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EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 401k Plan overview

Plan NameEXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN
Plan identification number 636

EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

EXXON MOBIL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:EXXON MOBIL CORPORATION
Employer identification number (EIN):135409005
NAIC Classification:324110
NAIC Description:Petroleum Refineries

Additional information about EXXON MOBIL CORPORATION

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1972-12-18
Company Identification Number: 0003362806
Legal Registered Office Address: PO BOX 133377

SPRING
United States of America (USA)
77393

More information about EXXON MOBIL CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
6362022-01-01
6362021-01-01
6362020-01-01
6362019-01-01
6362018-01-01
6362017-01-01SANTIAGO R. BIANCHI
6362016-01-01CYNTHIA B. GEE
6362015-01-01CYNTHIA B. GEE
6362014-01-01CYNTHIA B. GEE
6362013-01-01CYNTHIA B. GEE
6362012-01-01CYNTHIA B. GEE
6362011-01-01CYNTHIA B. GEE
6362010-01-01CYNTHIA B. GEE

Plan Statistics for EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN

401k plan membership statisitcs for EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN

Measure Date Value
2022: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,143
Total number of active participants reported on line 7a of the Form 55002022-01-011,035
Number of retired or separated participants receiving benefits2022-01-0113
Total of all active and inactive participants2022-01-011,048
2021: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0127
Total number of active participants reported on line 7a of the Form 55002021-01-011,142
Number of retired or separated participants receiving benefits2021-01-011
Total of all active and inactive participants2021-01-011,143
2020: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0129
Number of retired or separated participants receiving benefits2020-01-0127
Total of all active and inactive participants2020-01-0127
2019: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0132
Number of retired or separated participants receiving benefits2019-01-0129
Total of all active and inactive participants2019-01-0129
2018: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0132
Number of retired or separated participants receiving benefits2018-01-0132
Total of all active and inactive participants2018-01-0132
2017: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0132
Number of retired or separated participants receiving benefits2017-01-0132
Total of all active and inactive participants2017-01-0132
2016: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0132
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-0132
Total of all active and inactive participants2016-01-0132
2015: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0133
Number of retired or separated participants receiving benefits2015-01-0132
Total of all active and inactive participants2015-01-0132
2014: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0133
Number of retired or separated participants receiving benefits2014-01-0133
Total of all active and inactive participants2014-01-0133
2013: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0134
Number of retired or separated participants receiving benefits2013-01-0133
Total of all active and inactive participants2013-01-0133
2012: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0134
Number of retired or separated participants receiving benefits2012-01-0134
Total of all active and inactive participants2012-01-0134
2011: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0134
Number of retired or separated participants receiving benefits2011-01-0134
Total of all active and inactive participants2011-01-0134
2010: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-010
Number of retired or separated participants receiving benefits2010-01-0134
Total of all active and inactive participants2010-01-0134

