1. Proprietary and confidential. © 2005 Perot Systems. All rights reserved. All registered trademarks are the property of their respective owners. www.perotsystems.com 1 UNIVERSITY OF TEXAS WELLNESS SYMPOSIUM MARCH 20, 2007

2. Proprietary and confidential. © 2005 Perot Systems. All rights reserved. All registered trademarks are the property of their respective owners. www.perotsystems.com 2 Current Landscape In 2006 cost of healthcare was $2.2 trillion or 16.5% of GDP (other countries average 10% - 13%) US healthcare ranks 37 th in quality and 1 st in cost 46% of those filing for personal bankruptcy in 2001 did so due to medical expense (3/4 had insurance) Takes an average of 17 years to move from clinical trials to everyday practice Lifestyle related behaviors make up 5 of 10 leading causes of death (7 in some reports) —Chronic diseases such as heart disease & diabetes account for 70% of US deaths and 75% of annual healthcare cost —Number of obese more than doubled from 1960 to 2002 —Healthy weight decreased from 51% to 34%

3. Proprietary and confidential. © 2005 Perot Systems. All rights reserved. All registered trademarks are the property of their respective owners. www.perotsystems.com 3 Why it matters to employers? Corporate America pays 1/3 of the total cost of healthcare (medicare/medicaid pay almost half) Private insurance cost for conditions related to overweight/obese in 18-64 year olds was $3.6 billion in 1987 to $35.5 billion in 2002 In Texas: —Healthcare spend trended at 6.5% from 1996–2000 compared to a national rate of 5.6% —We exceed national trends for obesity and sedentary lifestyles —We are 11 th in the nation for high % of residents who are overweight/obese  In 2002 68.5% of males and 49.5% of females were overweight/obese  35% of schoolchildren overweight/obese —We rank 17 th in heart disease for men and 15% for women —We have a 48% incidence of diabetes in ages 45-64 (US is 45%) —24.6% of our population is uninsured (75% of which work full time)

4. Proprietary and confidential. © 2005 Perot Systems. All rights reserved. All registered trademarks are the property of their respective owners. www.perotsystems.com 4 Current Landscape at Perot Systems HEALTHCARE DELIVERY Wellness Lifestyle Choices Annual Wellness Plan per ee cost $59 – 13,000 ee’s Annual Medical Plan - $74,451,808 Annual Wellness Plan - $767,00 10% reduction in number of ee’s “entering” healthcare delivery system (1,008) Avoided Cost – $7,444,080 Less Wellness Cost - ($59,472) Net Savings $7,384608 Does not include disability, productivity, absenteeism cost Social Expectations Funding Alternatives Plan Design Employee Contributions UnderuseOveruseMisuse Medical Mistakes Uninsured Administrative Red Tape Technology Issues Disability Compliance Presenteeism Annual Medical Plan Per EE Cost $7,385 – 10,081 e’s

5. Proprietary and confidential. © 2005 Perot Systems. All rights reserved. All registered trademarks are the property of their respective owners. www.perotsystems.com 5 Wellness at Perot Systems Holistic and integrated approach Avoid contradictions – know the business and associate demographics —We grow through acquisition and transition Comprehensive program design and delivery —Leverage marketing and change management concepts  Grass roots effort (credibility) – Wellness Coordinators  “Advertise” instead of communicate  Recognize readiness for change in program design  Personal value equation - one size does NOT fit all  Target participation at the lowest levels —Measurable outcomes (short & long term) Create a culture of wellness —Integrate across multiple offerings  Smoking surcharge on health premiums  Smoke free environment  Cafeteria offerings  Link to charitable events  Easy and multiple access points