Velcro Finalist Presentation
An overview of the services provided to Velcro USA by EBS Insurance Brokers

Agenda • Introductions & Objectives • Velcro Companies/EBS Relationship • Re-Introduction to the EBS Team Model • Compensation • Areas of Client Support o Population Health & Wellness o Communication & Employee Education o Compliance Services/Compliance Dashboard o Data Analytics & Actuarial Tools o Leave Support Services o HR Technology Support o M&A Support • Velcro Companies Executive Summary • Globex International Consulting Services • Recommendations/Comments/Next Steps 2023 EBS Services & Capabilities 2
Velcro & EBS Relationship
Who We Are & What We Do
What Sets Us Apart Partner-Driven Oversight Subject Matter Experts Our client service teams areled EBS employs experts in the by a Senior Partner, who is areas of compliance support, responsible for managing client Wellbeing, HR technology, relationships, driving the overall communications, leave strategy and direction of the management, and Rx who work account, and ensuring the with directly with our clients to customer is having a positive assist with recommendations. benefits experience. The Senior Our clients always have direct Partner has equity stake in the access to our experts. organization. UBA Partnership Cultural Anomaly in Advisory Market Our partnership with United As afiercely independent Benefit Advisors provides us with boutique firm, we live on our boots on the ground across the reputation within the industry – entire US.UBA has over 140 this reputation has been broker partners across the established between our clients country that we can call upon for and our team over the past 26 regional expertise, knowledge years. We have a highly sharing, and purchasing power collaborative culture, and we with vendors and services. encourage our team members to bring that style into their client and vendor relationships. 2023 EBS Services & Capabilities 5
Who We Are Established 1997 Independent Privately Held Reliable and Unbiased By the Numbers Insurance Brokerage Firm Benefits Plan Support We empower organizations who are ready We support our clients in benefit plan - 5 Senior Partners with a combined to elevate their employee benefits program management, Wellbeing, compliance, 137 years experience to a competitive, holistic, employee-driven employee communications, leave - 5 in-house subject matter experts differentiator. By providing support to our management, data analytics, - 250+ clients clients in every area of expertise, we help benchmarking, HR technology, and Rx. We - 98% client retention rate businesses attract and retain top talent and can provide national support and have foster an employee-first mindset while - 140+ national advisor firm global capabilities through formal partnerships maintaining budget and company goals. partnerships. - 40 full-time team members 2023 EBS Services & Capabilities 6
What to Expect From Your Partnership with EBS We extend your We keep you informed We provide resources to We optimize your total bandwidth by helping and educate you on keep you compliant, rewards program to to managing all trends occurring in the help optimize your HR align with your culture components of your benefits market tech stack, and deliver and experience in benefits programs Wellbeing programs to relation to your benefits keep your employees program holistically well 2023 EBS Services & Capabilities 7
Valeria Tivnan Director of Susan Sonkin Population Health Director of Compliance Strategy & Well- being Tom McCormick Megan Mattox Marah Funder Wellness Coordinator Director of Marketing & Senior Partner Communications Christina Harrold Josie Martinez Director of HR Senior Partner & Technology General Counsel Jason Reynolds Vice President Chelsey Covitz Meghan Balakier Underwriting & Pharmacy Benefit Analytics Consultant Consultant Jay Miniati Lindsay Lloyd Emily Gay President & Chief Actuary at Director of FMLA Miniati Actuarial Services Administration Senior Benefit Analyst Flores Leave Solutions EBS Services & Capabilities 8
What to Expect FromYour Consulting Team Benefits Employee Webinars Trends SME 101 Surveys &Groups Reviews - Assessment of your currentprograms - Establish projectplans - Develop renewalstrategy - Provide open enrollment support &education - Deploy subject matter expert support when applicable 2023 EBS Services &Capabilities 9
United Benefit Advisors – National Reach Benefits of UBA Partnership to EBS Clients: Charter Partner 134 total Resources in since 2002 member firms 165 US cities Partnerships and Collective In top 10 US brokers alliances purchasing power by combined revenue of $480M+ 2023 EBS Services & Capabilities 10
