Velcro USA Inc. 95 Sundial Avenue Manchester, NH 03103 USA Tel: (+1) 603 669 4880 analysis, modeling and carrier negotiations resulting in converting medical and dental to self- funded arrangements and carving out prescription drugs to Express Scripts to achieve significant savings and greater flexibility. In addition to the benefit consolidation, we also recommended and helped implement a new HRIS system to improve their administration and enrollment process and supported the rollout of the revamped benefit offering by creating open enrollment communications, interactive benefit guides and did a road show conducting employee education sessions. The result was a wildly successful implementation with the employees receiving their new ID cards and financial spending account debit cards in hand before January 1st and the human resources team enjoying a much smoother enrollment process. The targeted goal was to save between $940,000 to $1.4 million or $11,474 PEPY to $9,402 PEPY, but the actual savings for the 2019 plan year was $1,117,965 in medical spend with the PEPY cost projected at $9,811. Example #2: RX Carve Out | We had a client with a pharmacy carve in option with their in force medical carrier. The client had a limited benefits budget and was experiencing consistent pharmacy cost increases year over year. EBS recommended carving out their pharmacy program to gain control of clinical programing, take advantage of better contract terms and guaranteed discounts and rebates. We introduced Confidio, our Pharmacy Consulting partner, to execute the Pharmacy RFP. Confidio found the best discount and rebate guarantees in the market, supported the implementation of the new PBM and performed a six month and annual reconciliation to be sure that the PBM met all contract performance guarantees. The end result was EBS’ client realized a 30% cost reduction in their pharmacy spend resulting in an annual savings of $260,000. 25. Describe your underwriting and actuarial resources. The Underwriting & Analytics Consultant, Chelsey Covitz, has been with EBS for six years. As a Subject Matter Expert, Chelsey’s sole responsibility is to analyze claim data, understand underwriting formulas, and develop client reporting capabilities. Chelsey assists credible EBS clients over 100 lives with their claims analysis to get insights into their plan cost-drivers and medical and Rx trends. She is heavily involved in the renewal strategy analysis, incorporating our actuarial resources to assist in budgeting for self-insurance, developing projections for future years based on various plan design contracts, and providing risk analysis for those considering self- insurance and those already self-insured. EBS currently uses software from Zywave and Claros Analytics to assist with plan management. Zywave’s Decision Master Warehouse (DMW) allows us to benchmark our clients’ experience against companies of similar size in the same industry, dig deep into claims experience to uncover the cause of higher-than-normal claims experience, and put a plan in place to manage costs moving forward. for a sample DMW Report. Please see exhibit E Claros Analytics’ Health Benefits Consulting Suite (HBCS) allows us to model health plan designs, evaluate the impact of plan changes, simulate employee enrollment, set budget rates based on experience and perform predictive modeling of employee migration between plans. HBCS has 3 Components: • Actuarial Assistant: Provides detailed modeling of health plan design and allows for side-by- side comparisons of benefit designs • Risk Decision Support: Provides analysis of the risk/reward at various stop loss thresholds and aggregate insurance corridors and displays the probability of experiencing an aggregate claim • Experience and Migration Predictive: Provides robust experience analysis, simulation of 16