2023 Form 5500 filing — Exxonmobil Retiree Medical Plan

Plain-English filing summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240930125009NAL0005549889001) for Exxonmobil Retiree Medical Plan, reported by Exxon Mobil Corporation under EIN 13-5409005 and plan number 540. It reports 39,685 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20240930125009NAL0005549889001
Filing year
2023
Form type
2
Plan sponsor
Exxon Mobil Corporation
EIN
13-5409005
Plan number
540
Location
Spring, TX
Participants
39,685
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$65,844,000
Total liabilities (EOY)
$4,063,000
Net assets (EOY)
$61,781,000
Employer contributions
$251,613,000
Participant contributions
$80,888,000
Total income / additions
$332,610,000
Benefits paid
$289,639,000
Administrative expenses
$20,656,000
Total expenses
$310,295,000
Net increase / (decrease)
$22,315,000
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Express ScriptsAFFIL. OF PARTY IN INT.$14,784,988not reported in the loaded dataset
Aetna Life Insurance CompanyAFFIL. OF PARTY IN INT.$3,840,341not reported in the loaded dataset
Conduent Hr ServicesAFFIL. OF PARTY IN INT.$1,074,438not reported in the loaded dataset
Cigna Health And Life Insurance ComAFFIL. OF PARTY IN INT.$723,853not reported in the loaded dataset
Pitney BowesNONE$0$230,857
PricewaterhousecoopersIND AUDITOR OF PLAN SPON$212,195not reported in the loaded dataset
Rawlings CompanyNONE$0$174,308
Bny MellonNONE$0$84,796
Cotiviti HealthcareNONE$0$76,078
OmniclaimNONE$0$41,579
OptuminsightNONE$0$22,092
Multiplan, Inc.NONE$0$21,487
Allied Printing Services, IncNONE$0$21,257
OptuminsightNONE$0$16,783
Willis Towers WatsonAFFIL. OF PARTY IN INT.$10,300not reported in the loaded dataset
Magellan Healthcare IncAFFIL. OF PARTY IN INT.$6,120not reported in the loaded dataset
United Parcel ServicesNONE$0$3,274
EquiclaimNONE$0$3,238
EquianNONE$0$2,520
End-Game StrategyNONE$0$2,174
Goshen General HospitalNONE$0$0
Greene County General HospitalNONE$0$0
Franciscan Health LafayetteNONE$0$0
Franciscan Healthcare Rensselaer (JNONE$0$0
Margaret Mary Community HospitalNONE$0$0
Meadows HospitalNONE$0$0
Monroe HospitalNONE$0$0
Oaklawn Psychiatric CenterNONE$0$0
Starke Memorial Hospital (PrincipalNONE$0$0
St. Joseph Regional Medical CenterNONE$0$0
Pulaski Memorial HospitalNONE$0$0
St. Mary'S Medical CenterNONE$0$0
St. Mary'S Warrick HospitalNONE$0$0
White County Memorial HospitalNONE$0$0
Woodlawn HospitalNONE$0$0
Bank Of America (Lockbox)NONE$0$0
Amplifon Usa, Inc.NONE$0$0
Fitbit 199NONE$0$0
Lca-Vision Inc.NONE$0$0
American Specialty Health IncorporaNONE$0$0
Citibank NaNONE$0$0
Citibank Na (Chlic Core Deposits)NONE$0$0
Citibank Na (Omnibus)NONE$0$0
Deutsche BankNONE$0$0
Bloomington HospitalNONE$0$0
Bloomington Hospital Of Orange CounNONE$0$0
Clark Memorial HospitalNONE$0$0
Daviess Community HospitalNONE$0$0
Deaconess Gibson HospitalNONE$0$0
Good Samaritan HospitalNONE$0$0

Related Form 5500 pages