welcome to chevron benefits
pasadena refinery represented employees
post-transition information
health & protection
Coverage started January 1.
pay & time system
You now have access to Chevron HR systems, including SAP HR. Do not use SAP HR to report time worked and time off, but you will use it to view and manage all other aspects of your pay and time.
- Pay statement sample O&M
- Payroll transition info
- How to view time and pay info
- How to project annual vacation balance
- More paycheck & tax info (intranet)
401(k) transition
You can now manage your Chevron ESIP account (401k), including changing your contributions and investments.
- Your PRSI balance is not available to view/manage until the blackout ends.
- Access Fidelity website
- 1-888-825-5247 option 2, 3, then 2
- Fidelity 401(k) Transition Guide
- Chevron Wealth Benefits Guide
- ESIP investment options
health, protection, time away
Learn about health and wellness, protection, time away, work and life balance benefits.
- Read Benefit Guide
- See Plan Ahead section below for more transition details
- Explore more: Health - Wellness - Protection - Time Away - WorkLife
vacation
- Vacation Transition Overview
- Vacation Policy HR 120 (intranet)
- Examples: How vacation earned, taken
- Instructions to view vacation posted closer to January 1.
key contacts
For benefits, life events or other HR questions, start with HR Service Center at 1-888-825-5247. Other resources include:
plan ahead
Use the tabs above for quick access to key information, tipsheets and forms for the health benefit transition.
transition checklist
There are a few things you need to do before January 1, 2023 to prepare for your new Chevron benefits.
research network providers
Follow the instructions included on our Find a Network Provider page to research the provider network. Note that all plans are displaying 2022 providers; 2023 providers will be included in searches on or after January 1, 2023.
transition tip sheets
- All about Chevron health plan ID cards
- Next steps for the BenefitWallet HSA
- How to search Chevron provider networks
- How to transfer your prescriptions and mail-order
- See the Continuation of Care tab above for instructions and to apply
- For orthodontia in progress, see the Continuation of Care tab above for instructions and to apply
Plan-by-plan excerpts from the full, published benefit guide include an overview of Chevron's health, wellness, protection, time away, work and life benefit options.Use our links below to quickly learn about a specific plan or program:
health and wellness
- Medical | Medical plan comparison (includes costs)
- Dental
- Vision
- Behavioral Health
- Health savings account (HSA)
- Health FSA
- Supplemental Health
- Wellness Programs
time away
protection
- Protection (Life, accident and other insurance)
work and life balance
Benefit summaries, including the Summary of Benefits and Coverage (SBCs), provide summary information about your health plans, such as benefits, copayments, deductibles, and coinsurance. This is an easy way to get basic coverage information about your plan. If you still have more questions about specific coverage details, we strongly encourage you to contact the health plan directly to discuss your personal situation.
snapshot: medical plan comparison, rates
- For Medical coverage, this one-page medical plan comparison provides the monthly premium, deductible and out-of-pocket amounts for 2023 for the Chevron medical plans that may be available to you.
- For Dental and Vision Plus rates, review 2023 Dental and Vision Premiums. Refer to the Without Dental Surcharge column.
medical, prescription drugs, basic vision
Medical PPO Plan
- Medical PPO SBC
- Express Scripts Price a Prescription (choose plan on right, then choose Price a Medication)
- 2023 Prescription Drug Formulary
- 2023 Basic vision highlights (Reference grey table on page 2)
- How & when to contact Anthem, Express Scripts and VSP
High Deductible Health Plan (HDHP)
- HDHP SBC
- Express Scripts Price a Prescription (choose plan on right, then choose Price a Medication)
- 2023 Prescription Drug Formulary
- 2023 Prescription Drug Program List of Standard Preventive Medications
- 2023 Basic vision highlights (Reference grey table on page 2)
- How & when to contact Anthem, Express Scripts and VSP
High Deductible Health Plan Basic (HDHP Basic)
- HDHP Basic SBC
- Express Scripts Price a Prescription (choose plan on right, then choose Price a Medication)
- 2023 Prescription Drug Formulary
- 2023 Prescription Drug Program List of Standard Preventive Medications
- 2023 Basic vision highlights (Reference grey table on page 2)
- How & when to contact Anthem, Express Scripts and VSP
Medical HMO Plans
- HMO Blue Texas (135) SBC
- How & when to contact the Medical HMO for prescription drug benefits under the plan
dental
- Dental PPO Plan Benefit Highlights
- Dental HMO Plan Benefit Highlights
- How to contact Delta Dental and DeltaCare USA
behavioral health
Chevron Mental Health and Substance Use Disorder (MHSUD) Plan
- If you waive Chevron medical coverage
- If you enroll in the Medical PPO
- If you enroll in the HDHP
- If you enroll in the HDHP Basic
- If you enroll in a Medical HMO Plan
- How & when to contact Beacon Health Options
Behavioral health coverage through your Medical HMO
- Medical HMO - Blue Essential Texas SBC (coming soon)
- How & when to contact the Medical HMO for behavioral health benefits under the plan.
