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Cigna OAPIN Network Only option

Summary plan description of the ExxonMobil Retiree Medical Plan - Cigna OAPIN Network Only option as of January 2021

This is your guide to the benefits available through the ExxonMobil Retiree Medical Plan Cigna Open Access Plus-In Network (OAPIN) Network Only option (Cigna or Cigna option), administered by Cigna Health and Life Insurance Company (CHLIC). Please read it carefully and refer to it when you need information about how the Cigna option works, to determine what to do in an emergency situation, and to find out how to handle service issues. It is also an excellent source for learning about many of the special programs available to you as a plan participant.

If you cannot find the answer to your question(s) in the guide, call the Cigna Customer Service toll-free number on your ID card.

Tips for new plan participants

  • Keep this guide where you can easily refer to it.
  • Keep your ID card(s) in your wallet.
  • Keep your Primary Care Physician’s name and number readily accessible.
  • Emergencies are covered anytime, anywhere, 24 hours a day.

Important information

THIS IS NOT AN INSURED BENEFIT PLAN. THE BENEFITS DESCRIBED IN THIS BOOKLET OR ANY RIDER ATTACHED HERETO ARE FUNDED BY CONTRIBUTIONS MADE BY PARTICIPANTS AND PARTICIPATING EMPLOYERS RESPONSIBLE FOR BENEFIT PAYMENTS. CIGNA HEALTH AND LIFE INSURANCE COMPANY (CHLIC) PROVIDES CLAIM ADMINISTRATION SERVICES TO THE CIGNA OPTION, BUT CHLIC DOES NOT INSURE THE BENEFITS DESCRIBED.

Cigna offers access to care from participating in network physicians and facilities. You are encouraged to choose a Primary Care Physician (PCP) to coordinate your care, and pay either a copayment or coinsurance (your portion of the charges) for most services, up to an annual out-of-pocket maximum. You don't have to complete a claim form. 

References in this document to "Cigna" refer to Cigna Health and Life Insurance Company (CHLIC), a subsidiary of Cigna Corporation.

Information sources

When you need information, you may contact:

Phone numbers:

Cigna Customer Service
800-818-9440
Available 24 hours a day, 7 days a week

Address:

Cigna
P. O. Box 182223
Chattanooga, TN 37422-7223

You can search for network providers through Cigna.com or by logging into MyCigna.com.

Benefits Administration - References to Benefits Administration throughout this SPD pertain to the ExxonMobil Benefits Service Center. Contact the Benefits Service Center for benefits administration information, including enrollment and eligibility inquiries.

Phone numbers:

ExxonMobil Benefits Service Center  
800-682-2847
Monday – Friday 8:00 a.m. to 6:00 p.m. (U.S. Eastern Time), except certain holidays

800-TDD-TDD4 (833-8334) for hearing impaired

www.exxonmobil.com/benefits

Address:

ExxonMobil Benefits Service Center
P.O. Box 18025
Norfolk, VA 23501-1867

You can also access plan information on ExxonMobil Family, the Human Resources Internet Site at www.exxonmobilfamily.com.

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