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Key Terms
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Key Terms |
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Barred Employee
An employee who is covered by a collective bargaining agreement
except to the extent participation is provided under such agreement.
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Care Manager
Magellan Health Services, the firm that arranges for and provides counseling
services through the ExxonMobil Employee Health Advisory Program.
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Dependent Child
A natural or legally adopted child of a regular employee or retiree;
- A grandchild, niece, nephew, cousin, or other child related by blood or marriage
over whom a regular employee, retiree, or the spouse of a regular employee or retiree (separately or together) is
the sole court appointed legal guardian or sole managing conservator;
- A child for whom the regular employee or retiree has assumed a legal obligation for support
immediately prior to the child's adoption by the regular employee or retiree; or
- A stepchild of a regular
employee or retiree if the child is residing with the regular employee or retiree. For this purpose, a
child is considered to be residing with a regular employee or retiree if the child's permanent residence
is considered to be the residence of the regular employee or retiree. Child does not include a
foster child.
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Eligible Dependents
Family members eligible for coverage are your dependents, including:
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Spouse. |
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Child who: |
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is unmarried, |
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is not employed on a regular and full time basis, and |
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is described in any one of the following paragraphs (1) through (3): |
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has not reached the end of the month during which age 25 is attained,
provided the child is chiefly dependent upon the regular employee or retiree for support
and maintenance; or |
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is totally and continuously disabled and incapable of self-sustaining
employment by reason of mental retardation, physical handicap, or mental illness due to
psychosis or severe behavioral health disorder, provided the child: |
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is chiefly dependent upon the regular employee or retiree for
support and maintenance,
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| (b) |
either
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(1)
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| was, or would have been, covered as an eligible dependent under this Plan immediately
prior to the birthday on which the child's eligibility would have otherwise ceased, or |
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(2)
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was covered as an eligible dependent under a predecessor plan which provided for
coverage of disability due to mental illness, if the mental illness occurred prior to the
birthday on which the child's eligibility under that plan would have otherwise
ceased, the child continued to be considered eligible for coverage because of such
mental illness and the child had not lost eligibility under the predecessor plan; |
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| (c) |
the child is disabled before such birthday and has remained continuously disabled, and
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| (d) |
if the child was disabled by reason of mental illness, is also:
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(1)
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| receiving treatment in an acute care or residential inpatient facility; |
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(2)
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receiving treatment as day treatment, in a group house or in a therapeutic halfway house; or |
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(3)
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receiving treatment under the care of a psychiatrist in a treatment plan which has been
approved through case management under this Plan; or |
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the child is recognized under a qualified medical child support order as having a right to
coverage under this Plan; or |
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A child who was disabled by reason of mental illness but who no longer meets the requirements of
paragraphs (a) or (d) of paragraph (2) above ceases to be an eligible dependent 300 days following the
date on which the applicable requirement is not met.
- If the child was disabled by reason of severe mental illness and is receiving treatment:
- In an acute care or residential inpatient facility; or
- As day treatment, in a group house, or in a therapeutic halfway house; or
- Under the care of a psychiatrist.
Please note: An eligible employee or retiree's parents are not eligible to be covered.
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Eligible Employees
Most U.S. dollar-paid employees of Exxon Mobil Corporation and participating affiliates. Full-time employees
not hired on a temporary basis (also called "regular employees") are eligible their first day of employment.
This includes an employee who under the employer's policies is either approved for a part-time regular work
arrangement or is designated by the employer as an extended part-time non-regular employee.
Other than explained above, leased employees employees classified as "non-regular employees",
barred employees or special agreement persons are not eligible to participate in this Plan.
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Extended Part-time Employee
An employee who is classified as a non-regular employee, but who has been designated as an extended part-time (enhanced non-regular)
employee under his or her employer's employment policies relating to flexible work arrangements.
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Qualified Medical Child Support Order
A Qualified Medical Child Support Order (QMCSO) is a court decree under
which a court order mandates health coverage for a child.
A QMCSO must include, at a minimum:
- Name and address of the employee covered by the
health plan.
- The name and address of each child for whom coverage
is mandated.
- A reasonable description for the coverage to be
provided.
- The time period of coverage.
- The name of each health plan to which the order
applies.
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Regular Employee
Full-time employees at ExxonMobil Corporation or participating affiliates who
are not hired on a temporary basis. Regular employees include employees designated by their employer as part-time regular.
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Special-Agreement Person
Generally, a person paid on a commission or commission salary
basis other
than a person paid while employed by the Marketing department of ExxonMobil;
an employee providing service to a non-affiliated organization that pays the
person's salary or wages; or an employee working pursuant to an agreement
that specifically excludes the person from coverage for benefits.
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Spouse; Marriage
All references to a spouse, to a married person or to a marriage
shall refer to spouses or marriages within the meaning of the federal
laws of the United States.
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