Open enrollment is here - your health chevron open enrollment for 2021 health benefits is october 19 through october 30, 2020 - chevron human ...
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your health
open enrollment is here
chevron open enrollment for 2021 health benefits is
october 19 through october 30, 2020do I need to do anything?
Open enrollment is your annual opportunity to review your benefit options for next year. During open enrollment, you can decide to keep
the coverage you currently have or make changes. Any changes you make to your benefits coverage during open enrollment, October
19 through October 30, 2020, become effective January 1, 2021. If you miss the open enrollment deadline, you must wait until the next
open enrollment period in the fall of 2021 for 2022 benefits to make changes. The only other opportunity to change your benefits mid-year
is within 31-days of certain qualifying life events, such as a marriage or birth.
i’m satisfied with my current coverage ...
If you’re satisfied with your current coverage and your plans continue to be available, you aren’t required to make open enrollment
elections. Your coverage automatically continues at the 2021 premium rates. (Flexible spending accounts have different rules, see below.)
While not a requirement, we strongly recommend you always take a few minutes to review your coverage annually. The Fast Lane
shopping option on BenefitConnect makes this verification of coverage easy.
start, stop or change coverage
Open enrollment is your opportunity to start, stop or change your medical, dental, vision, Group Critical Illness Insurance,
Group Hospital Indemnity Insurance or Voluntary Group Accident Insurance coverage.
The Medical HMO - HealthNet California plan will no longer be offered effective January 1, 2021. If you’re enrolled, your
coverage will be automatically changed to the Medical PPO Plan. You can select a different plan during open enrollment, if
desired.
update dependent coverage
If you need to add or drop a dependent from medical, dental or other health coverage for 2021, you must make an election
during open enrollment. If you’re adding a dependent to your coverage, be sure to complete the dependent verification
process within your 60-day deadline.
participate in a flexible spending account in 2021
If you’re currently enrolled in one of Chevron’s flexible spending account plans – the Health Care Spending Account (HCSA)
or the Dependent Day Care Spending Account (DCSA) – your coverage will not automatically continue in 2021. You must
re-enroll in these plans during open enrollment if you want to participate in 2021.
If you want to take advantage of the special, one-time carryover option due to the COVID-19 pandemic, you must act during
open enrollment to enroll in the HCSA for 2021. More details have been provided to you separately and are also available on
hr2.chevron.com/OpenEnrollment.
what if I leave chevron?
If you know you’re leaving Chevron, or you’re still waiting for the results of your selection event,
we know you have questions about open enrollment and your coverage choices when you leave.
Please visit hr2.chevron.com/OpenEnrollment for a more detailed overview of what you should know,
things to consider, and what to expect if you’re in this situation.
U.S. Pay and Benefit News – October 2020
2how to enroll
online or by phone
october 19 through october 30, 2020
1-888-825-5247
1-832-854-5800 (outside the U.S.)
call the HR service center
Service hours for elections by phone For quicker service, avoid peak call hours.
Monday through Friday Peak hours are all day Monday and 9 a.m.
6 a.m. to 5 p.m. Pacific time to 10 a.m. Pacific time (11 a.m. to noon
8 a.m. to 7 p.m. Central time Central time) on other weekdays.
hr2.chevron.com/OpenEnrollment
benefitconnect website
The BenefitConnect website will be available for you to make open enrollment elections
until midnight Pacific time on October 30, 2020. This website is available even if
you don’t have access to a Chevron computer. You can log in to the BenefitConnect
enrollment site from any computer or mobile device with an Internet connection.
dependent verification process
You are required to verify the eligibility of new dependents you enroll in Chevron
health plans. 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. More information and instructions online at
hr2.chevron.com/OpenEnrollment.
tools and information on hr2.chevron.com/OpenEnrollment
2021 monthly premiums, benefit Find a network provider. Get information to help you make
summaries, deductibles and more. decisions if you’re leaving Chevron.
U.S. Pay and Benefit News – October 2020
3back again for 2021
Details, instructions and deadlines regarding the benefits and programs discussed here are available on
hr2.chevron.com/OpenEnrollment.
lower your medical premiums in 2021
Would you like to pay less for your Chevron medical plan premium in 2021? If you qualify for the Wellness Credit by
the October 30, 2020 deadline, you can save up to $750 annually on your Chevron medical coverage premium from
January 1, 2021 through December 31, 2021, as long as you’re an active, eligible employee.
chevron contributes to your HSA in 2021
Chevron will once again contribute either $500, $750 or $1,000 to the BenefitWallet health savings account
(HSA) in 2021. The actual 2021 company contribution to your account is based on the medical coverage level you
choose during open enrollment. If you’re already participating, you don’t need to do anything to get the company
contribution again in 2021. If you aren’t participating and want to start in 2021, you must make elections during
open enrollment. You must meet the eligibility requirements, including being an active employee, on January 1, 2021
to receive the company contribution.
supplement your coverage with voluntary benefits
Chevron offers access to voluntary benefits you can use to supplement the coverage offered by your core health and
welfare benefits.
