mental health and substance use disorder plan
for U.S.-payroll employees

mental health matters
Supporting your mental health can help keep you thinking and feeling your best.
quick links
telebehavioral health with MDLIVE
The Mental Health and Substance Use Disorder (MHSUD) Plan provides confidential support for a wide range of personal issues – from everyday challenges to more serious problems. The MHSUD Plan covers treatment as a result of a diagnosis of a mental illness or substance abuse. It also covers treatment for mental health and substance abuse concerns including services for depression, stress/anxiety, family or relationship issues, personal or work concerns, drug and alcohol recovery, dealing with domestic violence, eating disorders, and others.
the basics
- You do not pay a monthly cost for this coverage. Chevron currently pays the full monthly cost for coverage. However, you do share a portion of the costs if you receive benefits under the MHSUD Plan.
- You do not need to enroll. This benefit is automatically provided to you, as long as you’re eligible to participate. And you’re still covered by the MHSUD Plan even if you are not enrolled in a medical plan offered by Chevron.
- Your eligible dependents are also covered, if they are enrolled in a medical plan to which Chevron contributes.
- The plan only pays benefits for covered charges for services, supplies, and treatment that are medically necessary and appropriate, as determined by the claims administrator.
- The plan includes coverage for virtual visits - also called telebehavioral health services.
- The plan doesn’t cover prescription drugs for outpatient office visit treatment. If you’re prescribed a drug as part of your outpatient treatment, you should check with your prescription drug administrator to find out if it can help pay for the drugs you need; otherwise, you’ll be responsible for paying the full cost of prescribed outpatient medication.
- In certain situations, to receive the full benefits, you have to follow certain notification or pre-certification procedures. If you do not follow notification procedures when required, you may pay a higher percentage for your care.
- How the plan works depends on which Chevron-sponsored medical plan you choose, if any. The plan's annual deductible(s), out-of-pocket maximum(s), network and out-of-network rules, and copayments or coinsurance may vary depending on your medical plan enrollment. What the plan covers and does not cover is the same for all participants. Reference the summary plan description (SPD) for further information.
if you are enrolled in a medical HMO ...
- If you choose to use the MHSUD Plan benefit, you must use a network provider to receive benefits. Out-of-network benefits are not covered, except for emergency services. If you use the MHSUD Plan benefit, there is no deductible to satisfy.
- If you use the benefit provided by your Medical HMO, your HMO's deductible may or may not apply. Contact your HMO for additional information about this benefit, including additional plan rules that may apply.
plan facts at-a-glance
recent plan changes
Things change; be sure you're informed. The documents provided below are called a summary of material modification (SMM). An SMM explains recent updates to your plan that are not yet captured or updated in your summary plan description (SPD). Be sure to review the SMM for an understanding of important plan updates.
- New Annual Deductibles (January 1, 2018)
- Applied Behavior Analysis (ABA) Coverage for Autism Spectrum Disorder (ASD)(January 1, 2018)
- Virtual Visit Coverage Established (January 1, 2018)
- Temporary Special Provision for Permian Basin Participants (March 1, 2019)
- New Annual Deductibles (January 1, 2020)
- New Plan Name Established (January 1, 2020)
- Clarification Regarding Transcranial Magnetic Stimulation (TMS) Coverage (January 1, 2020)
- Telebehavioral Health (Virtual Visits) Coverage Temporarily Extended (March 18, 2020)
- New address for benefits correspondence (June 1, 2020)
summary plan description (SPD)
summary of benefits and coverage (SBC)
services from a network provider
services from an out-of-network provider
- Claim form (U.S. services)
- Claim form (international services)
- Claim forms are also available by contacting Beacon Health Options or going to their website.
network and out-of-network providers
- Network providers charge discounted rates for covered services they provide to plan members and the plan benefits are based on these discounted rates.
- In addition, you do not have to file a claim form when you use a network provider.
- Generally, the plan pays a higher level of reimbursement for care when you use a provider in the Beacon Health Options network.
