The information described in this document along with the Certificate and the Benefits at a Glance found on Cigna’s ExxonMobil Educational Landing Page constitute the Summary Plan Description (SPD) for the ExxonMobil International Medical and Dental Plan (the Plan). If there is a conflict or difference between this SPD and the ExxonMobil International Medical and Dental Plan document or the Certificate, the ExxonMobil International Medical and Dental Plan document or Certificate will govern, as applicable.
The ExxonMobil International Medical and Dental Plan is fully-funded. An insurance company collects premiums and underwrites coverage. Please contact Cigna for further details. ExxonMobil is responsible for determining the rules of eligibility for the Plan. Please contact ExxonMobil Benefits Service Center about the participation rules described in this SPD.
When you need information, you may need to contact one or more of the following sources.
For copy of the Certificate:
To obtain a copy of the Certificate, log in into www.cignaenvoy.com. Certificate can be found under the Announcements section on the Home page.
You can always request a copy of the Certificate by contacting Cigna Global Service Center at the numbers described below.
For claims administration:
Contact Cigna for pharmacy, medical/surgical, behavioral health and substance abuse claims forms, claims payment and other claims inquiries.
Refer to the Certificate or Benefits at Glance documents for those services that may require prior authorization.
Phone numbers and website:
Cigna Global Service Center
- Collect (outside the U.S.): 001.302.797.3100
- Toll Free (within the U.S. and Canada): 1.800.441.2668
Available 24 hours a day, 7 days a week
You can search for network providers through www.cignaenvoy.com.
Customer Service Representatives can provide specialized assistance.
ExxonMobil Benefits Service Center
Monday – Friday 7:00 a.m. to 5:00 p.m.
(Central Time), except certain holidays
or 800-TDD-TDD4 (833-8334) for hearing impaired
ExxonMobil Benefits Service Center
P. O. Box 18025
Norfolk, VA 23501-1867
ExxonMobil sponsored sites:
- Employee Connect, the Human Resources Intranet Site — Can be accessed at work by employees.
- ExxonMobil Family, the Human Resources Internet Site — Can be accessed by everyone at www.exxonmobilfamily.com.
The ExxonMobil International Medical and Dental Plan is available for regular U.S. expatriates and U.S. impatriates and their eligible dependents. Medical coverage under this plan is provided through Cigna Health and Life Insurance Company.
Medical benefits provide coverage for care inside the United States (in-network and out-of-network) and internationally (outside the United States), including medical/surgery, mental health and substance use disorder, prescription drugs, telehealth and vision.
Dental plan is optional and includes diagnostic, preventive services and treatments, as applicable.
Plan at a glance
All regular full-time or part-time U.S. expatriates and U.S. impatriates and eligible dependent(s) under the ExxonMobil expatriate guidelines will be automatically enrolled in the ExxonMobil International Medical and Dental Plan. See Eligibility and enrollment.
There’s no paperwork for in-network care. Show your ID card and pay your share of the cost, if any; your provider will submit a claim to Cigna for reimbursement. Out-of-network and international claims can be submitted by the provider if the provider is able and willing to file on your behalf. It may be helpful to direct providers to the Cigna Global phone number for confirmation of coverage and enrollment. If the provider is not submitting on your behalf, you must send your completed claim form and itemized bills to the claims address listed on the claim form.
You may get the required claim forms at www.cignaenvoy.com.
You and your eligible dependents who lose eligibility may continue medical coverage for a limited time under certain circumstances. See Continuation coverage section.
Administrative and ERISA information
The Plan is subject to rules of the federal government, including the Employee Retirement Income Security Act of 1974, as amended (ERISA), not state insurance laws. See Administrative and ERISA information.
For words and phrases defined in this SPD, see the Certificate.
Key features and available benefits under the ExxonMobil International Medical and Dental Plan are included in the Certificate.