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- COVID-19 immunization coverage under the Prescription Drug Program (February 15, 2021)
- Temporary extension of coverage for out-of-network COVID-19 immunizations for medical coverage (December 11, 2020)
- Temporary coverage for flu shots under the Prescription Drug Program (September 15 - December 31, 2020)
- New address for benefits correspondence (June 1, 2020)
- COVID-19 testing and treatment, preventive services; Online visit coverage extended (Update to the March 19 document/March 27, 2020)
- COVID-19 testing and treatment coverage; Online visit temporary fee waiver (March 19, 2020)
- HDHP Deductible update (January 1, 2020)
- Update to Infertility Services (January 1, 2020)
- Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Managed prior authorization for Xyrem (January 1, 2020)
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
- Prescription Drugs: Advanced Opioid Management Program (January 1, 2019)
- New Dependent Verification Requirement (January 1, 2019) | Learn more
- New Qualifying Life Event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
- Prescription Drugs: Coverage for preventive medications (January 1, 2018)
- New coverage for adult hearing aids (January 1, 2018)
- Prescription Drugs: Condition-specific prescription drug programs (January 1, 2018)
- HDHP deductibles and other updates (January 1, 2018)
- General Health Savings Account (HSA) Information (January 1, 2017)
- Anthem new claims administrator for HDHP (January 1, 2017)
- Prescription drug administrative updates (January 1, 2017)
- Tobacco surcharge updates (January 1, 2017)
- HDHP deductibles and other updates (January 1, 2017)
- HDHP additional updates (January 1, 2017)
- HDHP deductibles and other updates (January 1, 2016)
- Prescription drug updates (January 1, 2016)
- Tobacco surcharge updates (January 1, 2016)
prescription drug formulary & exclusions
- Prescription Drug administrative changes due to COVID-19
- Prescription Drug Plan Formulary (January 1, 2020)
- Prescription Drug Plan List of Exclusions (January 1, 2020)
summary plan description (SPD)
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- COVID-19 immunization coverage under the Prescription Drug Program (February 15, 2021)
- Temporary extension of coverage for out-of-network COVID-19 immunizations for medical coverage (December 11, 2020)
- Temporary coverage for flu shots under the Prescription Drug Program (September 15 - December 31, 2020)
- New address for benefits correspondence (June 1, 2020)
- COVID-19 testing and treatment, preventive services; Online visit coverage extended (Update to the March 19 document/March 27, 2020)
- COVID-19 testing and treatment coverage; Online visit temporary fee waiver (March 19, 2020)
- HDHP Deductible update (January 1, 2020)
- Update to Infertility Services (January 1, 2020)
- Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Preventive care for chronic conditions (January 1, 2020)
- Prescription Drugs: Managed prior authorization for Xyrem (January 1, 2020)
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
- Prescription Drugs: Advanced Opioid Management Program (January 1, 2019)
- New Dependent Verification Requirement (January 1, 2019) | Learn more
- New Qualifying Life Event (January 1, 2019)
- Employee after-tax contributions eliminated (January 1, 2019)
- New fee for insufficient funds (January 1, 2019)
- Prescription Drugs: Coverage for preventive medications (January 1, 2018)
- New coverage for adult hearing aids (January 1, 2018)
- Prescription Drugs: Condition-specific prescription drug programs (January 1, 2018)
- HDHP Basic deductibles and other updates (January 1, 2018)
prescription drug formulary & exclusions
- Prescription Drug administrative changes due to COVID-19
- Prescription Drug Plan Formulary (January 1, 2020)
- Prescription Drug Plan List of Exclusions (January 1, 2020)
summary plan description (SPD)
summary plan description (SPD)
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- New address for benefits correspondence (June 1, 2020)
- Telebehavioral Health (Virtual Visits) Coverage Temporarily Extended (March 18, 2020)
- New Annual Deductibles (January 1, 2020)
- New Plan Name Established (January 1, 2020)
- Clarification Regarding Transcranial Magnetic Stimulation (TMS) Coverage (January 1, 2020)
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
- New Annual Deductibles (January 1, 2018)
- Applied Behavior Analysis (ABA) Coverage for Autism Spectrum Disorder (ASD)(January 1, 2018)
- Virtual Visit Coverage Established (January 1, 2018)
summary plan description (SPD)
expatriates in the U.S.
basic vision
If you are enrolled in the Medical PPO Plan, the HDHP, the HDHP Basic or the Global Choice plans, you’re automatically enrolled in the Chevron Vision Program for basic vision coverage in the U.S. See your medical plan summary plan description for information about your basic vision coverage.