- Network providers charge discounted rates for covered services they provide to plan members and the plan benefits are based on these discounted rates.
- You do not have to file a claim form when you use a network provider.
- Generally, the plan pays lower benefits for care when you go to an out-of-network provider and the plan benefits are based on Allowed Charges. For services provided outside the U.S., allowed charges means billed charges.
- You typically will be required to pay for the services when you receive them and submit a claim form to be reimbursed.
- If there are no Beacon Health Options providers near your home, Beacon Health Options can help you locate a qualified clinician or facility in your area and review their credentials for you. In cases like these, you may qualify for the network coverage level, even though the provider who treats you or your dependent isn’t a member of the Beacon Health Options network.
To locate a Beacon Health Options network provider:
- Call Beacon Health Options.
- Access the Beacon Health Options website.
- Contact Chevron Employee Assistance and Work Life Services.
annual deductible
- The deductible amount for covered mental health and substance use disorder services is the same, regardless if you see a network or an out-of-network provider.
- When you reach the HDHP network combined deductible amount, as applicable, you will also have met the MHSUD Plan’s annual deductible and the MHSUD Plan will share the cost of covered mental health or substance use disorder services with you.
Combined annual deductible
Network or Out-of-Network
- You Only $2,800
- You + One Adult* $5,600
- You + Child(ren)* $5,600
- You + Family* $5,600
- You + Family coverage tier in the HDHP
- Annual combined deductible is met when the family’s accumulation of covered services and supplies reaches $5,600
- No more than $2,800 can be applied for each family member.
- This family could meet the $5,600 annual deductible with charges of $2,800 for one member, $1,200 for a second member, $1,400 for a third member and $200 for a fourth member.
- The deductible amount for covered mental health and substance use disorder services is the same, regardless if you see a network or an out-of-network provider.
- When you reach the HDHP Basic network combined deductible amount, as applicable, you will also have met the MHSUD Plan’s annual deductible and the MHSUD Plan will share the cost of covered mental health or substance use disorder services with you.
Combined annual deductible
Network or Out-of-Network
- You Only $5,000
- You + One Adult* $10,000
- You + Child(ren)* $10,000
- You + Family* $10,000
- You + Family coverage tier in the HDHP Basic
- Annual combined deductible is met when the family’s accumulation of covered services and supplies reaches $10,000
- No more than $5,000 can be applied for each family member.
- This family could meet the $10,000 annual deductible with charges of $5,000 for one member, $1,000 for a second member, $2,500 for a third member and $1,500 for a fourth member.
out-of-pocket maximum
Annual out-of-pocket maximum
Network or Out-of-Network
- You Only $2,300
- You + One Adult not eligible for coverage
- You + Child(ren) not eligible for coverage
- You + Family not eligible for coverage
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges for services, supplies or treatments from an out-of-network provider that are in excess of the allowed charges, except for emergency services.
- Charges resulting from the failure to meet the notification requirements.
Annual out-of-pocket maximum
- You Only $3,000
- You + One Adult* $6,000
- You + Child(ren)* $6,000
- You + Family* $9,000
- You + Family coverage tier in the Medical PPO
- Annual out-of-pocket maximum is met when the family’s accumulation of covered out-of-pocket expenses reaches $9,000
- No more than $3,000 can be applied for each family member.
- This family could meet the $9,000 annual out-of-pocket maximum with expenses of $3,000 for one member, $3,000 for a second member, $2,500 for a third member and $500 for a fourth member.
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges for services, supplies or treatments from an out-of-network provider that are in excess of the allowed charges, except for emergency services.
- Charges resulting from the failure to meet the notification requirements.
- Charges that do not count toward the out-of-pocket maximum under the Chevron Medical PPO.
Combined annual out-of-pocket maximum
- You Only $5,000
- You + One Adult* $9,000
- You + Child(ren)* $9,000
- You + Family* $10,000
- You + Family coverage tier in the HDHP
- Annual out-of-pocket maximum is met when the family’s accumulation of covered out-of-pocket expenses reaches $10,000
- No more than $5,000 can be applied for each family member.