Financial Data on EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN

Measure Date Value
2021 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2021 401k financial data
Total income from all sources2021-12-31$72,418
Expenses. Total of all expenses incurred2021-12-31$72,418
Benefits paid (including direct rollovers)2021-12-31$63,308
Total plan assets at beginning of year2021-12-31$0
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$18,259
Expenses. Other expenses not covered elsewhere2021-12-31$1
Other income received2021-12-31$1
Net income (gross income less expenses)2021-12-31$0
Net plan assets at end of year (total assets less liabilities)2021-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$54,158
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$9,109
2020 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2020 401k financial data
Total income from all sources2020-12-31$402,044
Expenses. Total of all expenses incurred2020-12-31$402,044
Benefits paid (including direct rollovers)2020-12-31$366,209
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$0
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$29,616
Expenses. Other expenses not covered elsewhere2020-12-31$120
Other income received2020-12-31$6
Net income (gross income less expenses)2020-12-31$0
Net plan assets at end of year (total assets less liabilities)2020-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$372,422
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$35,715
2019 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2019 401k financial data
Total income from all sources2019-12-31$356,796
Expenses. Total of all expenses incurred2019-12-31$356,796
Benefits paid (including direct rollovers)2019-12-31$304,426
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$30,856
Expenses. Other expenses not covered elsewhere2019-12-31$116
Other income received2019-12-31$20
Net income (gross income less expenses)2019-12-31$0
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$325,920
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$52,254
2018 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2018 401k financial data
Total income from all sources2018-12-31$445,401
Expenses. Total of all expenses incurred2018-12-31$447,929
Benefits paid (including direct rollovers)2018-12-31$350,066
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$2,528
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$31,191
Expenses. Other expenses not covered elsewhere2018-12-31$119
Other income received2018-12-31$26
Net income (gross income less expenses)2018-12-31$-2,528
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,528
Total contributions received or receivable from employer(s)2018-12-31$414,184
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$97,744
2017 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2017 401k financial data
Total income from all sources2017-12-31$522,607
Expenses. Total of all expenses incurred2017-12-31$522,940
Benefits paid (including direct rollovers)2017-12-31$436,227
Total plan assets at end of year2017-12-31$2,528
Total plan assets at beginning of year2017-12-31$2,861
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$33,645
Expenses. Other expenses not covered elsewhere2017-12-31$1,339
Other income received2017-12-31$28
Net income (gross income less expenses)2017-12-31$-333
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,528
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,861
Total contributions received or receivable from employer(s)2017-12-31$488,934
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$85,374
2016 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2016 401k financial data
Total income from all sources2016-12-31$495,168
Expenses. Total of all expenses incurred2016-12-31$495,298
Benefits paid (including direct rollovers)2016-12-31$448,160
Total plan assets at end of year2016-12-31$2,861
Total plan assets at beginning of year2016-12-31$2,991
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$34,483
Expenses. Other expenses not covered elsewhere2016-12-31$1,354
Other income received2016-12-31$266
Net income (gross income less expenses)2016-12-31$-130
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,861
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,991
Total contributions received or receivable from employer(s)2016-12-31$460,419
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$45,784
2015 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2015 401k financial data
Total income from all sources2015-12-31$524,944
Expenses. Total of all expenses incurred2015-12-31$524,611
Benefits paid (including direct rollovers)2015-12-31$488,238
Total plan assets at end of year2015-12-31$2,991
Total plan assets at beginning of year2015-12-31$2,658
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$36,234
Expenses. Other expenses not covered elsewhere2015-12-31$807
Other income received2015-12-31$164
Net income (gross income less expenses)2015-12-31$333
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,991
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,658
Total contributions received or receivable from employer(s)2015-12-31$488,546
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$35,566
2014 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2014 401k financial data
Total income from all sources2014-12-31$331,373
Expenses. Total of all expenses incurred2014-12-31$330,876
Benefits paid (including direct rollovers)2014-12-31$289,594
Total plan assets at end of year2014-12-31$2,658
Total plan assets at beginning of year2014-12-31$2,161
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$30,356
Expenses. Other expenses not covered elsewhere2014-12-31$1,342
Other income received2014-12-31$3
Net income (gross income less expenses)2014-12-31$497
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,658
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,161
Total contributions received or receivable from employer(s)2014-12-31$301,014
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$39,940
2013 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2013 401k financial data
Total income from all sources2013-12-31$450,940
Expenses. Total of all expenses incurred2013-12-31$451,002
Benefits paid (including direct rollovers)2013-12-31$390,980
Total plan assets at end of year2013-12-31$2,161
Total plan assets at beginning of year2013-12-31$2,223
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$27,257
Expenses. Other expenses not covered elsewhere2013-12-31$806
Other income received2013-12-31$4
Net income (gross income less expenses)2013-12-31$-62
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,161
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,223
Total contributions received or receivable from employer(s)2013-12-31$423,679
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$59,216
2012 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2012 401k financial data
Total income from all sources2012-12-31$369,179
Expenses. Total of all expenses incurred2012-12-31$369,562
Benefits paid (including direct rollovers)2012-12-31$335,703
Total plan assets at end of year2012-12-31$2,223
Total plan assets at beginning of year2012-12-31$2,606
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$27,962
Expenses. Other expenses not covered elsewhere2012-12-31$1,057
Other income received2012-12-31$6
Net income (gross income less expenses)2012-12-31$-383
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,223
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,606
Total contributions received or receivable from employer(s)2012-12-31$341,211
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$32,802
2011 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$400,406
Expenses. Total of all expenses incurred2011-12-31$402,727
Benefits paid (including direct rollovers)2011-12-31$348,877
Total plan assets at end of year2011-12-31$2,606
Total plan assets at beginning of year2011-12-31$4,927
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$31,753
Expenses. Other expenses not covered elsewhere2011-12-31$1,075
Other income received2011-12-31$6
Net income (gross income less expenses)2011-12-31$-2,321
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,606
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,927
Total contributions received or receivable from employer(s)2011-12-31$368,647
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$52,775
2010 : EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$448,128
Expenses. Total of all expenses incurred2010-12-31$443,201
Benefits paid (including direct rollovers)2010-12-31$405,420
Total plan assets at end of year2010-12-31$4,927
Total plan assets at beginning of year2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$29,233
Expenses. Other expenses not covered elsewhere2010-12-31$749
Other income received2010-12-31$6
Net income (gross income less expenses)2010-12-31$4,927
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,927
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$418,889
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$37,032

Form 5500 Responses for EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN

2022: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: EXXONMOBIL INTERNATIONAL MEDICAL AND DENTAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00863B
Policy instance 1
Insurance contract or identification number00863B
Number of Individuals Covered1632
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,557,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00863B
Policy instance 1
Insurance contract or identification number00863B
Number of Individuals Covered1515
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,693,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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