COBRA continuation coverage
for chevron health plans

COBRA continuation coverage allows eligible employees and their covered dependents to continue participation in company sponsored health care plans beyond the time when it would normally end, such as a termination of employment. This section provides basic information how Chevron COBRA coverage works, who's eligible, what it costs, and the enrollment process. In addition to the standard COBRA information below, be sure to also review some of the additional considerations included here for those with special situations.

COBRA basics

how it works

  • COBRA coverage is only available for these health plans: medical, dental, mental health and substance use disorder, vision plus, health care flexible spending account (HCSA), Health Decision Support, Healthy Heart and Chevron Diabetes Prevention Program.
  • You can elect COBRA coverage for the plans in which you’re enrolled at the time of your termination of employment. So, if you’re not enrolled in Chevron plan(s) at the time of your termination, you cannot elect COBRA coverage.
  • You can enroll your eligible dependents that are enrolled as your dependents in active employee coverage at the time of your termination of employment. In addition, your dependents can only elect continuation coverage for the plans in which they are enrolled at the time of your termination of employment. So, if your dependents are not enrolled in Chevron plan(s), you cannot elect COBRA coverage for those dependents.
  • COBRA coverage is available for a limited time. COBRA coverage is typically available for up to 18 months. In some cases, due to disability or subsequent qualifying events, coverage may be available up to 29 or 36 months.
  • All terminated eligible employees will be offered the opportunity to enroll in COBRA, even if you’re eligible for Chevron retiree medical coverage. 

when coverage starts

  • You must make an election to continue coverage for you and any eligible dependents. Enrollment is not automatic. You have 60 days from the date your COBRA package is postmarked or your termination of employment date (whichever is later) to elect coverage.
  • Your enrollment will be retroactive to the date your active employee coverage ended, if you elect COBRA coverage within the 60-day deadline.

cost of coverage

The cost for COBRA coverage is 102 percent of the total group cost. The total group cost includes both of the following:

  • The employee contribution. (In other words, what a similarly situated active employee pays.)
  • What Chevron contributes to your coverage, also called the company contribution.
Wellness Credit
If you are receiving reduced medical premiums because you have qualified for the Wellness Credit under Health Rewards, your Wellness Credit ends when you terminate employment and the premium reduction no longer applies to your medical premium, even if you elect COBRA coverage. You can see the per pay period dollar amount of your premium reduction on the BenefitConnect website. Click on the View my coverage tile on the home page for a listing of your current coverage costs, including the Wellness Credit.
 
How can I estimate my cost for coverage?
There are two ways to estimate the full cost for COBRA coverage prior to leaving Chevron:
  • Access your My Total Rewards website and go to the Health & Protection tab. Your statement shows a column for your cost (employee contribution) and Chevron's cost (company contribution) to your current health plan(s) at your current coverage level. Add both columns together, add the 2 percent fee and divide by 12 to get a monthly cost estimate for the full cost of COBRA coverage for each of your health plans.
  • Call BenefitConnect COBRA (contact information at the bottom of this page). A representative can provide a monthly cost estimate for you for the plan(s) and coverage level(s) you desire.

enrollment process

Receive enrollment package
When your employment ends, your active employee coverage is terminated until you submit your COBRA elections and payment. All terminated, eligible employees will receive a COBRA package within 44 days of leaving Chevron, even if you’re eligible for Chevron retiree medical coverage. The package includes a personalized enrollment worksheet, your costs for coverage, and detailed information about enrollment procedures and payment requirements.
 
Enroll for coverage, if desired
Your enrollment package provides personalized instructions for enrollment. In general, to elect COBRA continuation coverage, you’ll call or go to the BenefitConnect | COBRA website. Under federal law, you have 60 days after the date of this notice to decide whether you want to elect COBRA continuation coverage. To minimize the lapse in coverage between active employee coverage and COBRA coverage, make your elections and payment as soon as possible. If you do not enroll by your enrollment deadline, you will lose your right to elect COBRA continuation coverage. If you reject COBRA continuation coverage before the enrollment deadline date, you may change your mind as long as you contact BenefitConnect | COBRA before the 60-day enrollment deadline date.
 
