Some forms for current U.S.-paid employees may require sign on using your universal ID, network password and Web Access Code. If you need help, read more about accessing HR Express (32KB .PDF) or call the GIS ServiceDesk at 866-322-2825.
| Current ConocoPhillips Employees |
Beneficiary Designation
- Beneficiary Designation Forms: From e-Stream (http://estream.conocophillips.net) select HR Express ( located under Quick Picks on the left side of the screen). Then use the link under Health & Welfare, Current Summary and complete your beneficiary designations online. Entry into MetLife from HR Express requires ConocoPhillips to send your SSN over a secured connection to MetLife to confirm your identity. You can also go directly to MetLife at www.metlife.com/mybenefits to enter beneficiary information online or call MetLife at 1-866-492-6983 to request a paper form.
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Retirement
Savings Beneficiary Designation/Change for ConocoPhillips Savings Plan and ConocoPhillips Store Savings Plan (77KB .PDF) -- Form T23067, 01-2005
Effective January 1, 2008, Before-Tax Change in Status Effective Dates
Direct Deposit Enrollment - Current Employees
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Flexible Spending Plan - Current Employees
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- FSA Dependent Care Reimbursement (3.2MB .PDF)
- FSA Limited Health Care Reimbursement (2.97MB .PDF) - The Limited HCA is only available to those enrolled in an HDHP medical option and also enrolled or planning to enroll in a HSA.
- FSA OTC Limited Health Care Reimbursement (3.06MB .PDF) - Must be enrolled in a HDHP medical option and have established or planning to establish a HSA..
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Streamline Automatic Reimbursement Enrollment: No form required. To authorize or cancel this service, submit a request to HR Connections.
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Flexible Spending Direct Deposit Reimbursement Enrollment: No form required. Available to employees who have their paychecks on direct deposit. To authorize or cancel, submit your request to HR Connections.
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Health Forms - Current Employees
Matching Gift Plan for Contribution to Education in 2005 and Beyond - Current Employees
As of June 1, the employee contribution programs are online. The guidelines and application are accessible as follows:
Please contact Rhea King at 918-661-4839 for assistance.
- Medical claim forms for Aetna enrollees can be located under "Find a Form" shortcut on the Aetna website at http://www.aetna.com/.
- Medical claim forms for Claims Trust enrollees can be located under "Forms" on The Claims Trust website at http://www.theclaimstrust.com/. Dental claim forms are not required. You may submit the bill with employee name, Social Security Number and patient name. MetLife dental claim forms are available on the MetLife website at http://www.metlife.com/ under Dental Center - Download Claim Forms.
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For 2007
- For Primary PPO and Traditional medical options, use Medco mail order and retail online at http://www.medcohealth.com. For member number, use the number printed on your Medco ID card, group number is CONPPRX. For the Medco RX Reimbursement Claim Form click here (24KB .PDF).
- For 2007 High Deductible Health Plan (HDHP) and Exclusive Provider Organization (EPO) medical options, use Aetna mail order and retail online at http://www.aetna.com. For the Aetna RX Home Delivery Order Form click here (1.37MB .PDF).
- Aetna RX Claim Form (1.37MB .PDF)
- Medco RX Claim Form (24KB .PDF)
For 2008
- For Primary PPO, Traditional, High Deductible Health Plan (HDHP), and Exclusive Provider Organization (EPO) medical options, use Medco mail order and retail online at http://www.medco.com. For member number, use the number printed on your Medco ID Card, group number is CONPPRX. For the Medco RX Reimbursement Claim Form click here (24KB .PDF).
- Medco RX Claim Form (24KB .PDF)
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QDRO (Qualified Domestic Relations Order) - Current Employees
These documents can be provided to your attorney for use in writing a QDRO that can be accepted by ConocoPhillips. If you need a Model Order for a plan not listed below or if you are not sure what plan(s) you have a benefit in, contact HR Connections at (800) 622-5501 or (718) 354-1344 (International callers).
