Phillips 66 Company

Forms

Access and print forms for your benefit plans and employee programs. In some cases you’ll find links and instructions for online applications and functions instead of paper forms.

HR Connections

HR Connections can assist with your HR programs and policies questions:

  • Phone: (855) 480-6634 or
    (918) 977-7905 (for international callers)
    7:00 a.m. – 5:00 p.m. CT, Monday – Friday

Health & Well-Being Forms

HDHP and PPO Options

Prescription Drugs (for HDHP and PPO options only)

Qualified Domestic Relations Orders (QDROs) and Qualified Medical Child Support Orders (QMCSOs)

Dental Option

Vision Option

Total Well-Being Incentive Program and Reimbursement Account

Flexible Spending Plan

Forms can be accessed online through Upoint in two ways:

  • Go to My HR Tools, click on the Health & Well-Being card, select UPoint, then click on the Flexible Spending Account tile
  • From your computer or mobile device: Go to digital.alight.com/phillips66, enter your UPoint user ID and password, then click on the Flexible Spending Account tile.

Short-Term Disability (STD)

Expatriate Inpatriate and NCNR Health Care Benefits

Retiree Medical


Compensation

Phillips 66 Equity Programs


Savings Forms

Phillips 66 Savings Plan


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