INSURANCE INFORMATIONPPO BENEFITS

This is a This is a teamwork teamwork

effort between effort between AdministratioAdministration, MEA, and n, MEA, and

MESA.MESA.

PROPOSED CHANGESPROPOSED CHANGESWELLNESSWELLNESS

• Change CHILD WELLNESS to 100% coverage (currently 90%).

• Add ADULT WELLNESS at 100% coverage.

• Annual maximum of $500 per person

• Estimated rate change: an increase of 1.5%

PROPOSED CHANGESPROPOSED CHANGESWELLNESSWELLNESS

• Examples of items that would be covered that currently are not would include:

cost of doctor’s office visit and examination, lab and blood work (cholesterol, blood panel, etc.), bone density tests, EKG, flu shots, tetanus shots, etc.

PROPOSED CHANGESPROPOSED CHANGESPRESCRIPTION CARDPRESCRIPTION CARD

• Change current RX benefit.Change current RX benefit.

• $10 co pay for generic$10 co pay for generic

• $20 co pay for brand$20 co pay for brand

• $40 co pay for non formulary$40 co pay for non formulary

Store Service (up to 34 days)

PROPOSED CHANGESPROPOSED CHANGESPRESCRIPTION CARDPRESCRIPTION CARD

• Change current RX benefit.Change current RX benefit.

• $20 co pay for generic$20 co pay for generic

• $40 co pay for brand$40 co pay for brand

• $80 co pay for non formulary$80 co pay for non formulary

• 3 months for the price of 23 months for the price of 2

Mail Order Service (up to 90 days)

PROPOSED CHANGESPROPOSED CHANGESPRESCRIPTION CARDPRESCRIPTION CARD

Oral contraceptives would Oral contraceptives would also now be included in also now be included in the prescription plan.the prescription plan.

Estimated Rate Estimated Rate Change for Change for implementing the implementing the Prescription card:Prescription card:a a reductionreduction of of 1.54% in the rate.1.54% in the rate.

NET CHANGE:NET CHANGE:A reduction of A reduction of

0.04% on the rate 0.04% on the rate for next year.for next year.

VOLUNTARY VISION PROGRAMVOLUNTARY VISION PROGRAM

Rates per monthRates per month

Employee Only: $8.50Employee Only: $8.50 Employee + One: $13.60Employee + One: $13.60 Employee + Children: $13.88Employee + Children: $13.88 Employee + Family: $22.38Employee + Family: $22.38 10 Employees needed to enroll10 Employees needed to enroll Rate guaranteed for 24 monthsRate guaranteed for 24 months

BENEFITSBENEFITS Exam Co-payment: $10Exam Co-payment: $10 Material Co-payment: $25Material Co-payment: $25 Frequency: Exam (12), Lenses (12), Frames Frequency: Exam (12), Lenses (12), Frames

(24)(24) EXAM 100% coveredEXAM 100% covered LENSES 100% coveredLENSES 100% covered FRAMES 100% covered up to $120FRAMES 100% covered up to $120 ELECTIVE CONTACTS 100% covered up to ELECTIVE CONTACTS 100% covered up to

$120$120 NECESSARY CONTACTS 100% coveredNECESSARY CONTACTS 100% covered

Decision to be made on April 8.Decision to be made on April 8.Questions:Questions:

SeeSeeJeff HardingJeff Harding

Terry NapolskiTerry NapolskiJan BergJan Berg

Diane KuzmynDiane Kuzmyn