Vision Plan Features

 IN NETWORKOUT OF NETWORK
Covered Services Every 12 Months
Annual Exam100%, no copay$40 allowance
Frames$130 allowance; 20% discount$45 allowance
Lenses*
Single Vision100% after $35 copay$25 allowance
Bifocal100% after $35 copay$40 allowance
Trifocal100% after $35 copay$55 allowance
Lenticular100% after $35 copay$75 allowance
Contacts (IN PLACE OF LENSES)
Elective Conventional$200 allowance; 15% discount$105 allowance
Elective Disposable$200 allowance$105 allowance
Non-Elective100%$210 allowance
Contact Lens Fitting100%Not covered
* Options such as extra-thin lenses or special lens coatings may increase your out-of-pocket costs.

COST PER PAYCHECK

Prescription Drug Details

Here’s What the Plan Pays

 IN NETWORKOUT OF NETWORK
Preventive Retail & Mail Order
Generic100%60% after deductible
Branded85%40% after deductible
Non-Preventive Retail & Mail Order
Generic85% after deductible60% after deductible
Branded85% after deductible40% after deductible

How Services Are Covered

 IN NETWORKOUT OF NETWORK*
Here's What the Plan Pays
Preventive Care**100% no deductible65% after deductible
(after $500 annual allowance)
Office Visits
  • Primary Care
  • Specialist
85% after deductible65% after deductible
Emergency Room85% after deductible85% after deductible
Hospital85% after deductible65% after deductible
Laboratory85% after deductible65% after deductible
X-Ray85% after deductible65% after deductible
Knee, Hip and Spine Procedures
at Anthem Blue Distinction Centers
90% after deductibleNo coverage
* Out of network expenses are limited to the eligible maximum allowed amount. You are responsible for paying any amount over the eligible maximum allowed amount charges in addition to your deductible and co-insurance.
** Preventive care includes wellness visits for children, preventive exams and recommended screenings for adults and immunizations in or out of network.

Key Features

 IN NETWORKOUT OF NETWORK*
Employee Only
Your Biweekly Contribution$37.80$37.80
Deductible$1,400$2,800
Hess HSA Contribution$500$500
Your HSA ContributionUp to $3,100
($3,600 IRS limit minus Hess contribution)
Up to $3,100
($3,600 IRS limit minus Hess contribution)
Out-of-Pocket Maximum$2,750$5,000
Employee + One
Your Biweekly Contribution $75.59$75.59
Deductible$2,800$5,600
Hess HSA Contribution$1,000$1,000
Your HSA ContributionUp to $6,200
($7,200 IRS limit minus Hess contribution)
Up to $6,200
($7,200 IRS limit minus Hess contribution)
Out-of-Pocket Maximum$5,500$10,000
Employee + Family
Your Biweekly Contribution$129.24$129.24
Deductible$2,800$5,600
Hess HSA Contribution$1,000$1,000
Your HSA ContributionUp to $6,200
($7,200 IRS limit minus Hess contribution)
Up to $6,200
($7,200 IRS limit minus Hess contribution)
Out-of-Pocket Maximum$5,500$10,000
* Out-of-network expenses are limited to the eligible maximum allowed amount. You are responsible for paying any amount over the eligible maximum allowed amount charges in addition to your deductible and co-insurance.

What Happens if You Don’t Enroll?

Your current elections will continue automatically except for:

  • Health Savings Account (HSA)—Your current election will not carry over, so you’ll need to elect an amount to contribute in 2021. You can do this during Benefits Open Enrollment or anytime in 2021.
  • Dependent Care Flexible Spending Account (DCFSA)—You must enroll during Benefits Open Enrollment if you want to contribute for 2021. Otherwise, changes are only allowed if you have a qualified life event.

Qualified Life Events Include:

  • Birth, adoption or placement for adoption
  • Marriage
  • Divorce, legal separation or annulment
  • Death of a dependent
  • Change in employment status for your spouse

You must make any changes to your medical, dental and/or DCFSA benefits within 30 days of your qualified life event, and your change must be consistent with your life event. If you miss this window, you will have to wait until the next Open Enrollment period to make changes.

To make a qualified life event change during the year, contact the Hess Benefits Center at Empyrean.

What You Need to Do to Enroll

  1. Know the Enrollment Deadline

    For medical, dental, optional life insurance and family accident insurance coverage, as well to contribute to a dependent care FSA, you must enroll within 30 days of when you become eligible.

    You will be automatically enrolled in long-term disability insurance, basic life insurance and business travel accident insurance, as well as the savings and pension plan. If you don’t enroll in the savings plan, you will be automatically enrolled after 30 days of employment.

    If you enroll in the Hess Medical Plan, you can establish a Health Savings Account (HSA) when you enroll for medical coverage or anytime afterwards.

  2. Decide Who to Cover

    You can enroll yourself and your family in Hess benefits. Be sure you know who’s eligible before you choose coverage.

    You are eligible if you are a full-time employee.

    You may also cover members of your family. Eligible dependents are:

    • Your spouse
    • Your same- or opposite-gender domestic partner
    • Your children through the end of the calendar year in which they reach age 26. Eligible children include:
      • Your natural and adopted children (including children placed with you for adoption)
      • Stepchildren who live with you
      • Disabled children (of any age)
      • Children for whom you have legal guardianship
      • Children of your same- or opposite-gender domestic partner
  3. Review Your Choices

    What you can chooseWhat Hess provides
    (No enrollment required)
    Medical (includes Rx and Vision)Short-Term Disability

    Long-Term Disability
    DentalBasic Life Insurance
    Family Accident Insurance Business Travel Accident Insurance
    Optional Life Insurance for you, your spouse and/or dependents Savings Plan
    (After 30 days of employment if not enrolled earlier)
    Dependent Care FSAPension Plan
    Health Savings Account
    Voluntary Benefits including: Accident Insurance, Critical Illness Insurance and Identity Theft Protection

    You can also review your 2021 Hess Benefits Decision Guide for details you need to choose your benefits. We encourage you to review all of your options.

  4. Use Your Resources

Buttons

Buttons should always contain actions. The button language should be clear and concise. Capitalize every word, including articles. It’s OK to use an ampersand in button copy.

Standard web buttons include:

  • Log In
  • Sign Up
  • Read More
  • Email Us
  • Contact Us

It’s important to maintain consistent button styles throughout an entire web application, so users will be able to identify web elements with less confusion. Place buttons where users can easily access them throughout the design process (mobile users).

Call-to-action buttons are the most significant to any web page and their design should separate their distinction from less significant buttons.

Headings

Headings and subheadings organize content for readers and should be very descriptive.

Headings (H1) give people a taste of what they’re about to read. Use them for page and blog titles.

Subheadings (H2, H3, etc.) break articles into smaller, more specific sections. They give readers avenues into your content and make it more scannable.

Headings and subheadings should be organized in a hierarchy, with heading first, followed by subheadings in order. (An H2 will nestle under H1, an H3 under H2, and on down.)

Include the most relevant keywords in your headings and subheadings, and make sure you cover the main point of the content.

Use title case, unless the heading is a punctuated sentence. If the heading is a punctuated sentence, use sentence case. Use sentence case for subheadings regardless of end punctuation.

This website provides highlights of the Hess Corporation benefits plans and programs for 2021. If there is any discrepancy between the information provided on this website and the official plan documents, the official plan documents will govern. Hess reserves the right to amend or terminate the plans at its discretion at any time.