Benefit claims
Benefit claims for the ExxonMobil Disability Plan
All benefit claims must be filed within one year of the date of loss.
Short-Term Disability Claims:
A claim must be filed in writing to your human resources contact for short-term disability benefits.
Long-Term Disability Claims
Alight is the Claims Administrator for the Long-Term Disability benefits under the ExxonMobil Disability Plan.
Toll-free number (855) 250-4170.
PO Box 299093
Lewisville, TX 75029-9093
Initial Claim Review and Decision
The Claim Administrator will review your claim and respond to you within a reasonable period of time, normally within 45 days after receiving your claim. If your claim is denied completely or partially, you or your beneficiary will receive written notice of the decision. The notice will describe:
- The specific reasons for the denial,
- Any additional information or material that is needed to validate the claim and the reason that information is required, and
- The process for requesting an appeal.
If the Claims Administrator needs additional time to decide on your claim because of special circumstances, you will be notified in written prior to the commencement of the extension. In such event, the decision will be made no later than 105 days after your claim was initially received.
How to Appeal an Adverse Benefit Determination
If your claim is denied, you, your beneficiary or your designated representative may appeal the denial the corresponding Claims Administrator. The Plan provides for two levels of appeals.
Filing a Mandatory Appeal
The written appeal should include the reasons why you believe the benefit should be paid and information that supports, or is relevant to, your claim (written comments, documents, records, etc). The written appeal may also include a request for reasonable access to, and copies of, all documents, records and other information relevant to your claim. Your written appeal should be made within 180 days after you receive any denial notice. The review will take into account all comments, documents, records and other information submitted relating to the claim, without regard to whether such information was submitted or considered in the initial benefit determination. You will receive a response to the appeal within 45 days.
If additional time is needed to decide your claim because of special circumstances, you will be notified within the 45-day claim response period.
If the appeal is denied, you will receive written notice of the decision. The notice will set forth:
- The specific reason(s) for the denial and the Plan provisions upon which the denial is based.
- A statement that you are entitled to receive, upon request and free of charge, reasonable access to, and copies of, all documents, records and other information relevant to the claim.
- A statement of the voluntary appeal procedure and your right to obtain information about such procedure or a description of the voluntary appeal procedure.
- A statement of your right to bring an action under section 502(a) of the Employee Retirement Income Security Act (ERISA).
Filing a voluntary appeal
If your appeal is denied, you may submit a voluntary appeal to the Administrator-Benefits. New information pertinent to the claim is required for the voluntary appeal to be considered. You must submit your voluntary appeal within 30 days of the denial of your mandatory appeal. The statute of limitations or other defense based on timeliness is suspended during the time that a voluntary appeal is pending.
You will be notified within 15 days after your request was received that such information was considered or is not pertinent. If it is determined that there is new relevant information, a decision will be made within 60 days after the Administrator-Benefits receives your request for a voluntary appeal. If it is determined that there is no new information pertinent to your claim, your voluntary appeal will not be considered.
For appeals:
ExxonMobil Benefits Service Center
Dept 02694
P.O. Box 64116
The Woodlands, TX 77387-4116
For service of legal process:
ExxonMobil Benefits Service Center
Dept 02694
P.O. Box 64116
The Woodlands, TX 77387-4116
You will receive a written response to your appeal within 60 days after your appeal is received unless unusual circumstances determined by the Administrator-Benefits require an additional 60 days to complete the review.