Submit first payment
Once you’ve made your enrollment choices, your first invoice will be sent to you in the mail. Your COBRA enrollment elections are not complete and your coverage will not be reinstated until your first payment is received in full. Your first payment must be received no later than 45 days after the date of your election. You can inquire about the amount due for your first payment on the BenefitConnect | COBRA website or by calling 1-877-292-6272 (858-314-5108 outside the U.S.).  Remember, if you don’t make your first payment in full within 45 days after the date of your election, you’ll lose all COBRA continuation coverage rights with respect to that qualifying event. You’re responsible for making sure that the amount of your first payment is correct.
 
Health care expenses prior to coverage reinstatement
If you incur any eligible health care expenses before the plan carrier(s) have been notified of your reinstated coverage, you can submit a claim directly to your health plan administrator for reimbursement. This means you may have to pay out of your own pocket at the time of service and submit a claim to be reimbursed later.
 
Periodic payments for ongoing coverage
After you make your first payment for COBRA continuation coverage, you’ll have to make periodic payments for each coverage period that follows. The enrollment package you receive will explain the process for making payments and the applicable due dates for ongoing payments, including how to enroll in AutoPay.

turning age 65 and/or becoming eligible for medicare

  • If, during the COBRA coverage period, a COBRA participant turns age 65 and/or becomes eligible for Medicare, COBRA coverage will end, as per U.S. Department of Labor rules. 
  • If a participant is already age 65 at the time of COBRA enrollment, the participant is permitted to enroll in COBRA coverage for the full eligibility period. 

If you or a dependent will turn age 65 and/or become eligible for Medicare during your COBRA coverage period, be sure to review the applicable special situation(s) below to understand how this might affect eligibility for Chevron retiree health benefits (if eligible).

if you die while enrolled in COBRA

If you die while enrolled in Chevron COBRA coverage, your dependents are eligible to enroll in Chevron survivor coverage if:

  • They are also enrolled in Chevron COBRA coverage as your dependent as of the date of your death.
  • They report your death to the HR Service Center within 60 days of the date of your death.

special considerations: leaving with severance

If you’re eligible for a qualifying severance pay plan, Chevron may continue to contribute to the cost of medical and mental health and substance use disorder continuation coverage for a set period of time. This is called subsidized COBRA continuation coverage. 

As the company goes through Transformation efforts, we recognize that the global pandemic has created unique and extraordinary economic challenges. That’s why Chevron has temporarily extended the subsidy period for medical COBRA continuation coverage, as described below. 

what is subsidized COBRA coverage

If you are eligible to participate in the 2020 Special SESP Plan, and you’re eligible for and enroll in Chevron COBRA continuation coverage, then Chevron will subsidize your medical and mental health and substance use disorder COBRA coverage for a period of up to 12 months. This is an increase from the 6 month subsidy period typically offered by Chevron with a severance program.  
  • The subsidized COBRA rate applies to the first 12 months of the full COBRA eligibility period, which is typically 18 months. 
  • Severance does not reduce or extend the total period of time you're allowed to stay enrolled in COBRA coverage. Severance only changes the cost of your coverage for the first 12 months of coverage.
  • Subsidized COBRA only applies to medical and mental health and substance use disorder coverage. It doesn't apply to dental, vision or other health continuation coverage benefits.
  • Chevron will contribute to the cost of your medical and/or mental health and substance use disorder coverage. This means you will pay the same monthly premium for your COBRA medical coverage as other similarly enrolled active Chevron employees, plus a 2% administration fee. 
  • If you are receiving reduced medical premiums because you have qualified for the Wellness Credit under Health Rewards, please note that your Wellness Credit ends when you terminate employment and the premium reduction no longer applies to your medical premium, even if you have subsidized COBRA coverage.

how to estimate your cost for coverage

If you're eligible for subsidized COBRA, you can see the per pay period cost of your current employee coverage on the BenefitConnect website. 
  • Click on the View my coverage tile on the home page for a listing of your current coverage costs. 
  • Remember, your Wellness Credit (if applicable) ends when your employment ends - even with subsidized COBRA.
  • Even with subsidized COBRA, you'll still have to pay the monthly 2% administrative fee for COBRA coverage. 
You can also call BenefitConnect COBRA (contact information at the bottom of this page) and a representative can provide a monthly cost estimate for you for the plan(s) and coverage level(s) you desire.

