Chevron Loyalty Offer - Chevron Auto Club

premier – the chevron auto club membership plan ...that upon active enrollment earns 500 points for our valued Chevron Texaco Rewards members

More than a simple roadside assistance plan, a Chevron Auto Club® membership helps deliver peace of mind at prices designed to fit your budget. The premier plan is packed with valuable benefits that go to work for you and your family.

premier

features

dispatch towing
up to 50 miles

towing/roadside service reimbursement (per occurrence)
up to $125

accidental loss-of-life insurance*(1)
$20,000 - member and spouse

mechanical and collision repair assistance
yes

trip interruption expense reimbursement
up to $1000

emergency medical transportation reimbursement
up to $500

annual membership dues (starting at)
$81.00 per year

product details

Sign up today to become a Premier member and receive comprehensive travel benefits including 24/7 emergency towing, mechanical and collision repair, hotel savings, $20,000 accidental loss of life coverage and more.

Choose the insurance coverage that fits your needs
Chevron Auto Club Premier membership includes two categories of Accidental Loss of Life Insurance Coverage at affordable group rates. No health questions. No medical examination. Full details of coverage limitations and exclusions will be provided with your membership kit. The availability of this offer may change; not available in all states.

premier membership
category	annual dues	premier membership applied to	accidental loss of life for member	accidental loss of life for spouse	accidental loss of life for children
1C.1	$81.00	member and spouse	$20,000	$20,000	n/a
1C.2	$96.00	member, spouse, children	$20,000	$20,000	$20,000

exclusions
The Group Policy does not cover loss of life caused by or resulting from: A. Intentionally self-inflicted injuries, suicide, self-destruction or any attempt thereat, while sane or insane; B. Declared or undeclared war, or any act thereof; C. Travel or flight in any vehicle or device for: (1) Navigation beyond the earth’s atmosphere, or (2) Aerial navigation, including boarding or alighting therefrom: a. While being used for any test or experimental purpose, or b. While operating, learning to operate or serving as a member of the crew thereof, or c. While being operated by, or for, or under the direction of any military authority except any transport aircraft operated by or for the Air Mobility Command (AMC) of the United States of America or by the similar air transport service of any other country; D. Hernia of any kind, except as a result of an accident; E. Illness, disease, pregnancy, childbirth, miscarriage, or any bacterial infection not occurring in consequence of an accidental cut or wound; being legally intoxicated or under the influence of any narcotic, barbiturate or hallucinatory drug unless administered under the advice of a licensed physician and taken in accordance with the prescribed dosage.

Coverage for the Member will continue as long as dues are paid, until the Group Policy is terminated or the date you are no longer a Chevron Auto Club Premier member, whichever occurs first. Coverage for Covered Dependents will end when your coverage ends or they no longer qualify. Terms and conditions of coverage are set forth in The Group Policy issued by the Life Insurance Company of North America to the Chevron Auto Club (Policy Number GA5144-B, Rev. 1/02). Additional information is contained in the Certificate of Insurance issued to persons enrolling in the plan. The availability of this offer may change. Offered and underwritten by the Life Insurance Company of North America as a service to Chevron Auto Club Premier Members.

*A Member shall have their benefits reduced by 50% upon becoming age 75 and another 50% upon becoming age 80. A Member who has attained membership at age 75 or age 80 shall immediately have their benefit reduced to the amount applicable to their attained age.

**Eligible Children: The Member’s unmarried child (includes stepchild, legally adopted and foster children) who lives at the same permanent address as the Member, who is dependent on the Member for support and who is under age 21 or who is under 23 and is a full-time student at an accredited school or college. If, while insured, an injury of a Member or Covered Dependent results in loss of life within 365 days of the date of the accident that caused the injury, the full benefit stated in the applicable membership category will be paid.

You must enroll in the Chevron Auto Club ‘Premier’ annual program, be a Chevron Texaco Rewards (CTR) program member, and have a valid CTR member account to earn points. Each member account may earn only one 500-point reward for enrolling in Chevron Auto Club ‘Premier’ annual program. By entering your phone number, you agree that CT Auto Club, Inc. may provide your phone number to Chevron and any CTR program administrator for the sole purpose of reporting your points. CT Auto Club, Inc. will not use your phone number for any other purpose. Please allow 7 business days to receive earned points in your Chevron Texaco Rewards member account. Message and data rates may apply. See chevrontexacorewards.com for details.

membership desired

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personal information

first name*

last name*

date of birth*

email address*

street address*

city*

state*

zip code*

phone*

*required field

Dependents

Spouse First Name

Last Name

Date of Birth*

Eligible Children

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

Child's First Name

Last Name

Date of Birth*

billing terms available*

annually

I agree to the billing terms and conditions*

see billing terms & conditions

credit card information

credit card* name on credit card* Enter the name that appears on your credit card or billing statement. credit card number* Enter the account number that appears on your credit card or billing statement. Do not include dashes or spaces.

expiration month*

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CHEVRON, TEXACO, Chevron Auto Club , Chevron Texaco Rewards and the respective Logos and REWARDS Lockups, and TECHRON are registered trademarks of Chevron Intellectual Property LLC.
CT Auto Club, Inc. support center contact: 1-800-222-0585.
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