Phillips 66 Company


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 Phillips 66 Benefits Center in two ways:

  • Go to My HR Tools, click on the Health & Well-Being card, select Phillips 66 Benefits Center, then click on the Flexible Spending Account tile
  • From your computer or mobile device: Go to, enter your UPhillips 66 Benefits CenterPoint 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


Phillips 66 Equity Programs

Savings Forms

Phillips 66 Savings Plan