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summary of benefits and coverage (SBC)

for retirees and survivors eligible for U.S. pre-65 health benefits.

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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 pre-65 health plans, such as benefits, copayments, deductibles, coinsurance and plan contact information. You may not be eligible for all the plans listed below; see the summary plan descriptions for eligibility 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 (300)
Medical PPO Plan - Medicare eligible (400)

For pre-65 participants enrolled in the Medical PPO plan (300)
Forpre-65 participants enrolled in the HDHP (305)
For pre-65 participants enrolled in the HDHP Basic (310)


2024