- This family could meet the $10,000 annual out-of-pocket maximum with expenses of $5,000 for one member, $3,000 for a second member, $1,500 for a third member and $500 for a fourth member.
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges for services, supplies or treatments from an out-of-network provider that are in excess of the allowed charges, except for emergency services.
- Charges resulting from the failure to meet the notification requirements.
- Charges that do not count toward the out-of-pocket maximum under the Chevron HDHP.
Combined annual out-of-pocket maximum
- You Only $6,550
- You + One Adult* $13,100
- You + Child(ren)* $13,100
- You + Family* $13,100
- You + Family coverage tier in the HDHP Basic
- Annual out-of-pocket maximum is met when the family’s accumulation of covered out-of-pocket expenses reaches $13,100
- No more than $6,550 can be applied for each family member.
- This family could meet the $13,100 annual out-of-pocket maximum with expenses of $6,550 for one member, $3,000 for a second member, $1,500 for a third member and $2,050 for a fourth member.
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges for services, supplies or treatments from an out-of-network provider that are in excess of the allowed charges, except for emergency services.
- Charges resulting from the failure to meet the notification requirements.
- Charges that do not count toward the out-of-pocket maximum under the Chevron HDHP Basic.
January 1, 2020
Annual out-of-pocket maximum
Network, combined with Chevron Medical HMO
- Individual $
- Family $
Annual out-of-pocket maximum
Network, combined with Chevron Medical HMO
- Individual $
- Family $
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges resulting from the failure to meet the notification requirements.
- For claims submitted to Beacon Health Options, Beacon will track your eligible mental health and substance use disorder out-of-pocket expenses under the MHSUD Plan.
- Chevron Medical HMO plans are not able to exchange medical out-of-pocket amounts with Beacon Health Options. When you’ve reached the annual out-of-pocket maximum under your Chevron Medical HMO, contact Beacon Health Options and provide proof by submitting the explanation of benefits (EOB) available from your Medical HMO.
Annual out-of-pocket maximum
- You Only $3,000
- You + One Adult* $6,000
- You + Child(ren)* $6,000
- You + Family* $9,000
- You + Family coverage tier in the Global Choice Plan
- Annual out-of-pocket maximum is met when the family’s accumulation of covered out-of-pocket expenses reaches $9,000
- No more than $3,000 can be applied for each family member.
- This family could meet the $9,000 annual out-of-pocket maximum with expenses of $3,000 for one member, $3,000 for a second member, $2,500 for a third member and $500 for a fourth member.
- Charges in excess of covered charges.
- Charges for services, supplies or treatments that are not covered under the MHSUD Plan.
- Charges for services, supplies or treatments from a network provider that are in excess of the network provider charges.
- Charges for services, supplies or treatments from an out-of-network provider that are in excess of the allowed charges, except for emergency services.
- Charges resulting from the failure to meet the notification requirements.
telebehavioral health services (virtual visits)
- The MHSUD Plan coverage rules for telebehavioral health services will be extended to include telebehavioral health services provided by a non-MDLIVE provider via telephone and/or secure video.
- This temporary extension for telebehavioral health services provided by a non-MDLIVE provider will be in effect beginning on March 18, 2020 until the end of the COVID-19 emergency period. As of this writing, the emergency period ends June 16, 2020, but is subject to change.
- Must be accessed through Beacon’s Telehealth service with an MDLIVE provider via telephone and/or secure video. Telebehavioral health services do not include consultations outside of the MDLIVE service. MDLIVE is a provider group that is formally contracted as a group provider with Beacon Health Options.
- Telebehavioral health services do not include email, text or fax consultations.
- Must be for a covered condition under the MHSUD Plan and be deemed medically appropriate by Beacon Health Options.
- Must be for a mental health and substance use disorder condition that Beacon has deemed appropriate for treatment through telebehavorial health services. Not all services, including the management of certain controlled medications, are appropriate for this type of remote treatment option.
- Must be allowed under state law.
