1. Health & Wellness Culture at Serigraph Linda Buntrock Serigraph’s Vice President, Human Resources

2. Health and Wellness Culture at Serigraph

3. Serigraph Profile  Established in 1949  3 US Manufacturing facilities & 1 fullfillment center – all printing related mostly on plastics  Blue-chip customers like Whirlpool, Delco, Chrysler, Nissan, McDonald’s, Nokia, Mercury  460 co-workers in Wisconsin  1200 covered lives  90% enrolled in health plan

4. Philosophy  Company & co-workers are partners  Individuals should take responsibility for their health  Behavior can change outcomes  Co-workers can become consumers  Wellness, prevention, primary care key change agents  Transparency on costs essential  Collaborate with providers, seek out innovators  Costs can be managed without shifting burden to employees  Create change in the marketplace

5. Medical Cost Challenge  2002 Serigraph’s share exceeds $5 million  Annual medical cost inflation nationally at double digit  No end in sight

6. Old Health Plan Background  Original plan was a traditional, single- deductible plan with co-pays  Deductibles at $250 up to 3 family members  Company/co-worker split: 75%-25%

7. Components of the New Plan  Annual required health risk appraisals  Free days for wellness  On-site fitness center  On-site physician, chiropractor, dietician, nurse health coach, nurse practitioner, acupuncturist  Consumer-driven health coverage

8. Wellness Incentives  Based on quantitative results re: wellness activities  Lunch and Learns  Preventive healthcare  Diabetes incentives  Lose the Weight  Blood Pressure control  Cholesterol reduction  Fitness rewards  Walking trails around plant locations  Earn extra paid time off annually

9. Supplementary Benefits  Physician – onsite 1 day a week  Chiropractor, dietician, nurse, nurse practitioner, acupuncturist –On-site facility –No or low charges –Part-time contract services  Fitness center –$2/pay-period service charge –24/7 operation –Available to co-workers and spouses

10. Medsave  Free procedures for certain diagnostics like MRI, colonoscopy, mammograms  Incentive rewards are paid in cash to co-workers who opt for specific high-value providers $250 – carpal tunnel/tonsillectomy/MRI of the head/MRI of leg joints/CT of the abdomen/knee arthroscopy  $500 – colonoscopy/digestive disorder/c-section,  $1000 – gall bladder removal/hysterectomy  $2000 – major joint surgery to hip, knee, ankle/stent implant

11. Medical Tourism  Partnered for international with TPA  Bridgehealth provides domestic tourism  Free to employees/spouses for approved procedures  Concierge guidance and arrangements

12. Primary medical emphasis  Flat annual fee for unlimited primary care  Onsite one day/week  Home visits/flexible office schedule  Available by cellphone  Higher level of interactive health management