About the Life Insurance Plan
This summary plan description (SPD) is a summary of your benefits under the ExxonMobil Life Insurance Plan. It does not contain all plan details. In determining your specific benefits, the full provisions of formal plan documents and the insurance certificates, as they exist now or as they may exist in the future, always govern. You may obtain copies of these documents by making a written request to the Administrator- Benefits.
Applicability to represented employees is governed by collective bargaining agreements and any local bargaining requirements.
Some employees and retirees may have some or all of their life coverage provided under the terms of the Family Adjustment and Family Income Plans. Refer to the January 1, 2015, summary plan description for the Family Adjustment, Family Income and Contributory Life Insurance plans.
When you need information, you may contact:
Benefits Administration — Customer Service Representatives can provide specialized assistance. References to Benefits Administration throughout this SPD pertain to either ExxonMobil Benefits Administration or ExxonMobil Benefits Service Center as listed below. Depending on your status (employee, retiree, or survivor), you should contact the appropriate service center.
Employees can enroll/change benefits on the ExxonMobil Me HR Intranet site through Employee Direct Access (EDA) when a change in status occurs. Enrollment forms are also available through ExxonMobil Benefits Administration for those without access to EDA.
ExxonMobil Benefits Administration
Monday – Friday 8:00 a.m. to 3:00 p.m.
(U.S. Central Time), except certain holidays
800-262-2363 (toll free outside Houston)
ExxonMobil Benefits Administration
P.O. Box 64111
Spring, TX 77387-4111
Retirees and survivors call:
ExxonMobil Benefits Service Center
Monday – Friday 8:00 a.m. to 6:00 p.m.
(U.S. Eastern Time), except certain holidays
ExxonMobil Benefits Service Center
P.O. Box 18025
Norfolk, VA 23501-1867
or 800-TDD-TDD4 (833-8334) for hearing impaired
MetLife – Metropolitan Life Insurance Company (MetLife) issues the insurance policy for participant-paid insurance, Group Universal Life (GUL), and answers questions about the Special Benefits features of Voluntary Accidental Death and Dismemberment Insurance.
AXA assistance USA, Inc (AXA) – Answers questions about the Emergency Travel Assistance Services features of Voluntary Accidental Death and Dismemberment Insurance.
800-454-3679 (toll free)
CGLIC --- Connecticut General Life Insurance Company issues the insurance policy for company-paid insurance and provides the conversion policy if your Basic Life insurance coverage ends.
800-238-2125 (toll free)
Cigna Secure Travel – Although not a Benefit provided under the ExxonMobil Life Insurance Plan, Cigna offers Emergency Travel Assistance Services. For more information contact Cigna Secure Travel.
888-226-4567 (from the U.S. and Canada)
202-331-7635 (from other locations)
ExxonMobil sponsored sites – Access to plan-related information for employees, retirees, and their family members.
- ExxonMobil Me, 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.
- Retiree Online Community Internet Site — Can be accessed by retirees and survivors only at www.emretiree.com.
- ExxonMobil Benefits Service Center Internet Site — Can be accessed by everyone at www.exxonmobil.com/benefits.
The ExxonMobil Life Insurance Plan provides benefits in the event of your death and for certain accident-related injuries. You make no contributions for Basic Life Coverage and Basic Accidental Death and Dismemberment Insurance. Active employees may participate in Group Universal Life Insurance and Voluntary Accidental Death and Dismemberment Insurance by enrolling and making contributions.
To help you find specific information quickly and easily, this SPD includes these helpful tools:
- Plan at a glance, a quick user's guide highlighting plan basics.
- Charts and tables providing information, examples, highlights of plan provisions, etc.
- A list of Key terms containing definitions of some words and terms used in this SPD.
A careful reading of this SPD will help you understand how the life and accidental death and dismemberment benefits work so you can make the best use of the plan provisions. You may obtain additional information through the sources shown in the Information sources section.
Plan at a glance
You are automatically covered on the first day of active employment as a regular employee by Basic Life Insurance and Basic Accidental Death and Dismemberment Insurance. In addition, you may enroll for Group Universal Life Insurance and Voluntary Accidental Death and Dismemberment Insurance. See Eligibility and enrollment.
Basic Life Coverage
This company-provided benefit is paid to your beneficiary in the event of your death. At your election, coverage can be provided through life insurance or as an uninsured death benefit. See Basic Life Coverage.
Basic Accidental Death and Dismemberment (Basic AD&D) Insurance
This company-provided benefit is paid to your beneficiary if you die as the result of an accident. It also pays a benefit to you for certain accidental injuries. See Basic Accidental Death and Dismemberment Insurance.
Group Universal Life (GUL) Insurance
If you want more than the company-provided Basic Life Coverage, you may purchase additional amounts of insurance. The benefit from this coverage is paid to your beneficiary. See Group Universal Life Insurance.
Voluntary accidental death and dismemberment (voluntary AD&D) insurance
If you want more than the company-provided accidental death and dismemberment coverage, you may purchase additional amounts of insurance that will be paid to your beneficiary in the event of your accidental death. It also pays an additional benefit to you in the event of certain accidental injuries. See Voluntary Accidental Death and Dismemberment Insurance.
Choosing a beneficiary
The Plan provides a default list of beneficiaries. If the default list does not meet your needs, you may name a beneficiary or beneficiaries. See Choosing a beneficiary.
Certain coverages continue if you are a retiree. See Retiree coverage.
Administrative and ERISA information
This Plan is subject to rules of the federal government, including the Employee Retirement Income Security Act of 1974, as amended (ERISA). See Administrative and ERISA information.
This is an alphabetized list of words and phrases, with their definitions, used in this SPD. See Key terms.
Eligibility and enrollment
Eligibility and enrollment details for the ExxonMobil Life Insurance Program
Q. Who is eligible to participate in the Life Insurance Program?
A. Most U.S. dollar-paid regular employees of Exxon Mobil Corporation and participating affiliates are eligible. For details, see Eligible Employee in the Key terms section. In addition, certain retirees as described below are eligible for coverage:
- Anyone who becomes an ExxonMobil retiree after January 1, 2000, and on or before December 1, 2015, and
- An employee participating in the plan as of December 1, 2015, who is at least 50 years of age with at least 10 years of benefit service, and becomes a retiree after December 1, 2015.
Employees participating in the Exxon Family Adjustment and Family Income Plan or participating in the Executive Life Insurance/Death Benefit Plan are not eligible for Basic Life Coverage.
You do not enroll for Basic Life Coverage and Basic Accidental Death and Dismemberment Insurance — eligible employees are automatically covered on the first day of active employment. For Basic Life Coverage, you may elect a death benefit instead of life insurance (see Life insurance compared with death benefit).
If you want additional life insurance coverage at group rates, you may enroll in Group Universal Life Insurance. You may also purchase additional accidental coverage through Voluntary Accidental Death and Dismemberment Insurance.
