1. Workplace Health and Wellness Consulting Assess Plan Implement Evaluate March 11, 2013 3x3x3 Wellness Strategy We’re committed to the development of an efficient, effective and engaging Population Health Management Program For The City of East Point

2. Aetna Inc. Aetna Workplace Health and Wellness Consulting 2 We are committed to helping your employees, and your business, achieve good health.

3. Aetna Inc. Aetna Workplace Health and Wellness Consulting Finally, a wellness program with real, measurable results! Aetna Healthy Commitments℠ program. It not only engages employees in health and wellness, but measures participation in programs. Our simple wellness solutions fit your needs – and budget. 3

4. Aetna Inc. Aetna Workplace Health and Wellness Consulting City of East Point Currently Has the Enhanced Wellness Package 4 Core package Enhanced package Premier package Everything here is automatically included with all medical plans. Get all the Core features, plus the following 3 programs to boost your wellness strategy Get the Core and Enhanced features, plus this essential program to empower members and build a healthier and more productive workforce. Simple Steps to a Healthier Life® online health assessment tool to set goals and identify potential risks Online wellness programs personalized wellness education, tools and digital coaching Informed Health Line 24/7 health information line staffed by registered nurses Aetna Navigator® secure member website and online tools and resources Member discount programs on books, gym memberships, natural health products and services, more Aetna Health Connections Get Active! SM Shape-Up Challenge a fitness challenge Worksite biometric screenings helps members identify their health risks Incentives to motivate your plan members Including a $100 family maximum incentive for completion of certain programs, plus reporting Healthy Lifestyle Coaching one-to-one personal telephonic support, targeting sustained behavioral changes and healthy life styles. Includes member support for the following: Weight management Tobacco cessation Stress management Nutrition Physical activity Preventive health Medical management programs precertification, concurrent review and case management Disease management personal attention and support for more than 35 chronic conditions Beginning Right® maternity program tips for a healthy pregnancy and support for high-risk needs MedQuery® patient safety and engagement program that reveals opportunities for better care Personal Health Record makes it easy to organize and store your health information online

5. Aetna Inc. Aetna Workplace Health and Wellness Consulting Join us by committing to a three year partnership of City of East Point, MSI Benefits Group, Inc. and Aetna using each of our best practices in conjunction with the right programs, products, and services to develop a program that delivers a measurably healthier and more productive population. 5 Partner with us … Aetna’s 3x3x3 Population Health Management Paradigm CompaniesYearsGoals City of East Point MSI Benefits Group, Inc. Aetna Risk education & measurement Risk control & mitigation Risk reduction & maintenance 333 Increase health risk awareness Provide change opportunities Measure program outcomes

6. Aetna Inc. Aetna Workplace Health and Wellness Consulting Assess: Collect, analyze and report both subjective and objective data Evaluate reports for existing health issues and risk factors on an aggregate level to determine top five risks factors for targeted reduction Plan: Drive engagement in self-directed online wellness programs to decrease risk factors in non-diseased population Drive engagement in disease management programs to control existing health issues and decrease risk of development of co-morbidities Establish organizational policies and procedures that support the strategy at the department and individual level. Implement: Implement biometric screenings for covered employees Promote Health Risk Assessment and built in gift-card incentive Allocate funding to produce communication materials for targeted health issues that educate and guide the population into appropriate programs Evaluate: Measure participation levels. Establish baseline for utilization of wellness tools, calendar, timeline, communication and project plan. Strategy - Year One Help your members understand the need to change through identifying and educating them about their health risk factors 6 Increase Health Risk Awareness

7. Aetna Inc. Aetna Workplace Health and Wellness Consulting Strategy - Year Two Drive your members to participate in activities to change or improve their health behaviors through offering program, services and incentives 7 Provide For ChangeIncrease Health Risk Awareness Assess: Continue year one assessment activities Add deeper evaluation of reports for claims, prevention utilization, disease management and maternity programs Plan: Continue and build-on year one plan success; refine where indicated Drive population to use health care benefits appropriately where indicated Drive population with lifestyle-based health risks and issues into high-touch tobacco cessation, weight loss and wellness counseling programs Implement: Continue year one activities; refine where indicated Implement the Aetna Get Active! Program Consider adding Healthy Lifestyle Coaching program Introduction of non-smoker discount; smokers not-eligible for discount unless they participate in a smoking cessation program; must quit to participate in following year wellness plan Evaluate: Comparison of year one (baseline) to year two program for participation, behavior change, impact on drivers of costs and business exposures

8. Aetna Inc. Aetna Workplace Health and Wellness Consulting Strategy - Year Three Assist your member in maintaining their successes through offering more advanced programs, products and services. 8 Maintain Success Provide For ChangeIncrease Health Risk Awareness Assess: Continue year one two assessment activities Add deeper evaluation of Get Active and Healthy Lifestyle Coaching reports Plan: Continue and build-on year two plan success; refine where indicated Support population successes with health maintenance tools, consumer health information and guidance for care Implement: Continue year two activities; refine where indicated Smokers are not-eligible to participate in wellness plan Allocate funds for participation in healthy competition and maintenance program; updating contact and health information Evaluate: Continue year one and two evaluation activities in terms of year three Consider additional required activities and outcome based initiatives for following year

9. Account Management Roles & Responsibilities Account Manager Role – Linda Bristow Reid Face of Aetna For East Point Leverage Internal & Community Resources Wellness Strategy Coordination Employee Benefits Communication Support Sharing “Best Practice” Account Executive Role – Heather Curis Overall Relationship Management & Accountability Financial Review Strategic Planning Reporting Consultative Support Wellness - City of East Point 10

10. Aetna Inc. Aetna Workplace Health and Wellness Consulting 10