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.

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 most recent report filed is available here. 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. Contact the HR Service Center with questions.

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.

health benefit notices

The Notice of Privacy Practices 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.
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.

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.

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 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.