vision plus program
- Vision Plus Program highlights (Reference blue table on page 2)
- How & when to contact VSP
group critical illness insurance
- Go to Aflac's site for Chevron to review rates and other plan details
- Group Critical Illness Insurance brochure
- Group Critical Illness Insurance Certificate of Coverage
- Learn more about critical illness insurance
group hospital indemnity insurance
- Go to Aflac's site for Chevron to review rates and other plan details
- Group Hospital Indemnity brochure
- Group Hospital Indemnity Certificate of Coverage High | Low
- Learn more about hospital indemnity insurance
long term care insurance
- You can apply for this coverage separately on the Genworth website on or after January 1, 2023
- Learn more about long term care insurance
group auto and home insurance
- You can apply for this coverage separately on or after January 1, 2023
- You can talk to Mercer Voluntary Benefits for general questions about this coverage prior to January 1.
- Explore group auto and home insurance.
prepare for dependent verification
- Learn about the process
- Who you can cover & Acceptable proof documents
- Chevron Affidavit of Domestic Partnership Form (F-6)
If you enroll in Chevron health plans, you may also enroll your eligible dependents for coverage under the same medical, dental, vision and certain other health benefit plans. Eligible dependents include your spouse or domestic partner and eligible children.
In addition, all new employees are required to verify the eligibility of any dependents you enroll in Chevron health plans. Your current dependent verification/certification does not automatically transfer to your Chevron coverage. When you enroll your dependent(s) in Chevron health coverage, you will have up to 60 days to obtain and submit requested documentation that verifies your dependents are eligible to participate in Chevron’s health benefits. If you don’t provide acceptable documentation by the deadline, your dependents will be disenrolled from coverage. This is a one-time process per dependent and applies to all health plans that require dependent verification.
You can prepare in advance of enrollment and preview the documents you’ll need to provide here. Please do not complete and return the sample forms posted here as they are for your reference only. Personalized forms and instructions will be provided to you when you enroll on the BenefitConnect website.
Continuation of care (also referred to as transition care) allows you to continue to receive care for certain conditions from providers who do not participate in your new plan’s network. You might need continuation of care if you are already in active treatment for certain ongoing conditions on January 1, 2023 and your provider is not in your new plan's network.
medical
Anthem Continuation of Care
Chevron Medical PPO, HDHP or HDHP Basic
- Read the requirements
- Apply with Anthem (January 1 through March 1, 2023)
- Search the provider network to determine if you need continuation of care
- Contact Anthem with questions
How to Prepare: Upcoming inpatient or outpatient care
If you have scheduled inpatient or outpatient medical care (for example surgery, laboratory, or diagnostic imaging) currently scheduled in early 2023, you should also follow these additional instructions for transitioning your procedure from your Wellmark coverage to Anthem coverage, if you enroll in the Medical PPO, HDHP or HDHP Basic.
- How to prepare for upcoming inpatient or outpatient care (coming soon)
Medical HMO Continuation of Care
Continuation of care is not available under Medical HMO plans.
prescription drugs
Continuation of care is not available for prescription drugs, but you should still plan ahead to ensure you continue to have timely access to your medication during the transition.
- How to prepare for the prescription drug transition
- Search the provider network
- Contact the health plans with questions
dental
Dental PPO
- Read the requirements
- Complete a Delta claim form and apply (January 1 - January 31, 2023)
- Search the provider network
- Contact Delta with questions
Dental HMO
- Read the requirements
- Complete a Delta claim form and the Continuous Orthodontic Coverage form (January 1 through January 31, 2023)
- Search the provider network
- Contact Delta with questions
behavioral health
Mental Health and Substance Abuse Plan (MHSUD Plan)
- Read the requirements
- Search the provider network to determine if you need continuation of care
- Contact Beacon to apply (January 1 through March 1, 2023)
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
Here's where to get phone numbers and websites for all your benefits.
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