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Active Employees

Forms, Documents & Legal Info

Health Care

Medical, Dental, Vision

BCBS Global Core Program Brochure

BCBS Global Core Program: Locating a Provider

Express Scripts Getting Started with Home Delivery

Express Scripts Preferred Drug/Exclusion List

Express Scripts Preventive Drug List

Transparency in Coverage Rule – Machine Readable Files

VSP Member Claim Reimbursement Guidelines

Supplemental Health Care

  • Accident Insurance
  • Critical Illness Insurance
  • Hospital Indemnity Insurance

Accident Plan Summary

Critical Illness Plan Summary

Hospital Indemnity Plan Summary

Spending Accounts

Flexible Spending Accounts

  • Health Care FSA
  • Dependent Care FSA
  • Limited Purpose FSA

Inspira Financial Reimbursement Accounts Claim Filing Guidelines

Income Protection

Accidental Death & Dismemberment (AD&D)

  • Basic AD&D
  • Voluntary AD&D
  • Occupational AD&D (OAD&D)

Basic AD&D Summary Overview

Occupational AD&D Summary Overview

Zurich AD&D Conversion Process

Disability

  • Short-Term Disability
  • Long-Term Disability

Short-Term Disability Program Guide

Retirement
401(k) Savings Plan & Retirement Plan

Leaving Oxy Guide

Investment Fund Fact Sheets

Other
 

2024 Employee Benefits Guide 

Time Away Program Guide

Health Care

New Hire and Open Enrollment Notices

401(k) Savings Plan Automatic Enrollment Notice

CHIP Notice

Employee Rights Under FMLA

HIPAA Privacy Notice

New Health Insurance Marketplace Coverage Notice

Medical, Dental, Vision

Summary of Benefits and Coverage

Summary Plan Descriptions

Supplemental Health Care

  • Accident Insurance
  • Critical Illness Insurance
  • Hospital Indemnity Insurance

Accident Insurance High Plan Cert.

Accident Insurance Low Plan Cert.

Accident Insurance Regulatory Disclosure

Accident Insurance Outline of Coverage Disclosure 

Critical Illness Insurance Plan Cert.

Critical Illness Insurance Regulatory Disclosure

Critical Illness Insurance Outline of Coverage Disclosure 

Hospital Indemnity Insurance High Plan Cert.

Hospital Indemnity Insurance Low Plan Cert.

Hospital Indemnity Insurance Regulatory Disclosure

Hospital Indemnity Insurance Outline of Coverage Disclosure 

Hospital Indemnity Insurance Tri-Agency Disclosure

Spending Accounts

Flexible Spending Accounts

  • Health Care FSA
  • Dependent Care FSA
  • Limited Purpose FSA

Summary Plan Descriptions

OxyHealth

EAP

Summary Plan Descriptions

Income Protection

Basic Life

Summary Plan Descriptions

Accidental Death & Dismemberment (AD&D)

  • Basic AD&D
  • Voluntary AD&D
  • Occupational AD&D (OAD&D)

Summary Plan Descriptions

Group Universal Life

Summary Plan Descriptions

Disability

  • Short-Term Disability (STD)
  • Long-Term Disability (LTD)

Short-Term Disability Program Guide

Summary Plan Descriptions

Retirement
401(k) Savings Plan

401(k) Fee Disclosure

401(k) – Oxy Stock Fund Prospectus

Limits and Contributions

Notice of Proposed Exemptions

Oxy EACA and QDIA Notices

Safe Harbor Special Tax Notice and Fee Disclosure

Summary Plan Descriptions

Retirement Plan

Retirement Plan Fee Disclosure

Summary Plan Descriptions

Other
 

Colorado FAMLI Program Notice

OCC: Medicare Notice of Creditable Coverage

OCC: Medicare Notice of Non-Creditable Coverage

OPC: Medicare Notice of Creditable Coverage

Required Federal Notices: Actives, no Grandfather

Rights and Protections Against Surprise Medical Bills – Federal Disclosure

USERRA Notice

HIPAA Special Enrollment Notice

COBRA Cotinuation of Coverage Notice

WHCRA Notice

Summary of Benefits and Coverage


Summary Plan Descriptions

 

Summary Annual Reports