Appendix A

Appendix A to the ExxonMobil medical fully-insured HMO Plan

Southern California

Kaiser Foundation Health Plan, Inc.
Stockton Call Center
1350 Tommydon Street
Stockton, CA 95210

Member Services
1-800-464-4000

Member Services
1-800-777-7902

www.kaiserpermanente.org

Benefits guaranteed under an insurance policy issued by Kaiser Permanente, a fully-insured HMO.

Illinois

HMO Illinois (Chicago)
Customer Service
P.O. Box 1364
Chicago, IL 60690

Member Services
1-800-892-2803

www.bcbsil.com

Benefits Administration - The following sets out the contact numbers based on your status under the ExxonMobil Medical Plan. It is your responsibility to contact the correct Benefits Administration entity with any required notices and address changes. If your status is not listed, call ExxonMobil Benefits Administration/Health Plan Services for assistance or contact them at hr.medical.dental.questions@exxonmobil.com.

Benefits administration / ExxonMobil sponsored sites - Access to plan-related information including claim forms for employees, retirees, survivors, 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 from home by everyone at www.exxonmobilfamily.com.
  • ExxonMobil Benefits Service Center at Xerox Internet Site — Can be accessed from home by everyone at www.exxonmobil.com/benefits.