voluntary group accident insurance
accident insurance plan info
The Voluntary Group Accident Insurance Plan pays benefits if you or a covered dependent suffers a covered loss as a result of an accident.
- This coverage is optional; you need to enroll if you want to participate.
- If you enroll, you’ll pay the full cost of coverage at group rates.
- This benefit is for you and your eligible dependents.
If you’re eligible to participate in Chevron's U.S.-payroll health and protection benefits, you're eligible to participate in Voluntary Group Accident Insurance coverage.
You can choose from the following types of coverage:
- Coverage for yourself (You Only)
- Coverage for you and your eligible dependents (You + Family)
- You must be enrolled in the Plan to choose You + Family coverage. Dependent-only coverage is not available.
Eligible dependents include your spouse or domestic partner and child dependents. Your dependents must meet the Plan’s eligibility requirements to be eligible for coverage and/or to receive benefits payable. Review the Eligibility section of the Plan’s summary plan description, included below on this page, for more details.
When you enroll, you select the type of coverage (employee-only or family coverage) as well as the principal sum of coverage.
- You can purchase coverage for yourself from $10,000 up to the greater of $250,000 or 10 times your annualized regular pay (in increments of $10,000), subject to a maximum benefit of $1 million. The amount you purchase is called your principal sum of coverage.
- As long as you purchase Voluntary Group Accident Insurance Plan coverage for yourself, you also can enroll your eligible dependents for coverage. Your family members’ principal
sum of coverage is a percentage of your own principal sum of coverage, as listed in the plan's summary plan description. Coverage for your spouse or domestic partner is limited to a maximum of $600,000, and coverage for your eligible children is limited to $50,000 for each child.
If you suffer a covered loss due to an accident, the plan pays a percentage of your principal sum of coverage to you (or your beneficiary) based on a schedule of benefits. The percentage the plan pays depends on the type of covered loss.
If your covered family member suffers a covered loss (or dies) as a result of an accident, the plan pays a percentage of the principal sum to your covered family member (or to you in the case of death). The amount of benefits payable under family coverage is determined by the composition of your family and is based upon a percentage of your principal sum of coverage.
See the plan's summary plan description and other key plan documents, included below on this page, for further details about family principal sum of coverage, the schedule of benefits and to learn about what's considered a covered loss.
You need to enroll in the Voluntary Group Accident Insurance Plan to be covered by this benefit.
If you’re eligible to participate, you can choose to enroll in this Plan at any time.
- Enroll on the BenefitConnect website or by calling the HR Service Center.
- If you’re eligible to participate, you can choose to enroll in this plan at any time.
- When you enroll, you choose the type of coverage as well as the principal sum of coverage.
You can generally make changes – including starting, stopping, increasing or decreasing coverage – only during open enrollment or within 31 days of a qualifying life event.
- Make changes to this coverage on the BenefitConnect website or by calling the HR Service Center.
plan documents
The summary plan descriptions (SPD) provides specific details about your benefits, such as eligibility, covered services and participation rules. If there recent updates to the SPD since the last publication date, look for the summary of material modification (SMM) included in the very front of the book.
The documents listed 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) since the last publication date. Be sure to review the SMM for an understanding of important plan updates.
- New claims administrator and insurer (January 1, 2024)
- New address for benefits correspondence (June 1, 2020)
- Employee after-tax contributions eliminated (January 1, 2019)
- If you don't name a beneficiary (January 1, 2015)
contacts
voluntary group accident insurance plan
- Plan Type Accidental Death and Dismemberment Insurance
- Eligibility U.S. Payroll Employees
- Enrollment Enroll on BenefitConnect or call the HR Service Center
- Claims Administrator/Insurer Securian Life Insurance Company
- Plan Number 855
- Phone For eligibility and enrollment, call the HR Service Center (Choose Manage Benefits, then Health, Disability, Life, Accident Insurance option)
- Phone To report a death, call the HR Service Center
- Website Verify eligibility and coverage amount on BenefitConnect
- Website Learn more about life and accident coverage on Securian Benefit Scout®
- Beneficiary Designations Get started here
- Claim Form Call the HR Service Center
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.
plan documentation
contact
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