Health Benefit Plan Initiatives

1. Health Benefit Plan Initiatives For 2013

2. The Basics - Medical • Medical Administrator/Provider Network • Continue with Core, Buy-Up, Plus & CDHD Plans • Small increases to deductibles and out-of-pocket maximums • Increase to premiums

3. The Basics – Non-Medical • Dental – Delta Dental • No plan changes • Small increase • Vision – NVA (National Vision Association) • No plan changes • Small increase (first in 4 years)

4. Health Care Reform 1/1/2013 Eight new prevention-related women’s health services covered with no cost-sharing • Breastfeeding comprehensive support and counseling • Contraception: FDA approved contraceptive methods • Domestic and interpersonal violence screening and counseling • Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk • HIV screening and counseling • HPV DNA Testing • STI counseling • Well-women visits to obtain recommended preventive services for women under 65 http://www.healthcare.gov/

5. IRS Spending Changes 2013 • Flexible Spending annual maximum changed to $2,500 per family from $5,000 • Health Savings Accounts: • Increases to $3,250 for employee only (up $150 from 2012) • Increases to $6,450 for family coverage (up $200 from 2012) http://www.irs.gov/irb/2012-26_IRB/ar09.html

6. Provider Change Flexible Spending/Dependent Care Provider changing to: Established in 1998, AmeriFlex has been recognized within the industry for their commitment to innovative technology and superior client service, and has been honored for thepast seven consecutive years in Benefits Sellingmagazine's annual "Readers' Choice" Awards. www.125flex.com

7. New “Smart Card” issued in late December • Able to use Smart Card for some dependent care providers • Direct Deposit capabilities • Increased auto-substantiation capabilities (fewer follow-up, EOB requests)

8. Butler’s Focus on Wellness • Healthy Horizons – Health Risk Assessments • Health Recreation Center – $200 Wellness Stipend • Wellness Survey

9. Healthier & Better Education Three new initiatives to equip our participants to be healthier and better educated consumers of health care: • Anthem’s 360 Degree Health Programs • Health Advocate • Health Care Consumerism - Castlight

10. Help support and encourage healthy behavior by: • Maintaining good health • Managing specific health issues • 24/7 Nurse Line • My Health Advantage • Future Moms • MyHealth@Anthem • Complex Care • Condition Care http://www.anthem.com/wps/portal/ahpculdesac?content_path=employer/noapplication/f0/s0/t0/pw_ad093591.htm&label=&na=360employer&rootLevel=0

11. Personal Health Advocates handle a range of clinical and healthcare insurance issues • Interacts with providers and insurance • Gets the right answers at the right time • Benefits Gateway and Health Information Dashboard

13. https://mycastlight.com

14. Castlight helps you find a high-quality doctor for an affordable price before you make an appointment. With Castlight you can compare nearby doctors to see the price you will pay for a visit and the quality care you can expect to receive. You can also review step-by-step explanations of your past medical spending so you know how much you paid and why.

15. Open Enrollment • October 22nd through November 6th • Look for Open Enrollment meeting dates, times and location announcement in mid-October

16. 2013 Building a Healthier Future Centered Around B (U)