2023 UBA Health Plan Survey The annual UBA/Milliman Health Plan Survey is the largest benchmarking surveys in the nation. The survey provides us access to all specific industry sector comparisons, and gives ustheabilitytocomparegroupsofallsizesbyregionorstate 11,800 49 20 companies participated states represented industry segments 22,000+ 1.37m 1.09m plans submitted eligible employees enrolled employees 2023 EBS Services & Capabilities 11
A Few of Our Clients 2023 EBS Services & Capabilities 12
Raving Fans Most brokers I know are I am particularly impressed They know me, my HR team, reactive and show up twice with EBS’ ability to scale and have a full a year, but it’s rare to have a with us. It’s important to understanding of our broker as proactive and have a benefits partner who characteristics and nuances engaged as EBS. can arm us with what we as a company – all of which Kim Singer, need at every growth stage are their true value to us as Canaccord Genuity and be able to pivot with us our advisor and also the key as our business pivots. differentiator for us during Niki Hruskocy, Formerly at negotiations. DraftKings Michelle Taupier, Skillsoft 2023 EBS Services & Capabilities 13
Sample Annual MeetingCalendar 2023 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Post-Renewal Quarterly Compliance Pre-Renewal Quarterly Post-Open Analysis Review Review Meeting Review Enrollment Meeting Meeting Meeting Wellness & HR Tech & Mid-Year Renewal Open Wellness & Population Communications Strategy Meeting(s) & senior Enrollment Population Health Reviews Meeting leadership/benefit Health Review committee Review meeting 2023 EBS Services &Capabilities 14
Compensation Full Disclosure At EBS we pride ourselves on our objective and professional advice. Bonus compensation never impacts the way that we conduct business for our clients. We have always followed a policy of full disclosure of fees and commissions. All EBS clients know the following policies: EBS will gladly EBS will continue to EBS will continue to EBS will continue to accommodate any maintain and seek consistent and provide clarity for request for a update all standard fair commission clients in all detailed accounting commission rates so that clients negotiations with of fees, commissions schedules for the may be better able insurers. and/or bonuses insurance to compare received on their companies with competitive business. whom we have proposals. mutual clients. 2023 EBS Services & Capabilities 15
Compensation • EBS has no preference as to commissions vs. fee-based consulting. We will work within the framework preferred by Velcro Companies • Currently EBS is paid a consulting fee of $100,000 per year (paid quarterly) • EBS guarantees consulting fees for a period of one year and it can be negotiated annually. • Target EBS compensation for a client of similar size would be approximately $198,000 o Based upon a fee of $24 pepm with total full-time benefit eligible headcount of 688 • Fees do not include printing & mailing charges, certain travel expenses outside of New England (negotiable), and pass-through fees from mutually agreed upon vendors outside the scope of the agreement (e.g. Decision Support, Benefits Admin, Engagement Platforms, Actuarial Services, Advocacy, etc.) • Commission earned through the sale of Voluntary Benefit plans are not included in the consulting fee. 2023 EBS Services & Capabilities 16
Compensation Velcro 2022 Employees Scale Premium Commission % PEPM EBS Consulting Fee 688 Consulting Fee N/A $100,000 N/A $ 12.11 Voluntary Benefits - Trustmark Standard $15,290 $318 2.1% $ - Individual Disability - Unum Standard $13,279 $939 7.1% $ - NY-DBL / MA-PFML -Shelterpoint Standard $718 $124 17.2% $ - Life/AD&D/LTD - Voya 688 Supplemental $589,978 $10,325 1.7% $ 1.25 Vision - VSP N/A N/A $0 0.0% $ - Total $619,265 $111,705 18.0% $ 13.36 Note: EBS receives a quarterly consulting fee of $25,000; this was increased from $20,000 on January 1, 2019 EBS consulting fee covers all services including consulting on Medical, Dental, Rx Drug & Stop Loss Voluntary Benefits and Individual Disability are co-brokered between EBS and Jim Kinney & Caliber Benefits, respectively Voya supplemental payment is attributable to all EBS business with Voya, a UBA partner 2023 EBS Services & Capabilities 17
Areas of Support
Population Health In-House Support - Director of Population Health Strategy & Well-being - Wellness Coordinator - Wellness toolkit - Pre-vetted vendors from our Wellness Toolbox 2023 EBS Services & Capabilities 19
What to Expect for Wellness Support Wellness Calendar Wellness Toolbox This calendar is built in This toolbox outlines all partnership with the of the pre-vetted client as a guide for how vendors EBS clients to fit every type of have worked with in wellness into each the past, segmented month of the year by cost Program Review Engagement Our wellness team will Our wellness team review your current builds tailored wellness program from communications to a compliance inform and engage perspective and your employees of provide suggestions for their wellness options areas of improvement 2023 EBS Services & Capabilities 20