You can enroll in either coverage by using Employee Direct Access (EDA) available on the ExxonMobil Me HR Intranet site. Enrollment forms are also available from Benefits Administration for those individuals who do not have access to EDA. If you enroll in Group Universal Life Insurance within 31 days of your first day of active employment, you can do so without evidence of insurability. You can enroll in Voluntary Accidental Death and Dismemberment Insurance at any time and no evidence of insurability is required. The effective date of your coverage will be the date your election is made on EDA or the date your form is received by Benefits Administration.
Basic Life Coverage
Basic Life Coverage on the ExxonMobil Life Insurance Program
Q. What benefit does the company provide?
A. The company pays the full cost of your Basic Life coverage. The maximum benefit is two times your annualized monthly benefit pay. If you die as the result of an accident, additional benefits may be paid. (See Basic Accidental Death and Dismemberment Insurance.)
Benefits are paid if you die as an employee or retiree eligible for coverage. As an employee, if you have a pay change your coverage is based on your annualized monthly benefit pay beginning the first full month after the change, rather than effective with the pay change. The benefit amount is 200% of your annualized monthly benefit pay as an employee.
The Benefit amount for retirees after January 1, 2000, and on or before December 1, 2015, is shown below:
|Attained Age||Years of Service||% of Annualized Monthly Benefit Pay|
|Less than 65||15 or more||150%|
|73 and 3 months||Any||50%|
Note: Beginning at age 65, the benefit reduces monthly on a pro-rata basis. Employees with less than 15 years of benefit service, but who separated with retiree status, have 150% of annualized monthly benefit pay at age 55.
The Benefit amount for all other retirees eligible for coverage is 150% of annualized monthly benefit pay for five years after retirement. An eligible retiree was an employee participating in the plan as of December 1, 2015, who was at least 50 years of age with at least 10 years of benefit service, and becomes a retiree after December 1, 2015.
Life insurance compared with death benefit
You may choose to have Basic Life coverage in the form of an insurance benefit or an uninsured death benefit. The benefit amount is exactly the same.
The difference between the two types of benefits is their treatment under state inheritance federal estate, and income tax laws.
You may change from life insurance to an uninsured death benefit at any time, and the change is effective the first of the month following the date your properly completed election form is received by Benefits Administration.
To change from the death benefit to the life insurance option, you must provide evidence of insurability and meet Cigna's underwriting requirements. Your change will become effective the first of the month following the date Benefits Administration receives notification that Cigna has approved the evidence of insurability.
You will be covered under life insurance unless you specifically elect death benefit coverage.
Life insurance proceeds paid to your beneficiary are not subject to federal and local income tax. Life insurance proceeds may, however, be subject to federal estate taxes.
While you are alive, you are taxed on the "value" of any company-provided life insurance coverage over $50,000. The "value" is determined by your age and a schedule established by the Internal Revenue Service (IRS). This tax liability is based on an "imputed income" calculation. This imputed income is included in your gross wages and on Form W-2 at the end of the calendar year.
The following table shows the imputed income amount for each $1,000 of company provided Basic Life Insurance:
|5-Year Age Bracket||Monthly Rates|
|Under 25||$ 0.05|
|25 to 29||.06|
|30 to 34||.08|
|35 to 39||.09|
|40 to 44||.10|
|45 to 49||.15|
|50 to 54||.23|
|55 to 59||.43|
|60 to 64||.66|
|65 to 69||1.27|
|70 and above||2.06|
Annual imputed income
This table shows sample imputed income amounts for ages 40 and higher based on $120,000 insurance, less the $50,000 exclusion.
|5-Year Age Bracket||Annual Imputed Income|
|Under 25||$ 42|
|25 to 29||$ 50|
|30 to 34||$ 67|
|35 to 39||$ 76|
|40 to 44||$ 84|
|45 to 49||$ 126|
|50 to 54||$ 193|
|55 to 59||$ 336|
|60 to 64||$ 554|
|65 to 69||$ 1,067|
|70 and above||$ 1,730|
Uninsured death benefit
If you choose the uninsured death benefit option, the company pays your beneficiary the same amount the insurance coverage would have paid. Because there is no insurance under this option, there is no imputed income for federal income tax purposes. However, the proceeds paid to your beneficiary are subject to income tax and may also be subject to taxes as part of your estate.
How the benefit is paid
The uninsured death benefit is payable as a lump sum to your beneficiary. Life insurance proceeds are deposited in an interest bearing account with the insurance company and the beneficiary has the right to withdraw the proceeds as needed. In addition, the insurance company offers other settlement options such as an annuity.
When coverage ends
If you leave employment without becoming a retiree eligible for coverage, your Basic Life coverage ends:
- Thirty-one days after termination if you have the life insurance.
- Immediately if you elected the uninsured death benefit option.
- If you become a suspended retiree.
If you are terminated due to disability, coverage is extended up to one year so long as you continue to receive disability benefits under the ExxonMobil Disability Plan.
If your employment status changes from regular to non-regular employee, you are treated as if you had terminated employment without becoming a retiree. Non-regular employees include extended part-time (enhanced non-regular) employees.
If you become a retiree eligible for coverage after December 1, 2015, your Basic Life coverage ends 5 years from your retirement date.
Coverage during approved leaves of absence
- Health/Dependent Care Leave - up to 6 months.
- Military Leave - continues for the length of the leave.
- Personal Leave: up to 12 months. However, when a Personal leave is used to extend a Health Dependent Care leave, the maximum benefit coverage is 12 months for the combined leaves.
- Education Leave: up to 6 months.
- Civic Affairs Leave: up to 30 days.
If you have the life insurance option, you may be able to convert some of your coverage to an individual converted life policy. You must apply in writing and pay the premium to CGLIC within 31 days of the date your coverage ends (see Information sources). Evidence of insurability is not needed. You cannot convert the uninsured death benefit.
Basic Accidental Death and Dismemberment Insurance
Basic Accidental Death and Dismemberment Insurance on the ExxonMobil Life Insurance Program
Q. What happens if I die or am injured in an accident?
A. The company provides insurance for accidental death and certain accident-related injuries. The benefit amount depends on a number of factors, including whether the accident is work-related. Employees may also purchase additional coverage through Voluntary Accidental Death and Dismemberment Insurance.
You are covered by this benefit for losses that are the result of an injury which is caused by certain accidents that occur on or off the job while you are a participant. An accident is a sudden, violent, unexpected, external incident.
If you die in an accident, your beneficiary receives two times your annualized monthly benefit pay. As an employee, if you have a pay change your coverage is based on your annualized monthly benefit pay beginning the first full month after the change, rather than effective with the pay change. You receive benefits for certain physical losses which occur within one year of the accident.
- For the loss of two or more limbs or for the loss of eyesight in both eyes, the Plan pays two times your pay.
- For the loss of one hand, one foot or the eyesight in one eye, the Plan pays one times your pay.
- For the loss of a thumb or index finger, but not the whole hand, the Plan pays one-quarter of your pay.
The maximum benefit paid for an accident that is not work-related is two times your annualized monthly benefit pay.
