dependent verification process
60-day deadline
You have up to 60 days to obtain and submit requested documentation that verifies your dependent(s) are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependent(s) will be disenrolled from coverage.
You are required to verify the eligibility of any new dependents you enroll in your Chevron health plans.
- At this time, this dependent verification process only applies to new dependents that have not been covered under your Chevron health plans within the last two years.
- You are not currently required to provide documentation to continue enrollment for eligible dependents that are already covered under your Chevron health plans.
Dependent verification will be required if you enroll dependent(s) in any of the following health benefits:
- Medical
- Dental
- Vision Plus Program
If you enroll your dependent(s) in health coverage, you have up to 60 days to obtain and submit requested documentation that verifies your dependent(s) are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependent(s) will be disenrolled from coverage. If your dependent is disenrolled from coverage, you are still allowed to re-enroll your dependent(s) again at the next open enrollment period or with 31-days of a qualifying life event, but you’ll be required to follow the dependent verification process again at that time.
how to complete dependent verification
- Log in to BenefitConnect to make enrollment elections. You can also make elections by phone.
- If you add a new dependent to your health coverage, you’ll be prompted to select their eligibility status to complete enrollment.
- Complete your enrollment elections and check out. You will not be able to complete the dependent verification process until you check out and finalize your elections.
- As soon as you check out, look for the Needs Verification message on the BenefitConnect website.
- You can find it on your Confirmation Screen or from the System Alerts (top right of screen).
- Click the message and you’ll be directed to the Dependent Verification screen.
Your Dependent Verification screen on BenefitConnect provides links to personalized forms and documents that are required to complete the dependent verification process; you must use these forms that are personalized specifically to you with a unique barcode. You can also call the HR Service Center to request the personalized documents be mailed to you.
- Your Dependent Verification screen on BenefitConnect provides a list of acceptable documents required to verify eligibility for each type of dependent. View a sample here (not suitable for submission)
- If you are required to submit the Chevron Affidavit of Domestic Partnership, it will be provided to you on your Dependent Verification screen. View a sample here (not suitable for submission).
- If you don’t have the documents when you enroll, don’t worry. You can go back later to complete the verification request. You have up to 60 days to obtain and submit the documentation.
- Follow the on-screen instructions on BenefitConnect to upload electronic documents or send copies by mail or fax to the HR Service Center by your certification deadline.
After you submit your documentation, a statement confirming your dependent’s eligibility to participate will be sent to you.
- If additional information is required, you’ll be notified. Note that the original 60-day deadline continues to apply if you’re required to submit additional information.
- If your dependent is not eligible to participate, the dependent will be disenrolled from the plan at the end of the month in which you receive notification.
- If the 60-day deadline to submit the documentation expires and the HR Service Center has received no documentation or insufficient documentation, then the dependent will be disenrolled from the plan at the end of the month in which the 60-day deadline occurs.
The documentation you submit must be executed in the English language. If your documentation is in another language, it’s your responsibility to obtain a notarized translation of the documentation, at your personal expense. When you submit the documentation, you must include a copy of the original document along with a copy of the notarized translation of that document. The 60-day deadline also applies to documentation requiring a notarized translation.
This communication provides only certain highlights about benefit provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and the legal plan documents, the legal plan documents will prevail to the extent permitted by law. Oral statements about plan benefits are not binding on Chevron or the applicable plan. 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. Unless required by applicable law, there are no vested rights with respect to any Chevron health and welfare plan benefit or to any company contributions towards the cost of such health and welfare plan benefits. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union-represented employees.
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