payment of subsidized premiums

If you're eligible for subsidized COBRA, your COBRA enrollment worksheet and your COBRA invoices accurately reflect your current premium payment amount at the subsidized rate. 
  • Your enrollment package will also indicate the date your subsidized rate expires. 
  • Your invoices will automatically reflect the new monthly premium rate when your subsidized COBRA coverage period has expired; you will not receive a reminder when the subsidy period ends. 

imputed income

If the IRS considers you a highly compensated individual for purposes of Chevron’s health plans, Chevron will report imputed income on the value of the company contribution to your subsidized COBRA coverage during months 7 through 12, if enrolled. If this applies to you, Chevron will send a W-2 form to you soon after the end of the applicable tax year, showing the taxable value of your imputed income. You must include this figure when you file your federal tax return.

if you die while enrolled in subsidized COBRA coverage

If you die while enrolled in Chevron subsidized COBRA coverage, your dependents are eligible to enroll in Chevron survivor coverage if:
  • They are also enrolled in Chevron subsidized COBRA coverage as your dependent as of the date of your death.
  • They report your death to the HR Service Center within 60 days of the date of your death.
If enrolled in subsidized COBRA on the date of your death, your survivors will be able to finish the full subsidized COBRA coverage period, however they must elect Chevron survivor coverage at the end of their subsidy period to remain eligible for Chevron survivor coverage. If your survivors choose to continue COBRA coverage beyond the subsidy period, they will forfeit all future eligibility for Chevron survivor coverage. 

special considerations: pre-65 employees

In addition to the standard COBRA information above, there are special situations that might affect your COBRA coverage or your decision to enroll as a pre-65 employee.

i'm a pre-65 employee AND i'm eligible for chevron retiree health benefits

All benefits-eligible retirees must enroll in Chevron retiree health benefits upon reaching certain enrollment milestones. As a pre-65 employee eligible for retiree health benefits, you have the choice to enroll in COBRA coverage or decline COBRA and enroll directly for retiree health benefits when you leave Chevron. The following information, along with the retiree health information included in Leaving Chevron, should be considered as you make your post-employment health benefit enrollment decisions:
  • If you are a pre-65 employee and decide to enroll in Chevron retiree health benefits due to the Loss of Chevron COBRA coverage enrollment milestone, be advised that you are only permitted to enroll at either the end of your subsidized COBRA period (if applicable) or at the end of your full COBRA eligibility period (typically 18 months).
  • You and your eligible dependents cannot simultaneously participate in both COBRA and Chevron retiree health benefits. You cannot mix and match - choose COBRA coverage for certain benefits, but retiree health coverage for others. 
  • There is no ability to split retiree and dependent coverage. In other words, you cannot be enrolled in COBRA coverage while your dependent is enrolled in Chevron retiree health benefits, or vice versa.
  • Participants who are post-65 at the time of COBRA enrollment, are permitted to continue COBRA coverage for the full eligibility period (typically 18 months) as long as you timely pay your premiums.  
  • You do not need to be enrolled in Medicare Part A and Part B coverage to participate in COBRA. You should consult with Medicare and the COBRA administrator prior to enrolling in Medicare while on COBRA coverage.
  • The costs for Chevron retiree health coverage and COBRA continuation coverage will differ. Keep in mind the company contributes to retiree health coverage, if you’re eligible, but generally doesn’t contribute to COBRA continuation coverage (unless you're eligible for subsidized COBRA).

i am leaving chevron under a qualifying severance program

Retiree enrollment milestone reminder
As a pre-65 employee who is eligible for retiree health benefits, don't forget that Loss of Chevron COBRA coverage is an enrollment milestone. Furthermore, as a pre-65 employee, this milestone limits your ability to enroll at either the end of your subsidized COBRA period (if applicable) or at the end of your full COBRA eligibility period (typically 18 months). Therefore, if you intend to enroll in Chevron retiree health benefits at the end of your subsidized COBRA period, it's your responsibility to act at the appropriate time. You will not receive a reminder when your subsidy period ends, and you will not receive an enrollment milestone reminder from Chevron. Please review the Loss of Chevron COBRA coverage enrollment milestone discussed on Leaving Chevron for further details.

i will turn 65 during my COBRA period

If a COBRA participant turns age 65 during their COBRA coverage period, COBRA will end, as per U.S. Department of Labor rules. If you will turn age 65 at some point during the COBRA eligibility period (typically 18 months), plan ahead to ensure you and your dependent(s) continue to have health coverage when you turn age 65. 
 