Below is the table of Losses and Benefits.
|For loss of...||Basic AD&D pays this percentage of your coverage amount|
|Any combination of a hand, a foot or sight of one eye||100%|
|One hand by severance at or above the wrist||50%|
|One foot by severance at or above the ankle||50%|
|Sight of one eye||12.5%|
Effective for losses that occur on or after December 1, 2015, the following dismemberments are included in the coverage:
|For loss of...||Basic AD&D pays this percentage of your coverage amount|
|Hearing (both ears)||50%|
|All four fingers on same hand||25%|
|Thumb and index finger on the same hand||25%|
|All toes on same foot||25%|
Occupational accidental death
If you die in a work-related accident which would warrant workers' compensation, your beneficiary receives an additional $500,000.
There are some restrictions applicable to the payment of Basic Accidental Death & Dismemberment (AD&D) benefits. Benefits will not be paid if the death or injury results from:
- Your use of intoxicants;
- Your illegal use of stimulants, drugs or narcotics;
- Your unlawful act;
- Your willful intent to injure yourself or another except in self-defense;
- Your employment with another company or self-employment;
- Your lack of due care for the safety of yourself or your fellow workers;
- Your lack of compliance with safety regulations established by your employer; or
- War or any act of war occurring in the U.S., its territories and possessions, or in any nation of which you are a citizen or permanent resident.
No benefit is payable if death or injury results from:
- Full-time active duty in the armed forces; or
- Suicide or attempted suicide.
You or your beneficiary must notify Benefits Administration within 90 days from the date of loss in order to claim benefits. When notified, Benefits Administration will ask for the following information:
- Name and Social Security number of participant;
- The date of death or accidental injury;
- The caller's name, address, telephone number and relationship to participant; and
- Participant's spouse's name, address, Social Security number and birth date, if applicable.
Once this information is provided, CGLIC will process the claim.
Under normal circumstances, CGLIC sends written notice of its decision on the claim within 90 days after receiving the completed forms. Sometimes, more time is needed due to special circumstances. If this is the case, the determination period can be extended for up to an additional 90 days. You or your beneficiary must be notified of the reason for the delay before the original 90-day period expires. You or your beneficiary also must be given a date as to when the claims administrator expects to make a decision.
How benefits are paid
Benefits are usually paid in a lump sum to your beneficiary in the event of your death, or to you in the case of a non-fatal accident. Life insurance proceeds are deposited in an interest bearing account with the insurance company and the beneficiary has the right to withdraw the proceeds as needed. In addition, the insurance company offers other settlement options such as an annuity.
When coverage ends
All AD&D coverage ends when your employment as a regular employee ends.
Coverage is available for up to 30 days during approved Leaves of Absence.
Emergency travel assistance services
Cigna Secure Travel provides emergency medical and travel services, as well as helpful pre-trip planning assistance, when traveling 100 miles or more away from home on company business or on vacation. Services are provided through Europ Assistance USA, Inc. and include: referrals to medical facilities, emergency medical transportation, return of dependent children, visit of a family member if you are expected to be hospitalized for more than 10 days, repatriation services, emergency medical payments, emergency cash advance, legal referrals to local attorneys and assistance with lost or stolen items.
For more information about Emergency Travel Assistance Services contact Cigna Secure Travel (see Information sources).
Group Universal Life Insurance
Group Universal Life Insurance on the ExxonMobil Life Insurance Program
Q. Is additional life insurance available?
A. Yes. A regular employee may elect additional life insurance of one to five times your annualized monthly benefit pay at group rates. If you enroll within 31 days of your first day of active employment, you can do so without evidence of insurability.
Beginning December 1, 2015, you may choose coverage equal to one, two, three, four, five, six, seven or eight times your annualized monthly benefit pay rounded to the next higher $1,000. Certain employees who participate in the Executive Life Insurance/Death Benefit Plan are limited to choosing up to three times their annualized monthly benefit pay. Employees who participate in Family Adjustment/Family Income have a maximum of five times their annualized monthly benefit pay. The maximum coverage available for all employees is $10,000,000.
As an active employee, if you have a pay change your coverage is based on your annualized monthly benefit pay beginning the first full month after the change, rather than effective with the pay change.
As a retiree, you may keep your Group Universal Life coverage after retirement (please refer to Options when you retire). However, if you retire on or before December 1, 2015, your coverage level is a maximum of five times your annualized monthly benefit pay up to a maximum of $10,000,000.
If your annualized monthly benefit pay is $88,250 and you choose three times coverage, the benefit amount is:
$88,250 x 3 = $264,750
rounded to the next higher $1,000 = $265,000
Enrollment and changes
You may enroll in, change or cancel your Group Universal Life Insurance at any time using EDA. Enrollment forms are also available from Benefits Administration for those employees who do not have access to EDA.
- Enroll within 31 days of your first day of active employment, your coverage is effective as soon as your enrollment is completed on EDA or as soon as your form is received by Benefits Administration. However, payroll deductions may not begin until the first of the month following your EDA election or the receipt of the enrollment form.
- Want to increase your insurance coverage or enroll after 31 days of employment, you must provide evidence of insurability and meet MetLife's underwriting requirements. The EOI form will pop up in EDA after you choose your level of coverage. Your coverage becomes effective when your application is approved by MetLife. However, payroll deductions may not begin until the first of the month following Benefit Administration's receipt of the approval from MetLife.
- Lower your coverage, the change is effective the first of the month following the date your election form is received by Benefits Administration.
- Want to cancel your insurance coverage, coverage and payroll deductions will continue through the end of month in which your completed and signed election form is received by Benefits Administration.
Your contributions are made through payroll deduction, annuity deduction or direct payment to MetLife. If you choose to suspend payroll or annuity deductions at any time, premiums will be automatically deducted from your cash accumulation fund until it is depleted; thereafter, MetLife will send you a monthly bill for the cost of coverage.
Life insurance rates
For employees and for retirees under age 70, the monthly premiums per $1,000 of life insurance are based on age as shown in this chart:
|Under 30||$ 0.02|
Retirees with a retirement date on or before December 1, 2015, who are age 70 and older, and employees who terminate as a regular employee without retiree status are no longer eligible for this coverage under the ExxonMobil Life Insurance Plan, but may continue this coverage directly with MetLife and at rates as determined by MetLife. Retirees with a retirement date after December 1, 2015, are eligible for this coverage under the ExxonMobil Life Insurance Plan until age 95.
- Bob is 43 years old, and his annualized monthly benefit pay is $76,500. He chooses Group Universal Life Insurance of three times coverage.
- $76,500 x 3 = $229,500,
rounded to $230,000 (230,000 divided by 1,000 = 230) x $0.05 = $11.50 monthly premium
- Maria is 58 years old, and her annualized monthly benefit pay is $92,800. She chooses Group Universal Life Insurance of two times coverage.
