legal notices
general benefit notices
The Employee Retirement Income Security Act of 1974 (ERISA) requires companies to file an annual report for each benefit plan with the Employee Benefits Security Administration. ERISA also requires that participants be given an annual summary of these financial reports within 60 days after the annual report is filed. This summary is called the Summary Annual Report (SAR). The publications listed below contain the SARs for the benefit plans shown. You can also get a copy of the full report without charge from the internet at: http://www.efast.dol.gov. Click Form 5500/5500-SF Search in the upper left corner. Questions should be directed to the HR Service Center .
Chevron Corporation, which covers the following plans:
- Chevron Employee Savings Investment Plan
- Supplemental Life Insurance Plan
- On-the-Job Accident Insurance Plan
- Basic Life Insurance Plan
- Chevron Omnibus Health Care Plan
- Dependent Life Insurance Plan
- Long-Term Disability Plan
- Chevron Long-Term Disability Restoration Plan
- Chevron Business Travel Accident Insurance Plan
- Chevron Voluntary Group Accident Insurance Plan
- Chevron Long-Term Care Plan
- Term Life Insurance Plan of Texaco Inc.
- Retired Participants in the Gulf Group Life Insurance Plan
- Unocal Life Insurance Plan
Chevron Stations Inc. Thrift Plan
Chevron is required to mail an Annual Funding Notice to retirement plan participants once every year. The Annual Funding Notice provides information about your Plan's funded status, the value of its assets and liabilities, a description of how the assets are invested, and an explanation of the benefits that are guaranteed by the Pension Benefit Guaranty Corporation (PBGC), a federal agency. Questions should be directed to the Human Resources Service Center.
Chevron Retirement Plan
Chevron - MEBA Marine Pension Plan
Chevron - SUP Marine Pension Plan
Chevron Mining - UMWA Employees Pension Plan
Star Enterprise Retirement Plan
health benefit notices
Notice of Health Privacy Practices (HIPAA)
A Notice of Creditable Coverage is a government-required notice which verifies that your Chevron prescription drug coverage is at least as good as standard Medicare coverage, and therefore, in the future, you can enroll in a Medicare prescription drug plan without paying a penalty. If you have a question about the notice you received in the mail, contact the HR Service Center for assistance.
- If you need a Notice of Creditable Coverage, call the HR Service Center.
- Review the Annual Coverage Notice for the Post-65 Retiree Health Reimbursement Arrangement Plan (Retiree HRA Plan) here.
This document provides information about the Continuity of Care provision of the No Surprises Act, a consumer protection law that applies when a provider ceases to be a network provider during an ongoing course of treatment. This information is provided for your awareness only; your action is not required. This legislation applies to all covered participants in all Chevron sponsored medical, prescription drug, mental health and substance use disorder plans. If you have questions about this information, contact your health plan directly for assistance.
This document provides information about the Surprise Billing provision of the No Surprises Act, a consumer protection law that helps curb the practice known as surprise billing for medical care. This information is provided for your awareness only; your action is not required. This legislation applies to all covered participants in all Chevron-sponsored medical, prescription drug, mental health and substance use disorder plans. If you have questions about this information, contact your health plan directly for assistance.
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs.
price transparency: machine readable files
The Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage Rule (TIC Rule) both contain numerous health care provisions establishing new standards for price transparency and patient protections against certain surprise medical bills. Group health plans are required to post publicly available machine-readable files (MRFs), updated monthly, that include certain information, including network negotiated payment rates, historical out-of-network reimbursement rates, and more. A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files are not meant for a participant-friendly search of rates, benefits, or cost sharing; you should continue to login to your Anthem account for that information.
MRFs for the Medical PPO, HDHP and HDHP Basic can be accessed according to the instructions below. For Medical HMO Plans, contact the claims administrator directly for information about accessing the plans' MRFs.
- Machine Readable Files on Anthem.com
- Search for Chevron using 94-0890210
The Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage Rule (TIC Rule) both contain numerous health care provisions establishing new standards for price transparency and patient protections against certain surprise medical bills. Group health plans are required to post publicly available machine-readable files (MRFs), updated monthly, that include certain information, including network negotiated payment rates, historical out-of-network reimbursement rates, and more. A machine-readable file is a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention. These files are not meant for a participant-friendly search of rates, benefits, or cost sharing; you should continue to contact Beacon Health Options for that information.
MRFs for the Mental Health and Substance Use Disorder (MHSUD) Plan can be accessed below.