Turning age 65 and becoming eligible for Medicare is an enrollment milestone for you, the retiree. This means you will be permitted to enroll yourself and your dependents in Chevron retiree health benefits at this time.
  • As a reminder, Chevron post-65 retiree health benefits require enrollment in Medicare Part A and Part B to enroll, so you'll need to plan ahead at least four months in advance of turning age 65 to start Medicare enrollment. Learn more about post-65 retiree health benefits, the enrollment milestones and enrollment instructions on Leaving Chevron.
  • COBRA coverage may affect future post-65 health coverage choices. If you choose to participate in COBRA continuation coverage prior to starting Chevron retiree health benefits, there can be a significant impact to your post-65 individual medical and prescription drug plan choices through Via Benefits due to guarantee issue rules. Contact Via Benefits to discuss this guarantee issue situation further prior to making a COBRA enrollment decision.
  • There is no ability to split retiree and dependent coverage. In other words, your dependent cannot be enrolled in COBRA coverage while you are enrolled in Chevron retiree health benefits.

My covered dependent will turn 65 during our COBRA period

If a COBRA participant turns age 65 during their COBRA coverage period, COBRA will end, as per U.S. Department of Labor rules. If you intend to enroll a pre-65 dependent who will turn age 65 at some point during the COBRA eligibility period (typically 18 months), plan ahead to ensure your dependent continues to have health coverage at age 65. 

  • Turning age 65 and becoming eligible for Medicare is not an enrollment milestone for your dependent. This means your dependent cannot start participation in Chevron retiree health benefits only because they turned age 65 while on COBRA coverage.
  • As a pre-65 employee who is eligible for retiree health benefits, the Loss of Chevron COBRA coverage enrollment milestone limits your ability to enroll in Chevron retiree health coverage to either the end of your subsidized COBRA period (if applicable) or at the end of your full COBRA eligibility period (typically 18 months). This means it's possible that you will not be able to enroll yourself and your dependent in Chevron retiree health coverage at the time your dependent's COBRA coverage ends and your dependent may therefore experience a gap in coverage.
  • The Loss of Chevron COBRA coverage enrollment milestone only allows you to cover dependents who are currently enrolled in Chevron COBRA coverage. If your dependent experiences a gap in coverage due to losing COBRA coverage at age 65, you must wait until the next applicable enrollment milestone, if any, to enroll your dependent in Chevron retiree health coverage.
  • There is no ability to split retiree and dependent coverage. In other words, you cannot be enrolled in COBRA coverage while your dependents is enrolled in Chevron retiree health benefits.

As a reminder, participants who are already post-65 when electing COBRA coverage are eligible to maintain COBRA coverage for the entire eligibility period, if desired.

i will be living abroad or plan to live abroad during my COBRA period

Be sure to speak directly to your current employee medical plan claims administrator to understand if your coverage extends outside the U.S., and if it does, how it works.

special considerations: post-65 employees

In addition to the standard COBRA information above, there are special situations that might affect your COBRA coverage or your decision to enroll as a post-65 employee.