- $92,800 x 2 = $185,600, rounded to $186,000
(186,000 divided by 1,000 = 186) x $0.25 = $46.50 monthly premium
Benefit amount and premium changes
Your benefit amount automatically changes the first of the month following the effective date of a pay change. When you have a birthday that puts you into a higher age bracket, the premium will increase the first of the month of your birthday. For example, if your birthday is July 23, your premium increases on July 1.
How the benefit is paid
The lump sum benefit is available to your beneficiary upon your death.Life insurance proceeds are deposited in an interest bearing account with the insurance company and the beneficiary has the right to withdraw the proceeds as needed. Contact MetLife to request information on additional payment options available to your beneficiary.
Benefits may be limited or denied if death results from a self-inflicted injury occurring within the first two years of enrolling in the Plan or increasing your level of coverage.
Accelerated benefit option
The Accelerated Benefits Option (ABO) protects you and your family from financial loss if you’re suffering from a terminal illness. Accelerated benefits may be payable if, as a result of an injury or illness, you are diagnosed as terminally ill with no more than six months to live. The benefit amount will generally be 80% of your GUL coverage up to a maximum of $500,000 (subject to a reduction for an outstanding cash accumulation fund loan, an administrative fee and a discount factor). The specific rules regarding your state of residence will be provided in the certificate of coverage issued to you by MetLife.
Accelerated Benefits will not be payable if:
- You have assigned your GUL insurance death benefit;
- All or a portion of your death benefit is to be paid to your former spouse as part of a divorce agreement;
- Your life expectancy is limited and you are expected to die within six months as the result of either attempted suicide or injuring yourself on purpose;
- Your insurance coverage amount is less than $10,000; or
- You are required by a government agency to request payment of Accelerated Benefits in order to apply for, obtain or keep a government benefit or entitlement, such as payment for long-term care in a skilled nursing facility.
The ABO is payable only once, and will reduce your GUL insurance coverage by the amount you receive in the payout. When you die, your beneficiary will receive the remaining balance of your GUL insurance benefit.
Cash accumulation fund
GUL is a flexible life insurance option that allows you to contribute different levels of premium over time to best meet your insurance and other financial needs. You can choose to pay only the minimum necessary to cover the current cost of insurance, or you can choose to add extra premium to a cash accumulation fund. These additional premiums are subject to certain maximums which are communicated by MetLife in the coverage certificate mailed to participants.
However, they permit you to take advantage of the investment benefits of GUL, for example, helping to fund future needs like college education expenses and retirement.
There are tax advantages associated with making after-tax contributions to the GUL cash accumulation fund:
- Contributions to the GUL cash accumulation fund earn a minimum 3% rate of interest that is guaranteed annually by MetLife.
- Money in the GUL cash accumulation fund earns a competitive rate of interest on a tax-deferred basis. All contributions made to the cash fund (whether cost of insurance amounts or extra dollar amounts) are included in the GUL certificate's cost basis. If the amount of money withdrawn exceeds the cost basis (the money paid into the GUL certificate), the owner will have a taxable gain. Federal income tax is calculated on the taxable gain amount and a 1099 Form is issued.
- At the insured's death, money in the cash fund can automatically be added to the life insurance coverage amount, possibly increasing the total benefit to the beneficiary.
Participants have a choice of how to contribute to their GUL cash fund:
- Regular contributions through payroll deduction; or
- Lump sum contributions at any time (minimum of $100) directly to MetLife.
Participants have access to the money in their cash fund - for any reason - through loans and withdrawals.
Withdrawals and loans
You may withdraw all or part of the cash in your fund, or you can take a loan on your fund for any reason. Withdrawals and loans are subject to the following:
- If you choose to withdraw a portion of your fund, it must be at least $200.
- The maximum withdrawal is the entire amount of money in the cash fund (less any outstanding loans).
- Withdrawals are limited to one per month.
- The minimum loan amount is $200.
- You may take only one loan per year, and have only one outstanding loan at a time.
- The interest rate on a loan is based on Moody's Corporate Bond Index, set back two months. The money you borrow continues to earn interest at 2% less than the loan interest charge rate.
- Loans can only be re-paid directly to MetLife, and not through payroll deductions.
- There is no time limit on loan repayment.
- Withdrawals and loans generally will be processed by MetLife within 10 business days. There may be situations where processing takes longer.
Your contributions to the cash accumulation fund are subject to limits set by the Internal Revenue Code. Exceeding these limits could affect the tax treatment of your contributions. If this happens, MetLife will notify you and suggest alternatives which are completely separate from this Plan and are not sponsored, endorsed or recommended by ExxonMobil. The alternatives separate from this Program have varying degrees of risk and are governed entirely by agreements between you and MetLife.
- Let’s look at Bob again; he is 43 years old, and his annualized monthly benefit pay is $76,500. He chooses Group Universal Life Insurance of three times coverage and his monthly premium is $11.50.
- In addition, Bob elects an additional premium of $100 per month into his cash accumulation fund through EDA. As a result, $111.50 will be deducted from Bob’s paycheck each month and deposited into his cash accumulation fund. The monthly deduction includes $11.50 which will be used to pay premiums for his GUL coverage and $100 which will be saved in his cash accumulation fund.
If you have any questions regarding the cash accumulation fund, withdrawals and loans, or contribution limits, contact MetLife (see Information Sources).
Canceling your coverage
Employees may cancel their coverage by printing and completing a form found on Employee Direct Access available on the ExxonMobil Me Intranet site or by requesting a form from ExxonMobil Benefits Administration, for those who do not have access to EDA. Any amount remaining in your cash accumulation fund (less any outstanding loans) will be returned to you. At this time, you may be responsible for paying income tax (if any) on the tax-deferred interest portion of your cash accumulation fund. For this reason, you may want to consult with your personal tax advisor first. There are no fees associated with canceling your coverage.
Options when you retire
In addition to withdrawals and loans, you have these additional options when you retire:
- Choose to Continue Your Life Coverage — You may continue to be covered under ExxonMobil Group Universal Life Insurance until age 95, however, if your retirement date is on or before December 1, 2015, your coverage will end at age 70. After you reach age 70, if you are no longer eligible to participate in the Group Universal Life option your coverage will automatically continue directly with MetLife, with premiums determined by MetLife, and your benefits will be reduced to the lesser of the current amount of the insurance (i.e., multiple of pay) or five times the value of the cash accumulation fund (minimum of $20,000). If you receive a monthly pension, your premiums are automatically deducted. If you receive no pension payment, you are billed directly by MetLife. If you do not send a payment, your premiums will be deducted from your cash accumulation fund until the fund is depleted. There is a nominal administration fee for direct billing by MetLife.
At age 95, the insurance coverage with MetLife terminates, and you will need to select a distribution option for your cash accumulation fund. MetLife will provide you with these options.
- Elect an Annuity — You can elect an annuity using all of the money in your cash accumulation fund. The minimum contribution amount is $10,000. A variety of payout options is available, including joint and survivor benefits and a life income option. Life income products provide payments for your life with a guaranteed minimum return of at least what you paid in premium. Note that when you elect an annuity, your Group Universal Life Insurance coverage ends.