Employee Communication Support In-House Support - Director of Marketing & Communications - Employee Communications Toolkit 2023 EBS Services & Capabilities 21
What to Expect for Communication Support Engagement Calendar Comms Toolkit This calendar is built in Our communications partnership with the client toolkit provides grab & as a guide for how to best go templates and communicate with content for clients to employees during your OE access anytime, 2023 period and beyond anywhere open enrollment is coming! Customized Content Employee Surveys Our Director of Get feedback directly Marketing & from your employees Communications will with surveys aimed at provide customized deciphering how, when, content based on your and where they like to unique benefits & receive benefit population communications 2023 EBS Services & Capabilities 22
Communication Samples Our Director of Marketing & Communications provides clients with both pre-built and customized content Video Digital Print John Smith 123 Main St. Springfield, MA 2023 EBS Services & Capabilities 23
Communication Samples Our Director of Marketing & Communications provides clients with both pre-built and customized content Relayto Hub Digital Print 2023 EBS Services & Capabilities 24
Compliance Support In-House Support - Director of Compliance - General Counsel - Leave Management Partnership - Leave Management Toolkit - HR360 subscription - Zywave Learning subscription 2023 EBS Services & Capabilities 25
What to Expect For Compliance Support Compliance Calendar Compliance Alerts This customized calendar These alerts are written outlines every due date by the compliance you need to be aware of, team and distributed and indicates who is via email as necessary. responsible for Past alerts can be completing each task found on our website Compliance Review Document Support Our Director of Clients receive Compliance will conduct assistance in the a compliance review at preparation of plan the start of the documents and 5500s relationship and discuss anything that could impact your benefit plans 2023 EBS Services & Capabilities 26
Compliance Dashboard The dashboard combines an easy tracking platform with powerful legal guidance No more checklists! -The Titanium calendar is customized to the company & benefits plans Never miss a deadline - Regular email and calendar reminders to keep you on track. You don't have to be an attorney -Step-by-step guidance for all levels of compliance experience. Are you sure you’re audit ready? -Document tasks and create on-demand reports. Keep it in the cloud - Store plan documents in the cloud-based Document Manager Dashboard 2-Min Overview video Dashboard Flyer EBS Services & Capabilities 27
Compliance Dashboard 2023 EBS Services & Capabilities 28
Sample Compliance Calendar JANUARY FEBRUARY MARCH APRIL 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 6 7 8 9 10 11 12 6 7 8 9 10 11 12 6 7 8 9 10 11 12 3 4 5 6 7 8 9 13 14 15 16 17 18 19 13 14 15 16 17 18 19 13 14 15 16 17 18 19 10 11 12 13 14 15 16 20 21 22 23 24 25 26 20 21 22 23 24 25 26 20 21 22 23 24 25 26 17 18 19 20 21 22 23 27 28 29 30 31 27 28 27 28 29 30 31 24 25 26 27 28 29 30 st 31 –Report imputed income for GTL, certain health coverage, some LTD plans, and Dep Care FSA on the Form W-2 MAY st JUNE JULY AUGUST 31 –Report value of health coverage on the Form W-2 st 1 2 3 4 5 6 7 31 –Insurer, TPA, or sponsor furnishes 1 2 3 4 5 6 1 2 3 4 1 2 MA 1099-HC to covered EEs residing in 8 9 10 11 12 13 14 MA 5 6 7 8 9 10 11 3 4 5 6 7 8 9 7 8 9 10 11 12 13 st 31 –Insurer issues 1095-B to covered EEs st 15 16 17 18 19 20 21 31 –Employers with 50+ FTE issue 1095-C 14 15 16 17 18 19 20 12 13 14 15 16 17 18 10 11 12 13 14 15 16 forms to EEs who were full time for at 22 23 24 25 26 27 28 least 1 month in the prior calendar year 21 22 23 24 25 26 27 19 20 21 22 23 24 25 17 18 19 20 21 22 23 29 30 31 26 27 28 29 30 24 25 26 27 28 29 30/31 28 29 20 31 SEPTEMBER OCTOBER NOVEMBER DECEMBER 1 2 3 ½ 3 4 5 6 7 8 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 9 10 11 12 13 14 15 6 7 8 9 10 11 12 4 5 6 7 8 9 10 11 12 13 14 15 16 17 16 17 18 19 20 21 22 13 14 15 16 17 18 19 11 12 13 14 15 16 17 18 19 20 21 22 23 24 23 24 25 26 27 28 29 20 21 22 23 24 25 26 18 19 20 21 22 23 24 25 26 27 28 29 30 30 31 27 28 29 30 25 26 27 28 29 30 31 2023 EBS Services & Capabilities 29
Data & Analytics Support In-House Support - Underwriting & Analytics Consultant - UBA Benchmarking Survey - Monthly Claims Reporting & Trend Analysis - Decision Master Warehouse - Claros Analytics 2023 EBS Services & Capabilities
