INSURANCE INFORMATION PPO BENEFITS

This is a teamwork effort between Administration, MEA, and MESA.

PROPOSED CHANGES WELLNESS 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 CHANGES WELLNESS 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 CHANGES PRESCRIPTION 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 CHANGES PRESCRIPTION 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 2 3 months for the price of 2 Mail Order Service (up to 90 days)

PROPOSED CHANGES PRESCRIPTION CARD Oral contraceptives would also now be included in the prescription plan.

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

NET CHANGE: A reduction of 0.04% on the rate for next year.

VOLUNTARY VISION PROGRAM Rates per month  Employee Only: $8.50  Employee + One: $13.60  Employee + Children: $13.88  Employee + Family: $22.38  10 Employees needed to enroll  Rate guaranteed for 24 months

BENEFITS  Exam Co-payment: $10  Material Co-payment: $25  Frequency: Exam (12), Lenses (12), Frames (24)  EXAM 100% covered  LENSES 100% covered  FRAMES 100% covered up to $120  ELECTIVE CONTACTS 100% covered up to $120  NECESSARY CONTACTS 100% covered

Decision to be made on April 8. Questions: See Jeff Harding Terry Napolski Jan Berg Diane Kuzmyn