- Paid-up Insurance — This is insurance that you may purchase with your cash accumulation fund. It provides a benefit (minimum of $10,000) to your beneficiary when you die. Note that when you elect paid-up insurance, your Group Universal Life Insurance coverage ends.
- Cancel Your Coverage — You may cancel your coverage by completing a form available from Benefits Administration. Retirees who elect to cancel coverage cannot re-enroll.
Options when you terminate employment
If you terminate employment as a regular employee, without becoming a retiree, you have all of the options described in the previous section. You will be contacted by MetLife regarding continuation of your coverage as a portable policy. If you choose to continue insurance with MetLife, your premiums are determined and billed by MetLife.
When coverage ends
Unless you have chosen to continue your coverage as described in Options when you retire, your Group Universal Life Insurance through ExxonMobil ends on the earliest of the following dates:
- The end of the month in which you terminate your regular employment with the company without being a retiree.
- The end of the month in which you surrender (cancel) your coverage.
- The first of the month in which a retiree whose retirement date is on or before December 1, 2015, reaches age 70.
- The first of the month in which a retiree whose retirement date is after December 1, 2015, reaches age 95.
- When you become a suspended retiree.
You may continue coverage at rates determined by MetLife on a direct-billed basis when your coverage ends as an ExxonMobil participant.
Voluntary Accidental Death and Dismemberment Insurance
Voluntary Accidental Death and Dismemberment Insurance on the ExxonMobil Life Insurance Program
Q. How does Voluntary AD&D insurance work?
A. This insurance provides benefits payable in the event of accidental death or dismemberment. These benefits are in addition to benefits payable under the Basic AD&D Insurance. Voluntary AD&D is different from Basic AD&D and also offers a number of special benefits such as emergency assistance while you are traveling.
You may elect coverage of one to eight times your annualized monthly benefit pay, rounded to the next higher $1,000. The maximum coverage is $5,000,000.
Enrollment and changes
You may enroll in or increase Voluntary AD&D any time by using EDA available on the ExxonMobil Me HR Intranet site. Enrollment forms are also available from Benefits Administration for those individuals who do not have access to EDA.
Your coverage is effective as soon as your EDA election is made or as soon as your enrollment form is received by Benefits Administration.
You may also lower or discontinue this coverage at any time. The change is effective the first of the month following the date your election is made via EDA or your form is received by Benefits Administration.
Benefit amount and premium changes
Voluntary AD&D monthly rates are $0.02 per $1,000 of coverage. Your benefit amount automatically changes effective the first of the month following a pay change.
This coverage pays benefits for death or losses resulting from an injury incurred within one year of an accident, provided the accident occurs while you are covered by this insurance. Subject to certain restrictions, benefits are paid to your beneficiary in the event of your accidental death or to you for certain accidental injuries.
The benefit paid is determined by the extent of your loss. The maximum benefit for any one accident is 100% of the amount of coverage even if you suffer more than one loss described below:
|For loss of...||Voluntary AD&D pays this percentage of your coverage amount...|
|Any combination of a hand, a foot or sight of one eye||100%|
|Quadriplegia — complete and irreversible paralysis of all four limbs||100%|
|Speech and hearing||100%|
|Paraplegia — complete and irreversible paralysis of both lower limbs||50%|
|Hemiplegia — complete and irreversible paralysis of the entire arm and the entire leg on the same side of the body||50%|
|Either hand or foot||50%|
|Sight of one eye||50%|
|Speech or hearing in both ears||50%|
|Thumb and index finger of the same hand||25%|
- Loss of a hand or foot means severance through or above the wrist or ankle joint.
- Loss of sight means total and irrevocable loss of sight.
- Loss of speech or hearing means entire ability to speak or entire ability to hear lasting continuously for 12 consecutive months.
- Loss of thumb and index finger means complete severance through or above the knuckle (metacarpophalangeal joint in both fingers).
Voluntary AD&D will pay 100% of your coverage amount for the loss of your life if:
- Loss of life results from unavoidable exposure to the elements and after one year, your body has not been found after the conveyance in which you were traveling disappeared, made a forced landing, sank or was wrecked.
- Maximum benefits under Voluntary AD&D for any single accident are $5,000,000.
Additional special benefits
Voluntary AD&D includes these additional benefits:
- Hospital benefit — Pays a benefit, if as a result of an accident, you are confined in a hospital. The benefit equals 1% of your Voluntary AD&D coverage up to a maximum monthly benefit of $2,500 — excluding the first four days and up to a maximum hospital stay of 12 months.
- Seat belt benefit — Pays an additional benefit if your death results from injuries sustained while you were driving or riding in a private passenger car and it is verified that you were wearing a properly fastened, original, factory-installed seat belt. This additional benefit equals 10% of your Voluntary AD&D coverage amount with a minimum benefit of $1,000 up to a maximum of $25,000.
- Child care center benefit — Helps pay covered child care expenses for each eligible dependent child who, on the date of the accident that resulted in your death, was 12 years of age or younger and enrolled in a licensed child care center. The benefit is an annual amount equal to the lesser of 3% of your Voluntary AD&D coverage or the actual cost of the child care center up to a maximum of $5,000 a year per child. This benefit is paid for a maximum of four consecutive years. If no dependent children qualify on the date of your death, an additional benefit of $1,000 is paid to your beneficiary.
- Education benefit for dependent children — Pays an annual amount equal to 2% of your Voluntary AD&D coverage up to a maximum of $5,000 each year for each dependent child if the child on the date of the accident that resulted in your death, was:
- Enrolled as a full-time student in a college, university or vocational school above the 12th grade level; or
- At the 12th grade level and subsequently enrolls as a full-time student in a college, university or vocational school within 365 days following the date of the accident.
This benefit is payable for up to four consecutive years as long as the dependent child remains a full-time student. If no dependent children qualify for this benefit on the date of your death, an additional benefit of $1,000 is paid to your beneficiary.
- Training benefit for a spouse — Pays a benefit if your spouse is enrolled in an accredited school for the purpose of training or refreshing skills needed for employment at the time of your death. This benefit is the actual cost incurred for enrolling for one year in the school, up to a maximum of $5,000.
Voluntary AD&D uses the following definition of “child” for these additional benefits:
- Any natural child, legally adopted child or stepchild. “Child” also means a child:
- over whom you are the sole court-appointed legal guardian or managing conservator; or
- for whom you have assumed a legal obligation for support immediately prior to the child’s adoption by you, if the child is residing with you.
Child does not include a foster child.
For more information on Special Benefits, contact MetLife (see Information sources).
Emergency travel assistance services
In addition to these special benefits, the coverage also provides emergency life travel assistance to you, your spouse and your dependent children when traveling internationally or domestically 100 miles or more from home. Services are provided through AXA Assistance USA, Inc. (AXA) and include: life consultation, hospital admission, life fly supervised transportation and emergency medication.
While most travel is covered by AXA, there are some exceptions. For example, trips over 90 days and any travel by your spouse on behalf of your spouse's employer will not be covered.
