1. WELLNESS INCENTIVE 2011

2. LifeStyle Returns Developed by Highmark BCBS Developed by Highmark BCBS Used by their employees + membersUsed by their employees + members Program can help you change your role in your health Program can help you change your role in your health Identifies your health and lifestyle areas in need of improvementIdentifies your health and lifestyle areas in need of improvement Helps you develop and keep new, healthier habitsHelps you develop and keep new, healthier habits

3. LifeStyle Returns What is it? What is it? A program that helps you assess all aspects of your healthA program that helps you assess all aspects of your health You receive rewards for completing a total number of pointsYou receive rewards for completing a total number of points $300 each for you and your spouse$300 each for you and your spouse Begins 1-1-11 and ends 10-31-11Begins 1-1-11 and ends 10-31-11 All of your tracking is done onlineAll of your tracking is done online

4. LifeStyle Returns How does it work? How does it work? Go online, establish your login and passwordGo online, establish your login and password On your personalized webpage from HM you will see the new tab “Lifestyle Returns”On your personalized webpage from HM you will see the new tab “Lifestyle Returns” New for 2011- Earn Points to achieve your cash incentiveNew for 2011- Earn Points to achieve your cash incentive

5. LifeStyle Returns How does it work? How does it work? Earn Points for each wellness activity completedEarn Points for each wellness activity completed Choose from a wide variety of activitiesChoose from a wide variety of activities Each program we offer here that you complete will have a code you put into your online webpage at HM site to get those points or you select the date it is completedEach program we offer here that you complete will have a code you put into your online webpage at HM site to get those points or you select the date it is completed Very simple process- you earn the required total points to earn the cash incentiveVery simple process- you earn the required total points to earn the cash incentive

6. Sample Activities for Points Wellness Profile Wellness Profile Annual physical exam Annual physical exam Annual preventive exams Annual preventive exams Blood screening Blood screening Fitness Fitness Flu shot Flu shot Walking program Walking program Various online educational activities Various online educational activities

7. LifeStyle Returns Who is eligible for the incentive? Who is eligible for the incentive? All employees and spouses enrolled in the health insurance plan through Highmark or buy out for 2011All employees and spouses enrolled in the health insurance plan through Highmark or buy out for 2011 If you are an employee or spouse on the buy out plan you need to inform J. Loizzo that you plan to participate in this program to get your access login code for the online websiteIf you are an employee or spouse on the buy out plan you need to inform J. Loizzo that you plan to participate in this program to get your access login code for the online website Incentive paid in December 2011 minus taxes Incentive paid in December 2011 minus taxes

8. Confidentiality Highmark is required by HIPAA regulations to insure that our information is kept confidentialHighmark is required by HIPAA regulations to insure that our information is kept confidential The website has various security requirements for you to access your informationThe website has various security requirements for you to access your information I get an aggregate report of what the main health risks are for the people involved as a whole for planning purposesI get an aggregate report of what the main health risks are for the people involved as a whole for planning purposes I will get a list of who has completed the requirements so that I can grant the cash incentives for 2011I will get a list of who has completed the requirements so that I can grant the cash incentives for 2011 Nobody here sees any of your personal health information

9. Blood Screening We will provide a screening event here or do it at your physician’s office We will provide a screening event here or do it at your physician’s office Feb. 2 @ FUS Feb. 2 @ FUS 7:30am-11:15am 7:30am-11:15am Blood pressure check, LDL, HDL, Triglyceride Blood pressure check, LDL, HDL, Triglyceride Cost = fee payable at Business Counter Starvaggi Cost = fee payable at Business Counter Starvaggi

10. Blood Screening Highmark Direct Mobile Tour Highmark Direct Mobile Tour Van will be available for you to get information about their programs and to begin to do your Health Profile onlineVan will be available for you to get information about their programs and to begin to do your Health Profile online Information about our health insurance services will also be availableInformation about our health insurance services will also be available Feb. 2 8:00 AM – 1:00 PMFeb. 2 8:00 AM – 1:00 PM

11. Programs Online produced by HealthMedia- points for each Online produced by HealthMedia- points for each Nourish- nutritionNourish- nutrition Breathe- smoking cessationBreathe- smoking cessation Care for DiabetesCare for Diabetes Care for Pain ManagementCare for Pain Management Balance- weight managementBalance- weight management Care for your HealthCare for your Health Overcoming DepressionOvercoming Depression Overcoming Binge EatingOvercoming Binge Eating Relax- Stress ManagementRelax- Stress Management Care for your BackCare for your Back Overcoming InsomniaOvercoming Insomnia

12. Programs Available at FUS- points for each Available at FUS- points for each LegendsLegends 5K Walk-Run5K Walk-Run Aerobics ClassesAerobics Classes Spirituality ProgramSpirituality Program Lunch & LearnLunch & Learn Drop 10 in 10Drop 10 in 10

13. Research & Best Practices Dr. D. Eddington researcher at University of Michigan, Health Management Research Center Dr. D. Eddington researcher at University of Michigan, Health Management Research Center Design wellness programs to keep the people with few risks healthy and assist those with multiple health risks to not get sicker Design wellness programs to keep the people with few risks healthy and assist those with multiple health risks to not get sicker Eddington, D.W. Zero trends: health as a serious management strategy. Health Management Research Center. Ann Arbor, MI. 2009 Eddington, D.W. Zero trends: health as a serious management strategy. Health Management Research Center. Ann Arbor, MI. 2009

14. Research LSR Impact on Overall Health 462 respondents @ Highmark 462 respondents @ Highmark Q. Do you think you would have had a preventive care exam if you had not participated in LSR? Q. Do you think you would have had a preventive care exam if you had not participated in LSR? Yes = 49% Yes = 49% No or Not Sure = 51% No or Not Sure = 51% Participation motivated people to seek preventive health care Participation motivated people to seek preventive health care Conditions were identified early and treatedConditions were identified early and treated If we save one life it is all worth it!If we save one life it is all worth it!

15. Research: Return on Investment Highmark’s program saved $1.3 million over 4 years Highmark’s program saved $1.3 million over 4 years Largest savings were from lower inpatient costs Largest savings were from lower inpatient costs About $1.65 ROI for every dollar spent on the programs About $1.65 ROI for every dollar spent on the programs Naydeck, BL, et al. The impact of the Highmark employee wellness programs on 4-year healthcare costs. J. Occ. & Environ. Med. 2008. Vol. 50. No. 2. pp. 146-156. Naydeck, BL, et al. The impact of the Highmark employee wellness programs on 4-year healthcare costs. J. Occ. & Environ. Med. 2008. Vol. 50. No. 2. pp. 146-156.

16. Get Engaged in Your Health Lifestyle Returns gives you everything you need to take charge of YOUR health Lifestyle Returns gives you everything you need to take charge of YOUR health Unlike other wellness programs that provide one approach for everyone, LSR is tailored to YOUR specific health needs Unlike other wellness programs that provide one approach for everyone, LSR is tailored to YOUR specific health needs Results from 2010: 150 people completed our LSR Congratulations Results from 2010: 150 people completed our LSR Congratulations

17. Get Engaged in Your Health The best thing about participating in LSR…. …. the rewards you enjoy will last a lifetime! …. the rewards you enjoy will last a lifetime!