- Telebehavioral health services are considered an outpatient treatment, so the MHSUD Plan’s standard Outpatient Office Visit schedule of benefits will apply.
- No claim forms or other filing with Beacon is needed when you use MDLIVE; the payment requested (if any) is your actual out-of-pocket cost for that service.
- The MHSUD Plan doesn’t cover prescription drugs for outpatient treatment – whether you’re visiting a provider in the office or through Beacon’s telebehavioral health service. If you are prescribed a drug as part of your telebehavioral health service, you should check with your prescription drug plan administrator to find out if it can help pay for the drugs you need; otherwise, you’ll be responsible for paying the full cost of prescribed outpatient medication.
- Step One: Register for an MDLIVE account.
- Step Two: Schedule a telehealth appointment from your MDLIVE account.
- Step Three: Access your MDLIVE account at your scheduled appointment time. Appointments can be done from your computer connected to the internet from the secure MDLIVE website, from your mobile device through the app, or by phone if necessary.
who's eligible to participate
Except as described below, you’re generally eligible for this Plan if you’re considered by Chevron to be a common-law employee of Chevron Corporation or one of its subsidiaries that it has designated to participate in the Omnibus Health Care Plan and you meet all of the following qualifications:
- You’re paid on the U.S. payroll of Chevron Corporation or a participating company.
- You’re assigned to a regular work schedule (unless you’re on a family leave, disability leave, short union business leave, furlough leave, military service leave or leave with pay) of at least 40 hours a week, or at least 20 hours a week if such schedule is an approved part-time work schedule under the corporation’s part-time employment guidelines.
- If you’re a casual employee, you’ve worked (or are expected to work) a regular work schedule for more than four consecutive months.
- If you’re designated by Chevron as a seasonal employee and you’re not on a leave of absence.
- You’re in a class of employees designated by Chevron as eligible for participation in the plan.
- You’re not on the Chevron U.S. payroll, or you’re compensated for services to Chevron by an entity other than Chevron — even if, at any time and for any reason, you’re deemed to be a Chevron employee.
- You’re a leased employee or would be a leased employee if you had provided services to Chevron for a longer period of time.
- You enter into a written agreement with Chevron that provides that you won’t be eligible.
- You’re not regarded by Chevron as its common-law employee and for that reason it doesn’t withhold employment taxes with respect to you — even if you are later determined to have been Chevron’s common-law employee.
- You’re a member of a collective bargaining unit (unless eligibility to participate has been negotiated with Chevron).
- You’re a professional intern.
To be eligible to participate in the MHSUD, your dependents must meet all the requirements of an eligible spouse, domestic partner, child or other dependent, and you and your dependent must also satisfy these additional eligibility requirements or restrictions:
- You must be eligible for and enrolled in the MHSUD Plan.
- Your dependents must be eligible for and enrolled in a medical plan to which Chevron contributes. If your eligible dependents are enrolled in any of the medical plans offered by Chevron, they are also automatically enrolled in the MHSUD Plan. If your dependent is not enrolled in a medical plan to which Chevron contributes, then your dependent cannot participate in the MHSUD Plan.
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Enrolled in a Chevron medical plan as an eligible employee.
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On active duty in the armed forces of any state, country or international authority.
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Enrolled in a Chevron medical plan as an eligible retiree.
- Enrolled as an eligible employee.
- Enrolled as an eligible retiree.
- On active duty in the armed forces of any state, country or international authority.
- Your or your spouse’s/domestic partner’s natural child, stepchild, legally adopted child, foster child, or a child who has been placed with you or your spouse/domestic partner for adoption.
- Younger than age 26. Coverage continues until the end of the month in which your child turns age 26.
- Not married.
- Younger than age 26. Coverage continues until the end of the month in which your other dependent turns age 26.
- Is a member of your household.
- Someone for whom you act as a guardian.
- Dependent on you (or on your spouse/domestic partner) for more than 50 percent of his or her financial support.
- Covered as a dependent by another eligible employee or eligible retiree.
- Covered as an eligible employee.
