summary plan descriptions

Benefit Changes (Summary of Material Modification)  2015 | 2016 │2017

• Medical PPO Plan | Prescription Drug Plan Formulary | Prescription Drug Plan List of Exclusions
• Medical HMO Plans
• High Deductible Health Plan (HDHP) | Prescription Drug Plan Formulary | Prescription Drug Plan List of Exclusions
• High Deductible Health Plan Basic (HDHP Basic) | Prescription Drug Plan Formulary | Prescription Drug Plan List of Exclusions
• Global Choice Plan (U.S.-Payroll Expatriates) | Cigna Certificate of Coverage 
• Global Choice Plan (Expatriates in the U.S.) | Cigna Certificate of Coverage 
• Supplement: Company Contributions to Health Coverage

Benefit Changes (Summary of Material Modification) │2017

• 2018 dental surcharge information
• 2019 dental surcharge information
• Dental PPO Plan
• Dental HMO Plan
• Dental PPO Plan (Expatriates in the U.S.)
• Supplement: Company Contributions to Health Coverage

U.S. payroll employees

Benefit Changes (Summary of Material Modification SMM)  2015 | 2016 │2017

• Mental Health and Substance Abuse Plan (MHSA)
• Supplement: Company Contributions to Health Coverage

expatriates in the U.S.

Benefit Changes (Summary of Material Modification SMM)  2015 | 2016

• Mental Health and Substance Abuse Plan

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

Benefit Changes (Summary of Material Modification)  2017

• Health Care Spending Account (HCSA)

Benefit Changes (Summary of Material Modification)  2017

• Health Decision Support: Wellness Programs

• Group Critical Illness Insurance
• Certificate of Insurance
• Aflac Brochure

• Group Hospital Indemnity Insurance
• Certificate of Insurance (Low)
• Certificate of Insurance (High)
• Aflac Brochure

• 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

Benefit Changes (Summary of Material Modification SMM) 2017

• Wellness Programs (U.S.-Payroll)

The Wellness Programs SPD includes information about the Healthy Heart Program, Health Rewards, and Health Decision Support.

• Employee Savings Investment Plan (ESIP)
• Employee Savings Investment Plan (ESIP) Prospectus
• Employee Savings Investment Restoration Plan (intranet only)
• When you take your Chevron stock

• 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)

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.

Benefit changes (Summary of Material Modification)  2015 | 2016 │2017

• Disability Management website
• Short-Term Disability Plan 
• Long-Term Disability Plan 
• Long-Term Disability Restoration Plan  
• Long-Term Care Insurance 

• 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

• Benefit Changes (Summary of Material Modification)  2015 | 2016 │2017
• Basic Life Insurance │Summary Plan Description │Certificate 
• Supplemental Life Insurance │Summary Plan Description │Certificate
• Dependent Life Insurance Plan 
• Former Texaco Life Insurance Plan

• Benefit changes (Summary of Material Modification)  2015
• On-the-Job Accident Insurance Plan
• Business Travel Accident Insurance Plan
• Voluntary Group Accident Insurance Plan
• CIGNA Secure Travel brochure

• Group Auto and Home Insurance
• Group Critical Illness Insurance | Certificate of Insurance | Aflac Brochure
• Group Hospital Indemnity Insurance |Certificate of Insurance (Low) | Certificate of Insurance (High) | Aflac Brochure
• Long-Term Care Insurance

• Dependent Day Care Spending Account (DCSA)
• Rethink services - Developmental, learning, and behavioral difficulties
• Employee Assistance and WorkLife Services (intranet only)
• Adoption Reimbursement Program
• Surrogacy Reimbursement Program
• Dependent Care Expense Reimbursement for Business Travelers