legal notices

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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.

general benefit notices

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 Stations Inc. Thrift 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 Human Resources Service Center.

Chevron Retirement Plan
Chevron - MEBA Marine Pension Plan
Chevron - SUP Marine Pension Plan
Chevron Mining - UMWA Employees Pension Plan
Star Enterprise Retirement Plan

health 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.

A Notice of Creditable Coverage is a government-required notice which verifies that your Chevron prescription drug coverage is at least as good as standard Medicare coverage, and therefore, in the future, you can enroll in a Medicare prescription drug plan without paying a penalty. If you have a question about the notice you received in the mail, contact the HR Service Center for assistance.

  • If you need a Notice of Creditable Coverage, call the HR Service Center.
  • Review the Annual Coverage Notice for the Post-65 Retiree Health Reimbursement Arrangement Plan (Retiree HRA Plan) here.

This document provides information about the Continuity of Care provision of the No Surprises Act, a consumer protection law that applies when a provider ceases to be a network provider during an ongoing course of treatment. This information is provided for your awareness only; your action is not required. This legislation applies to all covered participants in all Chevron sponsored medical, prescription drug, mental health and substance use disorder plans. If you have questions about this information, contact your health plan directly for assistance.

This document provides information about the Surprise Billing provision of the No Surprises Act, a consumer protection law that helps curb the practice known as surprise billing for medical care. This information is provided for your awareness only; your action is not required. This legislation applies to all covered participants in all Chevron-sponsored medical, prescription drug, mental health and substance use disorder plans. If you have questions about this information, contact your health plan directly for assistance.

The public Health Insurance Marketplace, developed by the U.S. government, offers one-stop shopping to find and compare private health insurance options. You also may be eligible for a tax credit that lowers your monthly premium right away. As a retiree, you may want to review or enroll in the plans available through the Marketplace, and you may be eligible for a tax credit. However, keep in mind the plans available from the Marketplace are not Chevron health plans. This means that if you choose to purchase a health plan through the Marketplace, Chevron will not contribute to the cost of the coverage you purchase. Know that there is a separate open enrollment period for the Marketplace and that enrollment period has no connection to Chevron's pre-65 open enrollment. Visit HealthCare.gov for more information about a Health Insurance Marketplace in your area.
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 provided to you annually and is used 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.
Women’s Health and Cancer Rights

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.

States that may offer premium assistance

For VSP vision plan participants who reside in California. This annual notice contains information regarding the VSP complaint system, access to care, and the methods by which VSP members can communicate their comments to VSP.
The Mental Health and Substance Use Disorder Plan (MHSUD) is a grandfathered health plan under the Patient Protection and Affordable Care Act. Chevron Corporation believes the Chevron Corporation Mental Health and Substance Use Disorder Plan (the MHSUD 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.
CMI non-discrimination notice

price transparency: machine readable files

The Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage Rule (TIC Rule) both contain numerous health care provisions establishing new standards for price transparency and patient protections against certain surprise medical bills. Group health plans are required to post publicly available machine-readable files (MRFs), updated monthly, that include certain information, including network negotiated payment rates, historical out-of-network reimbursement rates, and more. A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files are not meant for a participant-friendly search of rates, benefits, or cost sharing; you should continue to login to your Anthem account for that information.

MRFs for the Medical PPO, HDHP and HDHP Basic can be accessed according to the instructions below. For Medical HMO Plans, contact the claims administrator directly for information about accessing the plans' MRFs.

The Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage Rule (TIC Rule) both contain numerous health care provisions establishing new standards for price transparency and patient protections against certain surprise medical bills. Group health plans are required to post publicly available machine-readable files (MRFs), updated monthly, that include certain information, including network negotiated payment rates, historical out-of-network reimbursement rates, and more. A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files are not meant for a participant-friendly search of rates, benefits, or cost sharing; you should continue to contact Beacon Health Options for that information.

MRFs for the Mental Health and Substance Use Disorder (MHSUD) Plan can be accessed below.

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