• Group Critical Illness and Group Hospital Indemnity coverage can provide a cash benefit to help you pay for
expenses – such as medical out-of-pocket costs – in the event of a covered illness or hospital stay.
• The Vision Plus Program offers additional coverage for prescription eyewear.
• Long Term Care Insurance can help you pay for services received at home or in a nursing facility in the event you
or a family member can no longer perform everyday activities.
• With Group Auto and Home insurance you can access group rates and discounts to round out your personal
protection coverage.
$120 $400
get your preventive dental cleaning and save get a second opinion and save
While the $120 dental surcharge will not be applied to you in In 2021, Chevron continues to offer access to the Health
2021, you still need to receive at least one preventive dental Decision Support Program for a second medical opinion on
cleaning* between January 1 and December 31, 2021 to avoid any diagnosis you might be facing. However, if you’ll receive
a dental surcharge in 2022. This cleaning requirement applies any of these four medical procedures on a non‑emergency
to you if you’re enrolled in the Chevron Dental PPO or Dental basis – knee surgery, hip surgery, back surgery, spine
HMO Plan in 2021. surgery – you’re required to use this second opinion service
prior to the procedure. If you choose to not request a second
* For participants with dentures, receive at least one oral exam opinion, you’ll be responsible for an additional $400 added
in lieu of a cleaning. to your total claim cost for the procedure, whether or not
you’ve met the deductible.
U.S. Pay and Benefit News – October 2020
4what’s new in 2021
There are some benefit changes coming in 2021. This list provides just a few of the highlights for your awareness; this list does not provide
complete details. Be sure to review the summary of material modification (SMM) for a complete listing of the changes, including details
and instructions. SMMs are now available online at hr2.chevron.com/OpenEnrollment. You will also get a copy of the SMM mailed to
your home or by email, if you consented to receiving your Chevron benefit plan information by email.
Here are the highlights of what’s changing effective january 1, 2021.
Get the details about these changes online at
hr2.chevron.com/OpenEnrollment.
online visits with your personal provider
medical PPO plan, HDHP, HDHP basic, and mental health and substance use disorder plan
Earlier this year the coverage rules for online or virtual visits were temporarily expanded to give you more options to access care
during the COVID-19 pandemic. Chevron has decided this coverage is no longer temporary. As of January 1, 2021, your medical
and behavioral health coverage will continue to include covered charges for online visits with non-LiveHealth Online providers and
non-MDLIVE providers, where state laws allow. This means you can continue to access care through online or virtual visits from your
personal physician or mental health provider.
annual combined deductible one-time HCSA carryover
The annual combined deductible for the HDHP for covered Current participants in the HCSA can carryover up to $550 of
services received from an out-of-network provider will increase their unused 2020 balance into 2021. To take advantage of this
to $5,600 for you only coverage / $11,200 for coverage of you one-time opportunity, you must act during open enrollment.
and one or more dependents. More details available on hr2.chevron.com/OpenEnrollment.
prescription drug program updates
• New coverage for sensors and transmitters used with continuous glucose monitoring systems.
• Additional classes of preventive medication for breast cancer prevention and HIV pre-exposure prophylaxis (PrEP) have been
added to the Standard Preventive Drug List for the HDHP and HDHP Basic.
• A new condition-specific specialty program – the Rare Conditions Care Value Program® – will be added.
• Effective September 15, 2020 through December 31, 2020, coverage for influenza vaccines received from an Express Scripts
network pharmacy is available. The vaccine administered must be on the Express Scripts National Preferred Formulary.
health net HMO discontinued other updates
The Medical HMO - HealthNet California plan will no longer The clinical support program, Total Health Total You Program,
be offered effective January 1, 2021. If you’re enrolled, your will automatically be activated for all Medical PPO, HDHP and
coverage will be automatically changed to the Medical PPO HDHP Basic participants.
Plan. You can select a different plan during open enrollment, if
The eligibility criteria for covering an “other dependent” in
desired.
certain Chevron benefits has been restated to reflect how this
requirement is administered.
U.S. Pay and Benefit News – October 2020
5Chevron
Human Resources Service Center
PO Box 981901
El Paso, TX 79998
Address Service Requested
Time-sensitive Chevron open enrollment instructions enclosed.
The Aflac coverage described in this newsletter is subject to plan limitations, exclusions, definitions, and provisions. For detailed information, please see the plan brochures, as
this material is intended to provide general summaries of the coverage. Continental American Insurance Company (CAIC), a proud member of the Aflac family of insurers, is a
wholly‑owned subsidiary of Aflac Incorporated and underwrites group coverage. CAIC is not licensed to solicit business in New York, Guam, Puerto Rico, or the Virgin Islands.
For groups sitused in California, group coverage is underwritten by Continental American Life Insurance Company.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the
Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.
The information in this newsletter applies to Chevron health and welfare eligible U.S.-payroll employees. This communication 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.
© 2020 Chevron Corporation. All rights reserved. 2020ACTUSPAY October 2020 22000You can also read
