Administrative and ERISA information
Administrative and ERISA information for the Family Adjustment, Family Income and Contributory Group Life Insurance Plans
This section contains technical information about the ExxonMobil Life Insurance Program which includes the Family Adjustment Plan, the Family Income Plan and the Contributory Group Life Insurance Plan. It also contains a summary of your rights with respect to the plan and instructions about how you can submit an appeal if your claim for benefits is denied.
The formal name of the plan is The ExxonMobil Life Insurance Program
Plan sponsor and participating affiliates
The ExxonMobil Life Insurance Program is sponsored by:
Exxon Mobil Corporation
5959 Las Colinas Blvd.
Irving, Texas 75039-2298
All of Exxon Mobil Corporation's divisions and most of the major U.S. affiliates participate in the ExxonMobil Life Insurance Program. A complete list of participating affiliates is available from the Administrator-Benefits upon written request.
Certain employees covered by collective bargaining agreements do not participate in the plan.
The Plan Administrator for the ExxonMobil Life Insurance Plan is the Administrator-Benefits. The Administrator-Benefits is the Manager-Global Benefits Design, Exxon Mobil Corporation. You may contact the Administrator-Benefits as follows:
For appeals on eligibility and uninsured death benefits:
P.O. Box 18025
Norfolk, VA 23501-1867
Legal process may be served upon the Administrator-Benefits c/o Exxon Mobil Corporation by serving the Corporation's Registered Agent for Service of Process, Corporation Service Company (CSC).
For service of legal process:
Corporation Service Co.
211 East 7th Street, Suite 620
Austin, Texas 78701-3218
Type of plan
The ExxonMobil Life Insurance Program is a welfare plan providing life insurance benefits as well as uninsured death benefits.
The ExxonMobil Life Insurance Program is identified with government agencies under two numbers: The Employer Identification Number (EIN), 13-5409005 and the Plan Number (PN), 624.
The plan year is January 1 through December 31.
Benefits are funded through employee and employer contributions.
Claims processor and claims fiduciary
The insurance company has fiduciary responsibility for all insured benefits under the plans. The Administrator-Benefits is the claims processor and the claims fiduciary for uninsured death benefits under the Family Adjustment Plan and Family Income Plan.
If the plans are amended or terminated
The company reserves the right at any time and for any reason to terminate, suspend, withdraw, amend or modify any benefit plan or its provisions. If the plan is terminated, any benefit to which you are entitled at the time of termination will be provided. Thus, termination of a life insurance or death benefit plan would end protection in the event of death thereafter.