- Enrolled in the plan.
- Meets the Plan’s definition of incapacitated child.
- Incapable of self-sustaining employment by reason of mental retardation or a mental or physical disability (proof of which must be medically certified by a physician).
- Dependent on you, you and your spouse/domestic partner or your surviving spouse/domestic partner who is covered under the plan, for more than one-half of his or her financial support.
- Your or your spouse/domestic partner’s qualifying child under section 152 of the Internal Revenue Code. This means that during the calendar year the individual is all of the following:
- Is your child, brother, sister stepbrother, stepsister or a descendant of such person.
- Lives with you for more than one-half the year.
- Does not provide over one-half of his or her own support.
- Immediately before turning age 26 while being covered under a Chevron health care plan.
- Before turning age 26 if he or she had other health care coverage immediately before you became an eligible employee and is enrolled in a Chevron health care plan within 31 days after you become an eligible employee.
- Before turning age 26 if he or she had other health care coverage immediately before the dependent child was enrolled in a Chevron health care plan.
- If you need to certify an incapacitated dependent, contact the HR Service Center. You will be required to complete an application and provide documentation stating your dependent meets all the Plan's requirements of an incapacitated dependent.
- For chronic disabilities, as determined by Chevron’s medical plan administrator, you must provide documentation every two years.
- If the disability is not chronic, Chevron’s medical plan administrator will determine how frequently you will need to provide such documentation.
If both you and your spouse/domestic partner are eligible employees and/or eligible retirees, only one of you can enroll all of your children for coverage.
enrollment & participation
- Your participation in the MHSUD Plan begins on your first day of work, provided you are eligible.
- Dependents begin participation in the MHSUD Plan when they begin participation in a medical plan with Chevron.
- If you add or drop medical coverage for a dependent during the year, MHSUD Plan coverage for that dependent will automatically be added or dropped, too.
- You’re no longer an eligible employee.
- Chevron Corporation terminates the plan.
- You’re no longer an eligible employee.
- Your dependent’s coverage under the medical plan ends.
- Your dependent is no longer eligible (for example, you become divorced or a child reaches age 26).
The MHSUD Plan ends the last day of the month in which your employment ends. This plan is available to certain retirees; you can elect COBRA coverage for you and your enrolled, eligible dependents for this plan. Please visit the Leaving Chevron section for more in-depth information about what happens to your coverage and what choices are available when you leave Chevron.
COBRA coverage
- If you timely elect COBRA coverage, your MHSUD coverage will be retroactive to the date your coverage ended.
- If you wish to continue MHSUD coverage, you must make an election to continue it.
- You will receive an enrollment package from the COBRA administrator within 44 days of leaving Chevron.
retiree coverage
- Pre-65 or otherwise not eligible for Medicare.
- Enrolled in the Chevron Medical PPO, High Deductible Health Plan (HDHP) or the High Deductible Health Plan Basic (HDHP Basic).
applied behavior analysis (ABA) coverage
- Prior authorization or pre-certification with the claims administrator is required prior to services being delivered. You’re also required to obtain authorization on a recurring basis for continuing services, as required by the claims administrator.
- Based on an initial review and concurrent review of the case, a case-specific quantity of ABA therapy services will be allocated.
- Covered ABA services are paid according to the Outpatient Office Visit schedule of benefits. You will be responsible for any cost sharing that applies to you, including the deductible, copayments or coinsurance.
- You can visit any ABA licensed or certified provider, network or out-of-network*. But if you use of an out-of-network provider, covered services will be paid under the out-of-network portion of the MHSUD Plan, which means you’ll pay a larger share of the costs for service. Beacon Health Options can help you locate a network provider in your area.
- Review the MHSUD summary plan description for more information about how Outpatient Office Visit benefits are paid.
- Psychiatric evaluation to confirm the ASD diagnosis.
- Psychological testing, as necessary to confirm the ASD diagnosis.
- Individual, family, and group therapy.
- Medication management.
- Applied Behavior Analysis (ABA) treatment.