Restrictions and exclusions
The insurance does not pay if the loss results from or is caused by:
- Physical or mental illness, diagnosis of or treatment for the illness;
- An infection, unless it is caused by an external wound that can be seen and which was sustained in an accident;
- Suicide or attempted suicide;
- Injuring oneself on purpose;
- The use of any drug or medicine;
- A war, or warlike action in time of peace, including terrorist acts, unless:
- you are an innocent bystander and not a participant, or
- you sustain a Covered Loss during transport by the armed forces of any country or international authority while traveling on business for the Employer;
- Committing or trying to commit a felony or other serious crime or an assault;
- Any poison or gas, voluntarily taken, administered or absorbed;
- Service in the armed forces of any country or international authority, except service as a member of an Armed Forces organized Reserved Corp of the United States or United States National Guard;
- Operating, learning to operate, or serving as a member of a crew of an aircraft, other than serving as a pilot or crew member of an aircraft owned or leased by, or on behalf of, the employer or any subsidiary or affiliate of the employer;
- While in any aircraft operated by or under any military authority (other than the Military Airlift Command or while traveling on business for the Employer);
- While in any aircraft being used for a test or experimental purposes;
- While in an aircraft used or designed for use beyond the earth's atmosphere;
- While in any aircraft for the purpose of descent from such aircraft while in flight — such as skydiving — except for self-preservation; or
- Driving a vehicle while intoxicated as defined by the laws of the jurisdiction in which the vehicle was being operated.
When coverage ends
All accidental death and dismemberment coverage ends the earlier of the day your employment as a regular employee ends or the end of the month that you elect to discontinue coverage.
There is no conversion option for Voluntary AD&D coverage.
If a participant suffers a covered loss, please contact Benefits Administration with the following information:
- Participant's name;
- The date of the injury or death;
- The nature of the injuries;
- The place the accident occurred; and
- A brief description of how the accident occurred.
Once Benefits Administration receives notice, MetLife will be notified of the pending claim. If you (or someone else) cannot immediately notify Benefits Administration of the covered loss, do so as soon as possible. Both Benefits Administration and MetLife must be notified within 365 days of the covered loss by either contacting Benefits Administration at 800-262-2363 or by submitting the appropriate claim form.
To obtain a claim form, contact Benefits Administration. If you request a claim form but don't receive it within 15 days of your request, you can file a claim without it by writing a letter (including supporting documentation) to MetLife.
A certified death certificate is required for all claims for an accidental death. MetLife can request an autopsy in connection with a death claim (except where not permitted by law). MetLife also may require other papers or documents. Once MetLife receives this information, the claims administrator settles the claim by making payment to you (or your beneficiary). MetLife has the right to examine any covered person who suffers a loss for which a claim is pending.
Under normal circumstances, MetLife sends you or your beneficiary written notice of its decision on the claim within 90 days after receiving the completed claim form. Sometimes, though, more time is needed due to special circumstances. If this is the case, the determination period can be extended for up to an additional 90 days. You or your beneficiary must be notified of the reason for the delay before the original 90-day period expires. You or your beneficiary also must be given a date as to when MetLife expects to make a decision.
Coverage is provided by the insurer, MetLife, who is also the claims administrator. Determination of benefits payable is made by MetLife.
Choosing a beneficiary
Choosing a beneficiary on the ExxonMobil Life Insurance Program
Q. Who will receive benefits when I die?
A. Your beneficiary or beneficiaries receive your plan benefits.
This Program has a default list of beneficiaries. If you have not named a beneficiary and you die while you are a plan participant, your benefits are paid according to the Program's default designation which pays to the first of the following who survive you:
- Your spouse.
- Your children and the children of a child who died before you.
- Your parents.
- Your brothers, sisters and the children of a brother or sister who died before you.
- The executors or administrators of your estate.
For purposes of the Program's default beneficiary designation (Former Standard Beneficiary Designation), your child, parent, brother or sister includes only someone who is your legitimate blood relative or whose relationship with you is established by virtue of legal adoption. For details, see Default beneficiary in the Key terms section.
Naming a beneficiary
If the default beneficiary list does not meet your needs, you may name a beneficiary to receive your plan benefits.
You may change your beneficiary at any time. To name a different beneficiary, use EDA available on the ExxonMobil Me HR Intranet site. Enrollment forms are also available from Benefits Administration for those individuals who do not have access to EDA. You can contact Benefits Administration office to the following number: 1-800-262-2363.
You may name multiple beneficiaries. If you name more than one beneficiary, be sure to designate what portion of the entire benefit should be paid to each. You also need to indicate the beneficiaries' relationship to you.
Benefits will only be paid to children who are born before your death.
Assigning life insurance (Basic Life Insurance and Group Universal Life Insurance)
You can make a gift of your life insurance to one or more people or to an organization. If you do, the person or organization who receives the gift — the assignee — becomes the owner of your insurance. As owner, the person or organization has the right to change the beneficiary designation and to continue all or part of the insurance if your insurance ends or is reduced.
For Group Universal Life Insurance, the assignee may be billed for the cost of the insurance.
The assignment of your insurance is irrevocable, unless the assignee reassigns it to you. You cannot regain control of the insurance without your assignee's agreement. This raises many important personal and legal issues and it has tax implications.
If you are considering assigning your insurance, you should first consult with your attorney or other tax advisor.
To learn more information about assigning your insurance or to request the forms you need to complete an assignment, contact Benefits Administration. You cannot assign any uninsured death benefit.
Retiree coverage on the ExxonMobil Life Insurance Program
Q. What happens to my coverage when I terminate my employment as a retiree?
A. Basic Life Coverage continues if your retirement date is on or before December 1, 2015. If your retirement date is after December 1, 2015, and you are eligible for coverage, your benefit continues only for 5 years after your retirement date and then ends. If your retirement date is after December 1, 2015, and you are not eligible for coverage, your Basic Life ends at retirement.
You can continue your Group Universal Life Coverage until age 70 if your retirement date is on or before December 1, 2015, or until age 95 if your retirement date is after December 1, 2015. Your Basic and Voluntary Accidental Death and Dismemberment Insurance end when your employment ends.
Basic Life Coverage
Your employer-provided coverage continues whether you have the insurance or the uninsured death benefit. The benefit is a multiple of your last annualized monthly benefit pay as a regular employee and your age at the time of death, as described in the Basic life coverage section.
Group Universal Life Insurance
If your retirement date is after December 1, 2015, you can continue Group Universal Life Insurance through the ExxonMobil Life Insurance Plan until age 95 with rates that are the same as those for active employees. The rates you pay are based on your age and the coverage that is in effect.
If your retirement date is on or before December 1, 2015, you can continue Group Universal Life Insurance through the ExxonMobil Life Insurance Plan until age 70 with rates that are the same as those for active employees. The rates you pay are based on your age and the coverage that is in effect.
For coverage options after age 70, see Options when you retire.
