2013 Plan Year

1. 2013 Plan Year

2. New in 2013 • Out of Pocket Maximums • Pharmacy Co-Pays • Drug Management Programs • Balanced Premiums

3. New in 2013 – Out of Pocket Maximums • Out of Pocket Maximums will be increasing by: • $500 for Employee Only to $1500 • $750 for Employee + Spouse to $2250 • $750 for Employee + Children to $2250 • $1,000 for Employee + Family to $3000 • Note: These numbers represent the In-Network OOP Max. Out-of-Network OOP is also increasing. No immediate impact! Will only affect your Co-Insurance AFTER you reach your Deductible.

4. New in 2013 – Pharmacy Co-Pays Member Pays Remaining Deductible Plan Pays HRA Deductible Medical Co-Insurance Pharmacy Co-Pays 10% In Network $40 Brand $120 Specialty

5. New in 2013 – Pharmacy Co-Pays • Aftera Member’s Deductible is met, the Member will begin paying only a Co-Pay for Brand name and Specialty medications, instead of Co-Insurance • $40 Brand Name / $120 Specialty • Limits a Member’s Out-of-Pocket expenses for typically expensive prescription medications • If cost of prescription is less than Co-Pay amount, Member pays the lesser of the two amounts • Remember that Generics are still $0 Out-of-Pocket to Members Co-Pay System limits your financial exposure and helps you to budget for monthly expenses!

6. New in 2013 – Drug Management Programs • New Drug Management programs will limit over-spending and medication drug waste – saves YOU and LSU First money! • New Programs: • Select Home Delivery • Step Therapy with Grandfathering • Supplemental Prior Authorizations • Drug Quantity Management

7. New in 2013 – Drug Management Programs • Select Home Delivery • Encourages Members to fill their maintenance medications using Express Scripts Mail Order Pharmacy • ESI will reach out to members who take maintenance medications to offer the choice • Members will need to choose to “opt-out” of mail order • Fast, at-home service – No extra trips to the pharmacy! • Receive 3 months supply at a time (Co-Pays will apply) • Express Scripts Customer Service will work with you to set up your Home Delivery for you!

8. New in 2013 – Drug Management Programs • Step Therapy with Grandfathering • Requires Members to try Generic medications at $0 cost before pricey brand name drugs on NEW prescriptions • Grandfathering allows Members currently receiving brand name medications to continue without first trying generics • Any existing prescription not refilled within 130 days will be considered NEW and will be required to be filled as generic at the time it is filled Generic medications are JUST AS effective as name brand medications at $0 cost to you!

9. New in 2013 – Drug Management Programs • Supplemental Prior Authorizations • Already in place with some drugs – just added a few more to the list • Very few Members affected • If a Member’s prescribed medication is on a Supplemental Prior Authorization List, the Member’s physician will be contacted to discuss alternate treatment options or provide authorization to dispense medication as written Express Scripts and your Physician will be involved to find the most effective care for you.

10. New in 2013 – Drug Management Programs • Drug Quantity Management • Aligns dispensed quantity of prescription with FDA-approved dosage guidelines • Will eliminate wasteful spending – ensures the most cost effective product strength is dispensed • If a Member receives two monthly prescriptions for a low dose of one medication, they could receive one monthly prescription at a higher dose for just as effective treatment Drug Quantity Management can help you eliminate multiple co-pays for Brand name medications.

11. New in 2013 – Balanced Premiums • LSU First Plan’s value far outweighs the Employee Share cost, and balancing is needed to provide a fair value to all Members • Employee Cost will STILL be lowest of all OGB offered plans • Few tiers experienced premium balancing: • Employee + Spouse • Some Employee + Family rates

12. LSU First Review of Current Benefits

13. Meet Your LSU First Team LSU System - Sponsors LSU First and is financially responsible for paying your claims. CIGNA - Your medical claims administrator, including an extensive medical management program, and your provider for a wide-ranging national network. ESI - Your pharmacy benefits administrator for retail and mail order service. Verity HealthNet- Provides your robust Verity local network coverage and your First Choice Provider Network Coverage.

14. Important Plan Features Remember, once your Health Reimbursement Account (HRA) dollars are exhausted: LSU First pays 100% for First Choice Providers LSU First pays 100%for generic drugs Remember, LSU First pays $5,000 for Critical Illness Benefits Stroke Heart Attack Invasive Cancer Remember, LSU First reimburses your Transplant related travel expenses for you and one dependent up to $10,000 • Major Organ Transplants • Renal Failure • Coronary Artery Bypass Surgery

15. Important Plan Features Remember, Free Preventive Care with First Choice and In-Network Providers without using HRA dollars Routine Preventive Care Well-Baby Care and Well-Child Care Adult Care One routine vision exam per Plan Year Immunizations Based on age, gender and family history Routine Mammogram, PSA, Pap Smear Based on age, gender and family history • Visit LSU First atwww.lsufirst.orgfor more Wellness information

16. CIGNA’s Clinical Programs • Lifestyle Management Programs • Need help making healthy changes? • Get Telephonic or Online Support • Self Paced Format • Support available 24/7 • Tobacco Cessation • Weight Management • Stress Management • Healthy Pregnancies, • Healthy Babies • Prenatal Support Program • Cash bonus for program completion • $250 if enrolled by end of First Trimester • $125 if enrolled by end of Second Trimester • Comprehensive Oncology • One on one support every step of the way • Specially trained cancer support nurse • 24 Hour Health Information Line • End of life care • Chronic Condition Support • Manage a chronic health condition • Create a personal care plan • Understand medications or doctor’s orders • Identify triggers that affect your condition • Make educated decisions on your treatment • Health Advisor • Specialized trained nurses • Coaches • Nutritionist • Clinicians

17. Additional Programs • Employee Assistance Program (EAP) • Provides a Wide Range of Support for YOU • Legal Issues • Childcare, Eldercare, even Pet Boarding • Managing Stress • Relocation Assistance • And more! • These valuable services are free and can be utilized by calling 1.866.929.5781 • Up to three (3) visits with an In-Network counselor are available for all Members Health Risk Assessment • Predicts future health issues fairly accurately • Gives you control to start making simple changes to improve your health • Creates a deeper understanding of your health risk and offers effective solutions • Online coaching is available to you • Totally confidential • Logon to myCIGNA.com to complete

18. Websites for CIGNA and Express Scripts • www.lsufirst.org • Manage Your Accounts with CIGNA and Express Scripts • Search for First Choice, CIGNA Open Access Plus, and Verity Providers • Download claim and reimbursement forms • View Communication Newsletters • View contact information your LSU First team

19. Key Contact information • Please ensure you update your contact information with your HR team • CIGNA Clinical Outreach is successful when we have current phone numbers on file • CIGNA’s Health Assessment completions trigger outreach calls based on risk factors and current information

20. Assistance and More Information • LSU First toll-free phone line (for any questions and concerns) • 1.866.929.LSU1 (1.866.929.5781) • LSU First Website: • www.lsufirst.org • Follow LSU First on Facebook or Twitter • E-mail • LSUFirstinfo@lsu.edu • Call an experienced Member Advocate • 1-866-607-5325 or 225-906-1249

21. Questions