- Medical PPO Plan
- Medical HMO Plans
- High Deductible Health Plan (HDHP)
- High Deductible Health Plan Basic (HDHP Basic)
- Global Choice Plan (U.S.-Payroll Expatriates)
- Global Choice Plan (Expatriates in the U.S.)
- Supplement: Company Contributions to Health Coverage
vision plus program
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- Increased and expanded carryover due to COVID-19 (January 1, 2021)
- New mid-year enrollment rules due to COVID-19 (January 1, 2021)
- New extended claims deadline due to COVID-19 (January 1, 2021)
- New reimbursable expenses (January 1, 2020)
- Extended 2019 claims deadline (COVID-19) (July 1, 2020)
- New address for benefits correspondence (June 1, 2020)
- New reimbursable expenses (January 1, 2020)
- New claims administrator; new maximum annual contribution limit (January 1, 2020)
- New maximum annual contribution limit (January 1, 2019)
- New maximum annual contribution limit (January 1, 2018)
summary plan description (SPD)
- Retiree Health Enrollment Milestones (Excerpt)
- Pre-65 Retiree Health Benefits
- Post-65 Retiree Health Benefits
- Learn more about retiree benefits on hr2.chevron.com/retiree
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- Establishment of the Chevron Diabetes Prevention Program (January 1, 2020)
- New address for benefits correspondence (June 1, 2020)
- Health Rewards updates 2020 | 2019 | 2018 | 2017 | 2016 | 2015
- 2nd.MD new administrator for Health Decision Support (January 1, 2017)
summary plan description (SPD)
retirement and compensation plans
- Chevron Retirement Plan (hired before January 1, 2008)
- Chevron Retirement Plan (hired on or after January 1, 2008)
- Chevron Retirement Plan (supplement VV Molycorp)
- Retirement Restoration Plan (intranet only)
- MEBA Marine Pension Plan
- STAR Enterprise Retirement Plan
- SUP Marine Pension Plan
- Pension Plan of Chevron Mining Inc
Other retirement plans: If you have questions regarding a plan not listed or referenced on this website, contact the HR Service Center.
- Deferred Compensation Plan (intranet only)
- Executive Pay Programs (intranet only)
disability and sick pay
Call the HR Service Center if you are absent from work for more than five days due to illness or injury or are off work for a reason that's covered under the Family and Medical Leave Act of 1993 (FMLA) or related state leave law. Learn more about when you miss work because you’re sick or injured.
- Bonding benefit (Short-Term Disability Plan) │ Quick reference checklist
- Family care benefit (Short-Term Disability Plan) │ Quick reference checklist
- Chevron Voluntary Disability Insurance (Short-Term Disability Plan) | Change Form (F-66)
- California State Disability (SDI) and Other State Plans (Short-Term Disability Plan)
- California Paid Sick Leave
- Colorado Paid Sick Leave (Poster)
- Colorado Paid Sick Leave (Interpretive Notice & Formal Opinion)
life and accident insurance
- Basic Life Insurance │Summary Plan Description │Certificate
- Supplemental Life Insurance │Summary Plan Description │Certificate
- Dependent Life Insurance Plan
- Former Texaco Life Insurance Plan
worklife programs
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- New carryover opportunity due to COVID-19 (January 1, 2021)
- New increased age limit due to COVID-19 (January 1, 2020 - December 31, 2021)
- New increased maximum contribution limit due to COVID-19 (January 1, 2021)
- New mid-year enrollment rules due to COVID-19 (January 1, 2021)
- New extended claims deadline due to COVID-19 (January 1, 2021)
- Extended 2019 claims deadline due to COVID-19 (July 1, 2020)
- New address for benefits correspondence (June 1, 2020)
- New claims administrator (January 1, 2020)
- Prefunding feature no longer available; New minimum contribution (January 1, 2019)
summary plan description (SPD)
- Rethink services - Developmental, learning, and behavioral resources for your child
- Employee Assistance and WorkLife Services (intranet only)
- Adoption Reimbursement Program
- Surrogacy Reimbursement Program
- Dependent Care Expense Reimbursement for Business Travelers