Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 1 Your Medical Plan Changes July 1, 2011 – June 30, 2012 Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA

WELCOME TO CIGNA Today’s Agenda  CIGNA.com/myCIGNA.com  24/7 Health Information Line  Open Access Plus Carelink (OAP) Plans  Prescription Drug Plan  Quickswitch  Transition of Care  Healthy Rewards  JP Morgan Chase – Health Savings Account  Pre-enrollment Line  Questions

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA Track Deductible 24/7 Online Health Account Management Personalized and secure online account tool Review plan coverage levels Track claims and payments Live 24/7 Customer Service My life is busy. How do you help me understand and track my health care expenses? 19 3

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 4 Finding a Medical Provider On-Line  Log onto  On the left hand side, or center of the screen, under “Customer Care”, choose Provider Directory  Choose the provider that you are looking for (physician, hospital, etc.)  Enter the name of the physician (optional)  Enter zip code or city and state  Select distance that you are willing to travel  Press continue  Select your benefit plan (Open Access Plus/Care Link)  View providers on line and print/download Please note: If you find a provider that is NOT in- network with CIGNA be sure to fill out a Physician Nomination Form so we can conduct an outreach to see if they would like to participate.

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA Provider Directory

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 6 CIGNA Tel-Drug Home Delivery Pharmacy  Ideal for those who take prescription medications regularly  Convenient home delivery  Up to a 90-day supply — fewer refills  Order online, by phone or mail  Standard delivery at no additional cost  QuickSwitch  Transfers  available online through mycigna.com or call member services

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA My life is busy. How do I transition my Mail Order Prescriptions? QwickSwitch 1.Have your medication, doctor’s name/phone number and credit card information ready. 2.Call , Option 1, ext We’ll request a prescription from your doctor for a 90 day supply with refills. Once we receive it, we will fill your medication and mail it to your home. 11

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 8 Transition of Care Benefits  Transition of care benefits are intended to allow members to continue to receive services for specified medical and/or behavioral conditions for a defined period of time with physicians who do not currently participate with CIGNA HealthCare. This will allow continued, uninterrupted care until the safe transfer of care to a participating physician or facility can be arranged.  Examples of acute medical conditions that may qualify for Transition of Care benefits: ­Pregnancy in the second or third trimester at the time of the effective date of coverage ­Newly diagnosed or relapsed cancer ­Trauma ­Recent major surgeries still in the global follow-up period  Enhanced Benefit for Ellington Employees: Behavioral Health claims will be automatically covered under transition of care for the first six months and you are not required to fill out any paper work, this will happen automatically.  If you have a medical condition that may apply you will need to fill out a TOC form with in 30 days of your effective date, July 1 st. TOC forms must be returned by July 31 st for review.  For approved medical acute conditions, you will have about 90 days or until a safe transfer can be made.

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 9 Helping You Stay Healthy  Coverage for routine wellness checkups  Coverage for immunizations for children  Men’s health and women’s health programs  24-hour access to registered nurses  Healthy Rewards ® — programs for weight management, smoking cessation and more  Lifestyle Management Programs  CIGNA Well Aware for Better Health  Online tools and health information

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 10 CIGNA Healthy Rewards® via MyCIGNA.com Valuable health and wellness programs:  Tobacco Cessation programs ­QuitNet ­Tobacco Solutions  Weight Management Programs ­Weight Watchers  ­Jenny Craig ­Healthy Roads Weight Management Program  Vision Services – up to 25% discount ­Pearle – J.C. Penney – Sears – Target  Lasik Vision Correction  Mind / Body ­Yoga Journal ­Healthy Roads for Living Mind / Body Program  Alternative Medicine - Massage Therapy - Chiropractic Services - Acupuncture  Hearing Aids and Exams  Healthy Lifestyle Products - Mayo Clinic Books - Magazine discounts  Vitamins Health & Wellness Products - Drugstore.com - Healthy Roads for Living A discount program is NOT insurance, and the member must pay the entire discounted charge.

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 11 CIGNA HealthCare 24-Hour Health Information Line SM  Toll free, 24 hours a day  Convenient access to Registered Nurses  Health and wellness audio library  Medical provider directory  or CIGNA24

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 12 CIGNA Well Aware for Better Health SM Resources for members with chronic conditions  Educational materials  Self-care tools  Support and information: If you have;  Diabetes  Asthma  Low back pain  Heart disease  C.O.P.D (Chronic Obstructive Pulmonary Disease) You can call customer service and ask to participate in the Well Aware Program for your condition

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 13 CIGNA HealthCare ID Card  All enrollees and their dependents will receive a new ID Card for  New ID Cards will be mailed to your home in envelopes of 4.  After July 1st - make sure to update your information with your doctor and pharmacy, by providing them with your new ID Card.

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA JP Morgan Chase – Health Savings Account  If you are currently enrolled in the HDHP Plan and have Melon for your Health Savings Account you have the option to transfer funds to JP Morgan Chase.  If you are enrolling in the HDHP Plan for the first time be sure to fill out the JP Morgan Chase documents located on-line. If you do not fill out this form you will not have a savings account for your funds to be deposited.  After you open your bank account through JP Morgan you will receive your new debit card and Welcome Packet in June.  You must go on-line to the below link and use the id provided to Ellington employees /welcome.do /welcome.do ID: EllingtonBOE2011

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 15 Next Steps / Reminders…  If you have any questions after this meeting the Pre-Enrollment Line is available for you  Enrollment Forms must be completed if you are enrolling in a different plan or making changes to your existing plan. For example, adding or deleting dependents.  Forms are due in the business office by the end of the day May 13 th.  Effective July 1 st – be sure to show your new CIGNA ID Card when visiting your providers.

Confidential, unpublished property of CIGNA. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2009 CIGNA 16 Questions Thank You!