Administrative and ERISA information
Administrative and ERISA information for the ExxonMobil Life Insurance Program
This section contains technical information about the ExxonMobil Life Insurance Program which includes the Life Insurance Program. 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.
Plan sponsor and participating affiliates
The Plan is sponsored by:
Exxon Mobil Corporation
5959 Las Colinas Blvd.
Irving, TX 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.
Basic Plan information
The Plan Administrator for the ExxonMobil Life Insurance Program is the Administrator-Benefits. The Administrator-Benefits is the Manager-Global Benefits Design, Exxon Mobil Corporation. You may contact the Administrator-Benefits at the following address. 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 appeals on eligibility and uninsured death benefits:
P.O. Box 64111
Spring, TX 77387-4111
For service of legal process:
Corporation Service Co.
211 East 7th Street, Suite 620
Austin, Texas 78701-3218
Authority of Administrator-Benefits
The Administrator-Benefits (and those to whom the Administrator-Benefits has delegated authority) has the full and final discretionary authority to determine eligibility for benefits, to construe and interpret the terms of the Life Insurance Program in its application to any participant or beneficiary, and to decide any and all claim appeals.
Type of plan
The ExxonMobil Life Insurance Program is a welfare plan providing life and accident insurance as well as uninsured death benefits.
The Plan is identified with government agencies under these numbers: the Employer Identification Number, 13-5409005, and the Plan Number, 624.
The Plan year is the calendar year.
Benefits are funded through employee and employer contributions.
A claim must be filed in writing to the CGLIC Claims Office for Basic Life Insurance and Basic AD&D Insurance, or MetLife for Group Universal Life Insurance and Voluntary AD&D Insurance, or Benefits Administration for any uninsured death benefit. CGLIC, MetLife or Benefits Administration, as appropriate, is responsible for determining entitlement to a benefit and any amount payable under the Plan.
For Basic Life Insurance and Basic AD&D Insurance, write to:
CGLIC Claims Office
P.O. Box 22328
Pittsburgh, PA 15222-0328
Written proof of loss must be given to CGLIC within 90 days after the date of the loss for which claim is made. If written proof of loss is not given in that time, the claim will not be invalidated nor reduced if it is shown that written proof of loss was given as soon as was reasonably possible.
For Group Universal Life Insurance and Voluntary AD&D Insurance, write to:
Utica Life Claims
P.O. Box 3016
Utica, NY 13504
For Voluntary AD&D, written proof of a claim must be given to MetLife not later than 90 days after the date of the loss. If notice or proof is not given on time, the delay will not cause a claim to be denied or reduced as long as the notice or proof is given as soon as possible.
For any uninsured death benefit claim, write to:
ExxonMobil Life Insurance Plan
P.O. Box 64111
Spring, TX 77387-4111
All uninsured death benefit claims, basic life insurance and group universal life claims should be filed within ten years of the date of death.
The appropriate claims administrator will review your claim and respond to you within a reasonable period of time, normally within 90 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 within the 90-day period. You will receive a response no later than 180 days after your claim was received initially.
Filing a mandatory appeal
If your claim is denied, you, your beneficiary or your designated representative may file an appeal no later than 60 days from the date of the denial. File the appeal with CGLIC for Basic Life Insurance and Basic AD&D Insurance, with MetLife for Group Universal Life Insurance and Voluntary AD&D Insurance, and with the Administrator-Benefits for any uninsured death benefit claim denial.
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. 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 60 days from the date the appeal was received.
If additional time to decide on your appeal is needed because of special circumstances, you will be notified within the 60-day appeal 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).
Statute of limitations
After you have received the response of the mandatory appeal, you may bring an action under section 502(a) of ERISA. Such action must be filed within one year from the date your mandatory appeal was denied.
Filing a voluntary appeal for an uninsured death benefit only
If an appeal for an uninsured death benefit is denied, an appeal to the Administrator-Benefits may be available. 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.
No implied promises
Nothing in this SPD says or implies that participation in the ExxonMobil Life Insurance Plan is a guarantee of continued employment with the company.
Future of the Plan
ExxonMobil has the right to change, suspend, withdraw, amend, modify or terminate the Plan or any of its provisions at any time and for any reason. A change may also be made to required contributions and eligibility for coverage, and may apply to those who retired in the past, as well as those who retire in the future. If any material changes are made in the future, you will be notified.
Your rights under ERISA
As a participant in the ExxonMobil Life Insurance Program, you have certain rights and protections under the Employee Retirement Income Security Act of 1974 (ERISA). ERISA provides that as a plan participant, you shall be entitled to:
Receive information about your plan and benefits
- Examine, without charge, at the office of the Administrator-Benefits and at other specified locations, such as worksites and union halls, all documents governing the ExxonMobil Life Insurance Program, including collective bargaining agreements, and a copy of the latest annual report (Form 5500 Series) filed by the ExxonMobil Life Insurance Program with the U.S. Department of Labor and available at the Public Disclosure Room of the Employee Benefits Security Administration.
- Obtain, upon written request to the Administrator-Benefits, copies of documents governing the operation of the ExxonMobil Life Insurance Program, including collective bargaining agreements, and copies of the latest annual report (Form 5500 Series) and updated summary plan description. The administrator may require a reasonable charge for the copies.
- Receive a summary of the ExxonMobil Life Insurance Program's annual financial report. The Administrator-Benefits is required by law to furnish each participant with a copy of this summary annual report.
Prudent actions by plan fiduciaries
In addition to creating rights for participants, ERISA imposes duties upon the people who are responsible for the operation of the employee benefit plan. The people who operate your Life Insurance Program, called "fiduciaries" of the Life Insurance Program, have a duty to do so prudently and in the interest of you and other Life Insurance Program participants and beneficiaries. No one, including your employer, your union, or any other person, may fire you or otherwise discriminate against you in any way to prevent you from obtaining a plan benefit or exercising your rights under ERISA.
Enforce your rights
- If your claim for a benefit is denied or ignored, in whole or in part, you have a right to know why this was done, to obtain copies of documents relating to the decision without charge, and to appeal any denial, all within certain time schedules.
- Under ERISA, there are steps you can take to enforce the above rights. For instance, if you request a copy of Plan documents or the latest Summary Annual Report and do not receive them within 30 days, you may file suit in a Federal court. Such lawsuit must be filed in the United States District Court for the Southern District of Texas, Houston, Texas, or in the United States District Court for the federal judicial district where the employee currently works. If a retiree or terminee, the suit must be filed in the last location worked prior to termination of employment. Beneficiaries must also file in the same federal judicial district that the employee or retiree would be required to file. In such a case, the court may require the Administrator-Benefits to provide the materials and pay you up to $110 a day until you receive the materials, unless the materials were not sent because of reasons beyond the control of the administrator.
