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Dental Plan
Summary plan description of the ExxonMobil Dental Plan as of January 2024
About the ExxonMobil Dental Plan
This summary plan description (SPD) is a summary of the ExxonMobil Dental Plan (the Plan or EMDP). It does not contain all the Plan details. In determining your specific benefits, the full provisions of the formal documents, as they exist now or as they may exist in the future, always govern. You may obtain copies of these documents by making a written request to the Administrator-Benefits. ExxonMobil reserves the right to change benefits in any way or terminate any benefit at any time.
The Dental Plan is self-funded. There is no insurance company to collect premiums or underwrite coverage. Instead, contributions from you and ExxonMobil pay all benefits. Prior claims experience and forecasted expenses are used to determine the amount of money needed to pay future benefits. These options are governed by federal laws, not by state insurance laws.
Notice: The Dental Plan is an excepted benefit under Patient Protection Affordable Care Act (PPACA) and is not minimum essential coverage. Since it is not minimum essential coverage, you may not treat it as required coverage when filing your U.S. Federal Income Tax return.
Applicability to represented employees is governed by collective bargaining agreements and any local bargaining requirements.
Information sources
When you need information, you may contact:
Claims and dental Preferred Provider Organization (PPO) administrator
Provides claim payment information, Aetna Dental PPO provider and claim forms.
Phone numbers:
Aetna Member Services
800-255-2386 OR
210-366-2416 (international, call collect)
Monday - Friday 8:00 a.m. to 6:00 p.m. (Central Time), except certain holidays
Automated Voice Response - 24 hours a day, 7 days a week
Address:
Aetna
P. O. Box 14094
Lexington, KY 40512-4094
To visit Aetna’s website: www.aetna.com
Benefits Administration
Participants can enroll/change benefits on this portal and benefit representatives can provide specialized assistance.
Your Total Rewards portal (digital.alight.com/exxonmobil)
Alight Mobile app (available through Apple App Store or Google Play)
References throughout this guide refer to the ExxonMobil Benefits Service Center
Phone numbers and Addresses:
ExxonMobil Benefits Service Center
Monday – Friday 8:00 a.m. to 4:00 p.m.
(Central Time), except certain holidays
Toll-Free: 1-833-776-9966
ExxonMobil Benefits Service Center
DEPT 02694
PO Box 64116
The Woodlands, TX, 77387-4116
ExxonMobil Sponsored Sites - Access to plan-related information including claim forms for employees, retirees, survivors, and their family members.
- EM Connect - can be accessed at work by employees (goto/emconnect).
- ExxonMobil Family, the Human Resources internet site - can be accessed from home by everyone at www.exxonmobilfamily.com.
- Your Total Rewards portal - can be accessed from home by everyone
Aetna does not render dental services or treatments. Neither the Plan nor Aetna is responsible for the services that are delivered by providers participating in the Aetna Dental PPO and those providers are solely responsible for the dental services they deliver. Providers are not the agents nor employees of the Plan or Aetna.