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Form 5500 · Employee benefit plan · SPRING, TX

EXXON MOBIL CORPORATION

The filing calls this plan EXXONMOBIL RETIREE MEDICAL PLAN.

EXXON MOBIL CORPORATION of SPRING, TX files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Coverage is written through AETNA LIFE INSURANCE COMPANY. The plan's most recent policy period ended in December.

Benefits broker of record
Not disclosed
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-5409005 · plan 540 · plan year 2024, filed Oct 3, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
38,081
Carriers on file
1
Disclosed commissions
$0
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY43,019 of 38,081 participants
Dentaldeclared under plan 636
Visiondeclared under plan 636
Lifedeclared under plan 624
Disabilitydeclared under plan 559

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

The filing discloses a single insured line, health, through AETNA LIFE INSURANCE COMPANY, covering 43,019 people.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.

With 38,081 participants this is one of the larger insured groups on file in TX.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth43,019Jan 1, 2025—$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
ADMINISTRATOR - BENEFITS
EIN 13-1865379
AETNA LIFE INSURANCE COMPANY
Contract administrator · EIN 06-6033492
$4,438,958
paid directly by the plan
ALIGHT SOLUTIONS LLC
Recordkeeping and information management · EIN 82-1061233
$933,562
paid directly by the plan
CIGNA HEALTH AND LIFE INSURANCE COM
Claims processing · Contract administrator · EIN 59-1031071
$600,349
paid directly by the plan
PRICEWATERHOUSECOOPERS
Accounting and audit · EIN 13-4008324
$212,195
paid directly by the plan
COTIVITI HEALTHCARE
Contract administrator · EIN 46-0634974
$0
paid directly by the plan
RAWLINGS COMPANY
Contract administrator · EIN 31-1563156
$0
paid directly by the plan
OPTUMINSIGHT
Contract administrator · EIN 45-4683454
$0
paid directly by the plan
OMNICLAIM
Contract administrator · EIN 27-0062838
$0
paid directly by the plan
MULTIPLAN, INC.
Contract administrator · EIN 13-3068979
$0
paid directly by the plan
OPTUMINSIGHT
Contract administrator · EIN 41-1858498
$0
paid directly by the plan
EQUIAN
Contract administrator · EIN 27-1471112
$0
paid directly by the plan
OMADA HEALTH, INC
Claims processing · Contract administrator · EIN 45-2355015
$0
paid directly by the plan
VISION SERVICE PLAN VSP
Claims processing · Contract administrator · EIN 06-1227840
$0
paid directly by the plan
BLOOMINGTON HOSPITAL
Claims processing · Contract administrator · EIN 35-1720796
$0
paid directly by the plan
BLOOMINGTON HOSPITAL OF ORANGE COUN
Claims processing · Contract administrator · EIN 35-2090919
$0
paid directly by the plan
DAVIESS COMMUNITY HOSPITAL
Claims processing · Contract administrator · EIN 35-6001322
$0
paid directly by the plan
DEACONESS GIBSON HOSPITAL
Claims processing · Contract administrator · EIN 35-0877575
$0
paid directly by the plan
GOOD SAMARITAN HOSPITAL
Claims processing · Contract administrator · EIN 35-6001532
$0
paid directly by the plan
GOSHEN GENERAL HOSPITAL
Claims processing · Contract administrator · EIN 35-6001540
$0
paid directly by the plan
GREEN COUNTY GENERAL HOSPITAL
Claims processing · Contract administrator · EIN 35-6001492
$0
paid directly by the plan
FRANCISCAN HEALTH LAFAYETTE
Claims processing · Contract administrator · EIN 35-2056396
$0
paid directly by the plan
FRANCISCAN HEALTHCARE RENSSELAER (J
Claims processing · Contract administrator · EIN 35-1404051
$0
paid directly by the plan
MEADOWS HOSPITAL
Claims processing · Contract administrator · EIN 35-1858510
$0
paid directly by the plan
MONROE HOSPITAL
Claims processing · Contract administrator · EIN 20-2069733
$0
paid directly by the plan
OAKLAWN PSYCHIATRIC CENTER
Claims processing · Contract administrator · EIN 35-1070041
$0
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 4,620 employees, 6 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
4,620
Hours worked
10,885,872
Recordable cases
6
Days away from work
0
Establishments filed under this EIN
6

Source: OSHA Injury Tracking Application establishment data, 2025.

Money the plan held and paid out

Plan assets at year end
$102,938,000
Paid out in benefits
$261,307,000
Independent accountantEIN 13-4008324
PRICEWATERHOUSECOOPERS LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$213,000

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

How this plan compares

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