- If you have elected the death benefit option, and if you have a claim and an appeal for benefits, which are denied or ignored, in whole or in part, you may file suit in a state or Federal court. Any such lawsuit must be brought within one year of the date on which an appeal was denied. Such lawsuit must be filed in the United States District Court for the Southern District of Texas, Houston, Texas, or in the United States District Court for the federal judicial district where the employee currently works. If a retiree or terminee, the suit must be filed in the last location worked prior to termination of employment. Beneficiaries must also file in the same federal judicial district that the employee or retiree would be required to file. The court will decide who should pay court costs and legal fees. If you are successful, the court may order the person you have sued to pay these costs and fees. If you lose, the court may order you to pay these costs and fees, for example, if it finds your claim is frivolous.
Assistance with your questions
If you have any questions about your benefits, you should contact Benefits Administration. If you have any questions about this statement or about your rights under ERISA, or if you need assistance in obtaining documents from the Administrator-Benefits, you should contact the nearest office of the Employee Benefits Security Administration, U.S. Department of Labor, listed in your telephone directory or the Division of Technical Assistance and Inquiries, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue N.W., Washington, D.C. 20210. You may also obtain certain publications about your rights and responsibilities under ERISA by calling the publications hotline of the Employee Benefits Security Administration.
A list of key terms in the ExxonMobil Life Insurance Program
A sudden, violent, unexpected, external incident.
- On any of your employer's scheduled work days if you are performing the regular duties of your work on that day either at your employer's place of business or some other location to which you are required to travel for your employer's business; or
- On any day which is not one of your employer's scheduled work days if you were in active service on the preceding scheduled work day.
Monthly Benefit Pay for a given month expressed as an annual amount.
You attain an age on the first day of the month in which that birthday occurs.
An employee who is covered by a collective bargaining agreement except to the extent participation is provided under such agreement.
The person or entity that receives benefits when you die. The Program provides a standard list of beneficiaries but you may name another beneficiary if you wish.
Benefit service is defined as, generally, all the time from the first day of employment until you terminate as a regular employee. Excluded are: unauthorized absences; leaves of absence of over 30 days (except military leaves or leave under the Federal Family and Life Leave Act); certain absences from which you do not return; periods when you work as a non-regular employee, as a special-agreement person, in service station, car wash, or car-care center operations, or when you are covered by a contract that requires the company to contribute to a different benefit program, unless a special authorization credits the service.
For purposes of the Program's standard beneficiary designation, your child includes only someone who is your legitimate blood relative or whose relationship with you is established by virtue of legal adoption.
This option allows you to change some of your Basic Life Insurance coverage to an individual policy without evidence of insurability.
The order of beneficiaries is:
- Paying all to your spouse.
- Dividing equally among your children who either survive you or who die before you leaving children of their own who survive you and, in the case of each child who dies before you leaving children who survive you, subdividing his or her share equally among those children.
- Dividing equally between your surviving parents.
- Dividing equally among your brothers and sisters who either survive you or die before you leaving children of their own who survive you and, in the case of each brother or sister who dies before you leaving children who survive you, subdividing his or her share equally among those children.
- Paying all to your executors or administrators.
The term child means one's son or daughter by legitimate blood relationship or legal adoption. Parent means one's father or mother by legitimate blood relationship or legal adoption. One's brother or sister means another child of either or both parents.
An unmarried person who was born before your death, who is not employed on a regular and full-time basis, not reached the end of the month in which age 24 is attained provided the child is chiefly dependent on the covered person for support and maintenance.
If the child is and remains 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:
- Is chiefly dependent upon the covered person for support and maintenance; and
- Was, or would have been, a dependent child under the Plan immediately prior to the birthday on which such child exceeds age 24; and
- If unable to sustain self-supporting employment by reason of mental illness, such child is also 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.
Loss of use or loss by severance of particular body parts.
Most U.S. dollar-paid employees of Exxon Mobil Corporation and participating affiliates are eligible. Regular employees are eligible on their first day of employment. Leased employees as defined in the Internal Revenue Code, temporary or part-time employees (also called "non-regular employees"), barred employees and special-agreement persons are not eligible to participate. Certain senior executives are not eligible to participate in Basic Life Insurance.
An employee who is classified as a non-regular employee, but who has been designated as an Extended Part-Time employee under his or her employer's employment policies relating to flexible work arrangements.
This is information that must be provided by the participant and approved by the insurance company before certain coverage is effective.
Bodily injury caused directly and exclusively by a sudden, violent, unexpected, external accident.
Generally, pay associated with your regular work schedule and rate of pay. Except for SeaRiver fleet employees, regular work schedule and rate of pay do not include temporary job assignments, regardless of how long an employee has filled a temporary job assignment. For SeaRiver fleet employees, the rate of pay is that used for pay purposes as of month end.
This amount will be adjusted as follows:
- If you are a regular employee who is not a SeaRiver fleet employee and either (a) classified in your employer’s payroll system as not exempt from the application of the overtime rules under the U.S. Fair Labor Standards Act, or (b) covered under your employer’s First-Line Supervisor program, the value based on your regular work schedule and rate of pay will be increased by 20%.
- If you are a non-regular employee, SeaRiver fleet employee or other regular employee not described in paragraph (1) above, your monthly benefit pay is the amount based on your regular work schedule and rate of pay.
Temporary or part-time employee of a participating employer who otherwise would be a covered employee but for the fact, as determined by the participating employer, that the person either does not regularly work a full-time schedule or is employed on a temporary basis. Non-regular employees include extended part-time (enhanced non-regular) employees. Non-regular employees do not include employees designated by their employer as part-time regular.
An injury to the body resulting in death of the covered person that is:
- Caused directly and exclusively by a sudden, violent, unexpected, external accident;
- Incurred in the course and scope of the covered employee's employment with ExxonMobil; and
- Compensable under the workers' compensation law applicable to the covered employee, or if no workers' compensation law is applicable, would be compensable under New Jersey workers' compensation law (Delaware workers' compensation law in the case of ocean and inland waterways seamen of SeaRiver Maritime, Inc.) if such law had been applicable.
Full-time employees of Exxon Mobil Corporation or participating affiliates who are not hired on a temporary basis. Regular employees include employees designated by their employer as part-time regular.
Generally, a person at least 55 years old who retires as a regular employee with 15 or more years of benefit service and who has not thereafter recommenced employment as a covered employee or a non-regular employee. Retiree status may also be attained by someone who is retired by the company as a regular employee and entitled to long-term disability benefits under the ExxonMobil Disability Plan after 15 or more years of benefit service, regardless of age.
Employees who terminate while non-regular (including extended part-time employees) are not eligible for retiree status regardless of age or service.
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.
All references to marriage shall mean a marriage that is legally recognized under the laws of the state or other jurisdiction in which the marriage takes place, consistent with U.S. federal tax law. All references to a spouse or a married person shall refer to individuals who have such a marriage.
A person who becomes a retiree due to incapacity within the meaning of the ExxonMobil Disability Plan and who begins long-term disability benefits under that plan, but whose benefits stop because the person is no longer incapacitated. A person remains a suspended retiree until the earlier of the date the person:
- Reaches age 55, or
- Begins his or her benefit under the ExxonMobil Pension Plan, at which time, the person is again considered a retiree.