Procedures (52KB .PDF)
Adobe Acrobat PDF Version
QMCSO (Qualified Medical Child Support Order) - Current Employees
These documents can be provided to your attorney to use by filling in the blanks on the Model as written which, without changes, should be acceptable as qualified by ConocoPhillips.
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- Find forms at Vanguard's web site at www.vanguard.com and log in. On the right side of the screen under the View menu, click “Plan rules.” A new window will open: select the “Custom Plan Info” tab.
- Register for online access to your plan at retirementplans.vanguard.com. Select "Register now," fill in your Social Security number, plan number (CPSP plan # 092538, SSP plan # 093117), birth date, and ZIP code. Create a user name and password you’ll enter each time you log on to www.vanguard.com.
- Note: After completing the registration process, you’ll have immediate access to your account. However, online transactions that involve taking money out of your account are unavailable for the first seven days after you register.
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Taxes - Current Employees
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| Retail Store: Managers, Managers-In-Training and Employees |
Beneficiary Designation - Retail Employees
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Matching Gift Plan for Contribution to Education in 2005 and Beyond - Retail Employees
As of June 1, the employee contribution programs are online. The guidelines and application are accessible as follows:
- Employees: on the home page of e-stream under "Corporate Contributions & Employee Giving Programs" (bottom left of page).
- Retirees: www.cybergrants.com/conocophillips/donor. Employee ID number is required for retirees to access the system.
QDRO (Qualified Domestic Relations Order) - Retail Employees
These documents can be provided to your attorney for use in writing a QDRO that can be accepted by ConocoPhillips. If you need a Model Order for a plan not listed below or if you are not sure what plan(s) you have a benefit in, contact HR Connections at (800) 622-5501 or (718) 354-1344 (International callers).
Procedures (52KB .PDF)
- Model Orders for Retail only
Adobe Acrobat Version
Tax - Retail Employees
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| Former Employees and Retirees |
Insurance Benefits
Retirement
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Savings
Life Insurance
Matching Gift Plan for Contribution to Education in 2008 and Beyond - Former Employees
MEDICAL PLAN - FORMER EMPLOYEES
For pre-65 non-Medicare retirees, medical claim forms for Aetna enrollees can be located under the "Find a Form" shortcut on the Aetna website at http://www.aetna.com.
For retirees with Medicare, no claim form is required. Submit the bill with the retiree's name, retiree's Social Security number or Aetna ID number, and patient name. Check your medical ID card for the address. Use the Retiree Medical: After-Tax Benefits Change in Status (2.01MB .PDF) - Form 15424-R to enroll in retiree medical benefits.
For 2007
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For Primary PPO and Traditional medical options, use Medco mail order and retail online at http://www.medcohealth.com. For member number, use the number printed on your Medco ID card, group number is CONPPRX. For the Medco RX Reimbursement Claim Form click here (24KB .PDF).
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For 2007 High Deductible Health Plan (HDHP) and Exclusive Provider Organization (EPO) medical options, use Aetna mail order and retail online at http://www.aetna.com. For the Aetna RX Home Delivery Order Form click here(1.37MB .PDF).
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For 2008
- For Primary PPO, Traditional, High Deductible Health Plan (HDHP), and Exclusive Provider Organization (EPO) medical options, use Medco mail order and retail online at http://www.medco.com. For member number, use the number printed on your Medco ID Card, group number is CONPPRX. For the Medco RX Reimbursement Claim Form click here (24KB .PDF).
- Medco RX Claim Form (24KB .PDF)
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QDRO (Qualified Domestic Relations Order) - Former Employees
These documents can be provided to your attorney for use in writing a QDRO that can be accepted by ConocoPhillips. If you need a Model Order for a plan not listed below or if you are not sure what plan(s) you have a benefit in, contact HR Connections at (800) 622-5501 or (918) 661-5500.
Procedures (52KB .PDF)
Adobe Acrobat PDF Version
Disclaimer
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