i'm a post-65 employee AND i'm eligible for chevron retiree health benefits

All benefits-eligible retirees must enroll in Chevron retiree health benefits upon reaching certain enrollment milestones. As a post-65 employee eligible for retiree health benefits, you have the choice to enroll in COBRA coverage or decline COBRA and enroll directly for retiree health benefits when you leave Chevron. The following information, along with the retiree health information included in Leaving Chevron, should be considered as you make your post-employment health benefit enrollment decisions:
  • Because you are post-65 at the time you terminate employment, you're permitted to continue COBRA coverage for your full eligibility period (typically 18 months) as long as you timely pay your premiums. The same rule applies if your eligible dependent is also currently post-65. 
  • You do not need to be enrolled in Medicare Part A and Part B coverage to participate in COBRA. You should consult with Medicare and the COBRA administrator prior to enrolling in Medicare while on COBRA coverage.
  • You and your eligible dependents cannot simultaneously participate in both COBRA and Chevron retiree health benefits. You cannot mix and match - choose COBRA coverage for certain benefits, but retiree health coverage for others. You also cannot enroll in COBRA coverage, and simultaneously participate in the Post-65 Retiree HRA Plan for the company contribution.
  • There is no ability to split retiree and dependent coverage. In other words, you cannot be enrolled in COBRA coverage while your dependent is enrolled in Chevron retiree health benefits, or vice versa.
  • COBRA coverage may affect future post-65 health coverage choices. If you choose to participate in COBRA continuation coverage prior to starting Chevron retiree health benefits, there can be a significant impact to your post-65 individual medical and prescription drug plan choices through Via Benefits due to guarantee issue rules. Contact Via Benefits at 1-844-266-1392 to discuss this guarantee issue situation further prior to making a COBRA enrollment decision.
  • The costs for Chevron retiree health coverage and COBRA continuation coverage will differ. Keep in mind the company contributes to retiree health coverage, if you’re eligible, but generally doesn’t contribute to COBRA continuation coverage (unless you're eligible for subsidized COBRA).

i am leaving chevron under a qualifying severance program

Retiree enrollment milestone reminder
As a post-65 employee who is eligible for retiree health benefits, don't forget that Loss of Chevron COBRA coverage is an enrollment milestone. If you intend to enroll in Chevron retiree health benefits at the end of your subsidized COBRA period, it's your responsibility to act at the appropriate time. You will not receive a reminder when your subsidy period ends, and you will not receive an enrollment milestone reminder from Chevron. Please review the Loss of Chevron COBRA coverage enrollment milestone discussed on Leaving Chevron for further details.

my covered dependent will turn 65 during our COBRA period

If a COBRA participant turns age 65 during their COBRA coverage period, COBRA will end, as per U.S. Department of Labor rules. If you intend to enroll a pre-65 dependent who will turn age 65 at some point during the COBRA eligibility period (typically 18 months), plan ahead to ensure your dependent continues to have health coverage at age 65. If you want your dependent to be enrolled in Chevron retiree health coverage, you must elect Chevron post-65 retiree health coverage for yourself and your eligible dependent(s) prior to your dependent turning age 65. That's because:

  • The Loss of Chevron COBRA coverage enrollment milestone only allows you to cover dependents who are currently enrolled in Chevron COBRA coverage.
  • Your dependent's participation in Chevron retiree health coverage is tied to your participation in Chevron post-65 retiree health coverage. You cannot enroll your dependent in Chevron retiree coverage while you remain enrolled in COBRA coverage.

As a reminder, you and any eligible dependents who are already post-65 when electing COBRA coverage are eligible to maintain COBRA coverage for your entire eligibility period, if desired.

i will be living abroad or plan to live abroad during my COBRA period

Be sure to speak directly to your current employee medical plan claims administrator to understand if your coverage extends outside the U.S., and if it does, how it works.

learn more

More information about COBRA continuation coverage is included in the summary plan description (SPD) for each individual health plan.

contacts

COBRA continuation coverage
  • Plan Type  Continuation coverage for health plans
  • Eligibility  U.S. Payroll Employees
  • Claims Administrator  BenefitConnect|COBRA 
  • Group Number  N/A
  • Phone (Inside U.S.) 1-877-292-6272 
  • Phone (Outside U.S.) 1-858-314-5108
  • Website  https://cobra.ehr.com
  • Mobile App   N/A
  • Email  N/A
  • Claim Form  N/A
  • Address  BenefitConnect COBRA | Dept:COBRA | PO Box 981915 | El Paso, TX 79998

Via Benefits

This page applies to U.S.-payroll employees. This page provides only certain highlights of benefits or program provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and legal plan documents, the legal documents will prevail to the extent permitted by law. This is not a plan text or a summary plan description. There are no vested rights with respect to Chevron health care plans or any company contributions toward the cost of such health care plans. Rather, Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union represented employees.