Today’s objectives

1. Healthy IncentivesSM Program DetailsJoint Labor Management Insurance Committee 2007-2009 negotiated benefits

2. Today’s objectives • Review Healthy IncentivesSMprogram framework and goals • Describe out-of-pocket expense levels • Explain how to earn lowest out-of-pocket expense level in 2007 • Provide 2006 deadlines • Answer questions

3. Healthy IncentivesSM program goals • Help us get healthy • Encourage us to stay healthy • Slow rising health care costs

4. Three out-of-pocket expense levels • Gold: lowest, Silver: medium, Bronze: highest • Determined by participation, not results • Current health status not a factor • Same covered services/treatments • Applies to KingCareSMand Group Health

5. Out-of-pocket expenses KingCareSM • Annual deductible • Co-insurance Group Health • Office visit co-pays Prescription co-pays remain the same

6. Plan changes for 2007 • Benefit access fee • $35.00 per month • To cover spouse/domestic partner • Emergency room co-pay increase • $100 (waived if admitted) • To encourage appropriate ER use

7. Three out-of-pocket expense levels: 2007-2009 – KingCareSM Go for the gold!

8. Three out-of-pocket expense levels: 2007-2009 - Group Health Go for the gold!

9. KingCareSM example $1,000 medical bill

10. How Healthy IncentivesSM works Complete annual wellness assessment by Jan 31 —PLUS— Complete your individual action plan by June 30 Gold level Complete annual wellness assessment by June 30 Silver level OR

11. Questions?

12. What is the wellness assessment? • Private and confidential health survey • Will ask health and lifestyle questions • Will take 20-40 minutes to complete • Key to earning gold and silver out-of-pocket expense levels

13. How to take the wellness assessment • Available Jan. 1 • Letter from Benefits and Retirement Operations Section (BROS) provides instructions and your access code • Take it online or call BROS to request a paper copy • Useful info to have on hand includes: • Blood pressure, cholesterol levels, weight, height, waist measurement, fasting blood glucose levels • Call your provider for these numbers

14. Can I take the wellness assessment at work? • Yes, employees can use county equipment • Employees must take the wellness assessment on their own time, such as during lunch or breaks • Be aware of privacy concerns

15. Wellness assessment process • Take the wellness assessment • Get your wellness assessment summary • Keep printed copy with your important personal records • Earns the silver out-of-pocket expense level

16. “I agree” to earn gold • Harris HealthTrends, Inc. & HealthMedia® administer wellness assessment • Harris HealthTrends supports your individual action plan • Provide consent for them to share information • Checking “I agree” is required to earn gold

17. How to earn the goldout-of-pocket expense level You and your covered spouse/domestic partner: • Complete wellness assessment by Jan. 31 • Keep a printed copy of your wellness assessment summary • Enroll in your individual action plan by Mar. 15 • Participate in your individual action plan by June 30

18. Enroll in your individual action plan • Harris HealthTrends will: • Contact employees by phone or letter • Explain individual action plan options • And enroll you in the plan you choose • Official participation in your individual action plan does not begin until you are enrolled in the program

19. Individual action plan: Low risk • Participation is required to earn gold out-of-pocket expense level • Focus on maintaining and building healthy habits • Active participation will require completion of a log (paper or online) for 8 weeks • Return log to Harris HealthTrends

20. Individual action plan:Moderate and high risk • Participation is required to earn gold out-of-pocket expense level • Focus on reducing health risk factors, making healthy lifestyle choices, and preventing/ managing disease • Accept at least 3 phone calls from a health coach over 90 days

21. Spouse/domestic partner participation reminder • For both you and your covered spouse/domestic partner to be covered at the same level, you must participate at the same level • If you earn gold, but your spouse/domestic partner does not participate = bronze • Children do not participate

22. 2006 deadlines Gold out-of-pocket expense level ByJan 18 – request paper copy of wellness assessment ByJan 31- Complete wellness assessment ByMarch 15 - Begin individual action plan ByJune 30- Complete individual action plan

23. Summary • Three out-of-pocket expense levels • Gold, silver, and bronze • Same covered services • Applies to KingCareSM and Group Health • Out-of-pocket expenses: annual deductible, co-insurance, and co-pay • Participation, not health status, earns lower out-of-pocket expense levels

24. Summary • The wellness assessment is key to earning gold or silver out-of-pocket expense levels for 2007 • Look for a letter from Benefits and Retirement Operations Section by Dec 31, 2005 with instructions for taking wellness assessment • Complete wellness assessment by Jan 31,2006 if you want to go for the gold out-of-pocket expense level

25. Summary • Keep printed copy of your wellness assessment summary • Enroll in individual action plan with Harris HealthTrends by March 15 • Complete your individual action plan by June 30, 2006 to earn gold out-of-pocket expense level

26. Questions?