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2017 NEW HIRE BENEFITS

GUIDE

7

Dependents

If you enroll in a benefit plan described in this guide, you may also enroll your eligible dependents as

outlined in the chart below.

TYPE OF DEPENDENT(S)

ELIGIBLE FOR

COVERAGE

NOT ELIGIBLE

FOR COVERAGE

Your legally married spouse in any jurisdiction, regardless of gender or state

of residence

X

Your dependent children — including biological children, stepchildren,

legally adopted children or children legally placed for adoption, foster

children and/or children under permanent legal guardianship or permanent

sole managing conservatorship — if they are one of the following:

• under the age of 26, regardless of marital

1

, student or employment status,

• your mentally or physically disabled children

2

age 26 or older who were

covered under the plan before they reached the applicable age limits

(newly hired employees with incapacitated or disabled children beyond

the applicable age may be enrolled for coverage if they had prior

medical coverage. You will need to contact the Chevron Phillips

Chemical Benefits Service Center at 1-800-446-1422 and press

option “1”), or

• for purposes of the health care plans, a child

2

who is the subject of a

valid Qualified Medical Child Support Order, as determined by the

plan administrator

X

Your spouse who is a common-law spouse or domestic partner, even if such

relationship is recognized in the state in which he/she resides

X

A dependent who is on active military duty

X

A dependent already covered as an employee of the Company

X

1

For Dependent Life Insurance, the dependent child must be unmarried to be considered an eligible dependent.

2

The definition of children includes biological children, stepchildren, legally adopted children or children legally placed for adoption,

foster children and/or children under permanent legal guardianship or permanent sole managing conservatorship.

WHO’S ELIGIBLE

Employees

You’re eligible to participate in the health and

income and survivor protection plans described

in this guide if you are:

On a U.S. dollar payroll, and

Designated as a:

full-time employee (working at least

30 hours a week),

part-time employee (working at least

20 hours a week),

summer college student hire, or

co-op employee (working at least 20 hours

a week).