Phillips 66 Company

COBRA

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) may allow you and/or your dependents to continue medical, dental, vision, Employee Assistance Plan (EAP) and Health Care Flexible Spending Account (HCFSA) coverage if that coverage is lost due to a “qualifying event,” (for example, you leave the company, you and your spouse divorce or your child reaches the plan’s upper age limit). You pay the full cost for COBRA coverage.

Health & Well-Being Tools

The links below will help with reviewing your options:


COBRA Premiums

See the monthly premiums below (effective January 1, 2017 to December 31, 2017) to compare plan pricing:

Non-Store Employees
Plan You only You +1 You +2 or more
Consumer Plan without HSA $418.48 $911.89 $1,233.78
PPO $664.10 $1,446.21 $1,956.89
Kaiser HMO (Northern California) $633.41 $1,330.16 $1,773.56
Kaiser HMO (Southern California) $633.41 $1,330.16 $1,773.56
Dental Plan $32.51 $65.01 $113.77
Basic Vision $0.82 $1.47 $2.24
Comprehensive Vision $10.05 $18.26 $27.95
Resources for Living $1.43 $1.43 $1.43

Click here for complete COBRA Monthly Premiums.

Get Coverage Details

For more information on benefits coverage that you and/or your dependents may elect under COBRA, see Medical Plan (includes prescription drug and mental health benefits information), Dental PlanVision Plan, Flexible Spending Plan, and Resources for Living.


Electing COBRA Coverage

If you or your dependent become eligible for COBRA coverage:

  1. Notify the Benefits Center within 65 days of the qualifying event (the company takes care of this notification if your employment ends) — the COBRA Administrator will send an enrollment packet summarizing your options and costs.
  2. Enroll within 65 days of the qualifying event or the date of the COBRA enrollment notice, if later. You can submit elections:

If you miss either of these deadlines, you can’t elect COBRA coverage.


Telemedicine

Available through your carrier, telemedicine gives you 24/7 access to a national network of U.S. board-certified doctors at a low cost.

Aetna Teladoc

Contacts

Consumer Plan

Phone: (855) 835-2362
Website: Teladoc
Guide: Teladoc Guide
Fee: $40*

*Before meeting your deductible. Additional fees may apply

PPO Plan

Phone: (855) 835-2362
Website: Teladoc
Guide: Teladoc Guide
Fee: $15*

*Additional fees may apply

BCBS MDLIVE

Contacts

Consumer Plan

Phone: (888) 680-8646
Website: MDLIVE
Guide: MDLIVE Guide
Fee: $40*

*Before meeting your deductible. Additional fees may apply

PPO Plan

Phone: (888) 680-8646
Website: MDLIVE
Guide: MDLIVE Guide
Fee: $15*

*Additional fees may apply

Minute Clinics

Minute Clinics are walk-in medical clinics staffed by nurse practitioners and physician assistants who specialize in family health care. No appointment is needed. If you’re enrolled in the Consumer Plan, you pay a reduced fee for services. If you’re enrolled in the PPO Plan, you pay a $15 copayment for services. Locate a Minute Clinic.


Second Opinion & Expert Advice Service

Grand Rounds and Centers of Excellence (COE) provide access to expert medical advice and the best care from leading doctors.

Grand Rounds

Grand Rounds’ services, available at no cost to those enrolled in the Phillips 66 medical plans, can be used when you need to see a doctor with expertise in treating your condition, want an expert second opinion or are already hospitalized and want extra support from a Grand Rounds care team.

Phone: (844)-339-6732
Website: Grand Rounds
Video: Grand Rounds Video

Centers of Excellence (COE)

COEs are facilities that your provider has designated for delivering clinically proven specialty health care. Details are available on your provider site.

Aetna: Aetna Institutes of Quality®
BCBS: Blue Distinction Center*

*Only BDC+ centers qualify for reduced coinsurance.

US Expatriate Plan Before-Tax Benefit
Cost You only You +1 You +2 or more
Employee Cost $564.92 $1,339.82 $1,859.31
Resources for Living
Employee Cost $1.43 $1.43 $1.43

Click here for complete COBRA Monthly Premiums.


Electing COBRA Coverage

If you or your dependent become eligible for COBRA coverage:

  1. Notify the Benefits Center within 65 days of the qualifying event (the company takes care of this notification if your employment ends) — the COBRA Administrator will send an enrollment packet summarizing your options and costs.
  2. Enroll within 65 days of the qualifying event or the date of the COBRA enrollment notice, if later. You can submit elections:

If you miss either of these deadlines, you can’t elect COBRA coverage.

NCNRs Plan After-Tax Benefit
Cost You only You +1 You +2 or more
Employee Cost $824.01 $1,964.84 $2,709.64

Click here for complete COBRA Monthly Premiums.

For further information regarding the medical plan, including summary of benefits and coverage documents, summary plan documents and contact information, please see Medical Plan.


Electing COBRA Coverage

If you or your dependent become eligible for COBRA coverage:

  1. Notify the Benefits Center within 65 days of the qualifying event (the company takes care of this notification if your employment ends) — the COBRA Administrator will send an enrollment packet summarizing your options and costs.
  2. Enroll within 65 days of the qualifying event or the date of the COBRA enrollment notice, if later. You can submit elections:

If you miss either of these deadlines, you can’t elect COBRA coverage.

Inpatriate Plan After-Tax Benefit
Cost You only You +1 You +2 or more
Employee Cost $824.01 $1,964.84 $2,709.64

Click here for complete COBRA Monthly Premiums.


Electing COBRA Coverage

If you or your dependent become eligible for COBRA coverage:

  1. Notify the Benefits Center within 65 days of the qualifying event (the company takes care of this notification if your employment ends) — the COBRA Administrator will send an enrollment packet summarizing your options and costs.
  2. Enroll within 65 days of the qualifying event or the date of the COBRA enrollment notice, if later. You can submit elections:

If you miss either of these deadlines, you can’t elect COBRA coverage.


Important Plan Information

For COBRA details, see “COBRA continuation coverage” in the Other Information booklet below.

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