- Intensive Case Management for complex cases (individuals with extraordinary care needs).
- Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS)
- Asperger Syndrome
- Rett Syndrome
- Childhood Disintegrative Disorder
- Call the claims administrator - Beacon Health Options - to obtain prior authorization or pre-certification.
- Once authorization is complete, a Beacon Health Options representative will advise you that ABA therapy will be covered according to the MHSUD Plan’s benefits when provided or supervised by a ABA licensed or certified provider of services.
support ABA therapy with rethink
Rethink is a service available to all U.S.-payroll employees eligible for Chevron health and welfare benefits. Parents caring for children with developmental disabilities or learning and behavior challenges can receive free, live teleconsultations with behavior experts to answer questions, and provide guidance and resources. Additionally, Rethink provides parents with over 1,500 easy-to-follow videos depicting behavior experts and educators teaching children skills such as language, socialization, self-help, academics, vocational, and more. Printable materials as well as on-demand web-based training complement these tools as parents support their children in reaching their top potential.
Rethink is not a health plan and does not provide diagnosis or health treatment, nor is the service a licensed ABA provider. Rethink only provides behavioral resources, tools and information, so a covered diagnosis is not required to take advantage of this service. While in-home ABA services directly impact your child's learning, Rethink is an online tool for you as a parent and caregiver to not only learn how to better address behavior challenges and communicate and interact with your child when the ABA provider is not there, but also supports you in collaborating with the ABA provider. Since they can use Rethink too, you can communicate more efficiently through the Rethink program, work on the same skills, and even share data if you wish.
understanding your ABA therapy coverage
Beacon Health Options explains ABA coverage available under the Chevron Mental Health and Substance Use Disorder Plan, including what’s available under the plan and how to request pre-certification to start receiving benefits. (Recorded from the March 13, 2018 webinar. 25 minutes)
rethink services
Rethink is a service available to eligible Chevron employees caring for children with developmental disabilities or learning and behavior challenges. Learn about the services and tools available through Rethink in this 2.5 minute video.
Please note: Watching this video is only eligible to receive points toward Health Rewards for the "Watch a Rethink Video" activity; it is not eligible for points under the "Watch a Health Benefits Video" activity.
contact information
The HR Service Center manages your enrollment in and eligibility for this benefit plan. For all other questions regarding your coverage, contact the claims administrator. A claims administrator manages the administration of your plan — for example, claims, account balances, ID cards, what's covered and what's not, provider networks, phone numbers, the administrator's website or mobile app, and more.
mental health and substance use disorder plan (U.S.-payroll employees)
- Plan Type Mental Health and Substance Use Disorder
- Eligibility U.S. Payroll Employees
- Claims Administrator Beacon Health Options
- Group Number N/A
- Phone (Inside U.S.) 1-800-847-2438
- Phone (Outside U.S.) 714-763-2420
- Website www.achievesolutions.net/chevron
- Mobile App N/A
- Email N/A
- Claim Form Forms Library
- Address Beacon Health Options ǀ P.O. Box 1290 ǀ Latham, NY 12110
employee assistance and worklife services
- Plan Type WorkLife program
- Eligibility All Chevron employees
- Claims Administrator N/A
- Group Number N/A
- Phone (Inside U.S.) 1-800-860-8205
- Phone (Outside U.S.) 925-842-3333 (CTN 842-3333)
- Website hr.chevron.com/health-wellness/eap/default.aspx (intranet only)
- Mobile App N/A
- Email N/A
- Claim Form N/A
- Address N/A
rethink
- Plan Type WorkLife program
- Eligibility U.S. Payroll Employees
- Administrator Rethink
- Group Number N/A
- Phone 1-800-714-9285
- Website chevron.rethinkbenefits.com
- Mobile App Rethink App on Apple store or Google Play
- Email N/A
- Claim Form N/A
- Address N/A
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 by calling the HR Service Center. 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.
This web page provides only certain highlights about changes of 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. There are no vested rights with respect to Chevron health care plans or any company contributions towards 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.