June 11, 2009 Board Meeting Presented by: Sharonica L. Hardin, PHR, St. Louis Public Schools & Matt McGrath, Holmes Murphy & Associates

Primary Goals: Employees: Awareness of health status District: Increase moral and productivity Employees and District: 1) Promote healthier lifestyles which will funnel to students and 2) long term approach to control health care spending by positively impacting claims experience and trend for medical premiums 2/14/ St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

Employee Requirements Step 1: Health Screening Step 2: Health Assessment Employee Premium Contribution for not participating $40 per month premium contribution toward medical insurance effective July 1, month employees will be charged the annual equivalency of $40 per month. 2/14/20143 St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

Below is an overview of incentives associated with the 2009 SLPS Wellness Plan Avoid $40 per month medical premium contribution $75 gift card for completion of the Health Assessment. Funded by the UHC wellness program. $25 gift card for completion of online Health Coaching program. Funded by the UHC wellness program. $75 gift card for completion of the telephonic Health Coaching program. Funded by the UHC wellness program. Up to a total of $175 in gift cards per employee per year and up to a total of $175 in gift cards per covered spouse per year. 2/14/ St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

Step 1 (Screenings) There were over 65 SLPS screening sites As of May 19, 2009: 3,488 Active employees participated 96.8% participation (assuming 3,602 total eligible active employees) Step 2 (Assessments) Online Assessments were due by May 18, 2009 and paper copies had to be post marked by May 18, 2009 As of June 6, 2009: 3,181 Active employees participated 88.3% participation (assuming 3602 total eligible active employees) Combined Participation (Wellness Plan Compliant) 88.3% assuming those who completed the Assessment also completed the screening Final participation to be determined mid-June /14/20145 St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

SLPS placed heavy emphasis on communicating the wellness plan in order to obtain the highest level of participation and avoid charging employees the penalty for non-compliance. SLPS Human Resources, UnitedHealthcare, and Holmes Murphy met with the school nurses to explain the plan and request support on January 29 and 30, /14/20146 St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

Communications sent to employees: 1) February 2, 2009 – Announcement Letter and Tri-Fold Overview with Screening Dates mailed to employees homes by UnitedHealthcare sent via blast by SLPS 2) February 13, 2009 – SLPS blast with Q&A 3) March 31, 2009 – SLPS blast reminder with Step 2 Announcement Memo, updated Q&A, and several other flyers 4) April 30, 2009 – SLPS blast reminder with Step 2 Memo 5) May 14, 2009 – SLPS blast and voice mail blast with updated participation stats and reminder of last date to complete Assessment (5/18/09) Also posted all SLPS Wellness Plan Communications and material on the intranet site and placed posters up in schools. 2/14/ St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors

June 3, 2009 – SLPS distribute flyer to promote Health and Wellness Coaching and remind employees about the incentives ($25 online program, $75 telephonic program) June 15, 2009 – receive participation list from UHC in order to apply July 1, 2009 payroll contributions for those who did not participate in the SLPS Wellness Plan DATE TDB UHC aggregate report DATE TDB share some results of aggregate report in communication to employees DATE TDB build communication plan around results of aggregate report DATE TDB build and improve the 2010 SLPS Wellness Plan 2/14/ St. Louis Public Schools Holmes Murphy & Associates – Benefits and Risk Advisors