Data Tools DMW Risk Decision Support We use Zywave’s Decision Assess the probability Master Warehouse (DMW) of self-funding beating to analyze claims on a full insured, deeper level, to better experiencing an understand your aggregate claim, and population’s state of outperformance of wellness different scenarios Actuarial Assistant Predictive Modeling Calculate expected claim Predict participant levels without group enrollment based on claims experience, past behavior and plan calculate cost reduction options, build precise strategies to groups budget rates, and including reference- develop working rates based pricing 2023 EBS Services & Capabilities 31
Actuarial Support Services 10+ year relationship with Jay Miniati FSA, MAAA, MBA Support Services • Self-funded feasibility analysis • Claim cost projections and COBRA rate development • IBNR/reserve estimates • Trend analysis • Large claim expectation and stop loss cost/benefit analysis • Benefit Design and evaluation of savings if changes are made • Enrollment migration cost savings estimates • Contribution strategy 2023 EBS Services & Capabilities
Flores Leave Solutions One Contact No Cost Stay Compliant EBS clients can connect Services from Flores Support is provided for with one dedicated leave are provided to EBS federal, state, and local management specialist clients at no cost leave laws 2023 EBS Services & Capabilities 33
Support for EBS Clients from Flores Review Advise - complicated leave - on required posters, questions notices, and general - written policies forms - certification forms & - on eligibility other medical requirements documentation Provide Answer - recommendations - questions about the - guidance & best overlap of Federal practices FMLA, ADA, and - feedback on written state leave content programs - coaching & talking - complicated points on ADA matters in phone interactive process consultations 2023 EBS Services & Capabilities 34
HR Technology Support In-House Support - Director of HR Technology - Ability to deploy online enrollment tools - Initial HR Technology assessment 2023 EBS Services & Capabilities 35
What to Expect for HR Tech Support HCM Capabilities Ben Admin Solutions Checklist This proprietary checklist Turnkey benefit will help you assess a administration solution vendor's general that offers online capabilities, onboarding, benefit enrollment, ben admin, enrollment, employee onboarding, payroll functionality, and open enrollment and more reporting services HR Tech Stack Review ADP Partnership We’ll perform a review EBS is a preferred broker of your current systems partner to ADP, so and provide clients who begin a customized relationship with ADP recommendations for through EBS get how to get the most exclusive perks and out of your tech discounts 2023 EBS Services & Capabilities 36
Supporting you with HR Resources STAY UP TO DATE WITH CHANGING PROVIDE TRAINING AND ASSIGN LAWS AND GUIDELINES WITH HR360 COURSES WITH ZYWAVE LEARNING - Expert guidance on topics like COBRA, healthcare reform, - More than 200 training courses available to assign to your and human resources. employees. - Online interactive tool and apps for creating benefits - Assign courses to different classes of employees to remain notices, job descriptions, interview questions, salary compliant with state and federal laws. benchmarks, and more. - Track course completion, send reminder emails, and more. - Online access to federal compliance help, state-specific - Topics include diversity & ethics, workplace safety, OHSA guidance, FAQs, downloadable forms, checklists, sample compliance, labor & privacy, workplace harassment & handbooks, hiring & termination resources, and more. violence, and more. 2023 EBS Services & Capabilities 37
Mergers & Acquisitions Pre-Action Analyze Pre-action strategic M&A report outlining Gross and discussion of cultural fit Net costs, any areas of concern, and side-by-side comparisons Evaluate Provide Evaluate employee Provide benchmarking data of contribution impact to target vs. national, regional, and employer and employee industry norms Produce Assist Produce M&A report Assist with integration of outlining Gross and Net costs, target’s benefit plans (employee any areas of concern, and meetings, communication side-by-side comparisons material, and interface with carriers/vendors) 2023 EBS Services & Capabilities 38
Executive Summary
2023 Renewal Recap PRODUCT CARRIER RENEWAL - Initial renewal projection +2.0% & Final renewal 0.0% - Symetra stop loss transitioned back to Cigna after two years and increased Cigna Medical deductible from $210,000 to $230,000 (premium change -19.2%) Medical Express Scripts PBM - Admin fee remained at $42.11 PEPM (negotiated pushing the requested admin fee Cigna HSA increase for 2023 to 2024 with a cap of 1.5%) - PBM entered year 3 of a 3-year arrangement with annual increases to rebates and discounts from AWP - Added a new higher deductible plan option at lower employee contribution - Initial renewal projection was a decrease of 6.5% & decided to hold rates Dental Cigna - Admin fee $2.90 PEPM(negotiated pushing the requested admin fee increase for 2023 to 2024 with a cap of 1.5%) Vision VSP ‐ Rates guaranteed until 1/1/25 Life/AD&D, Disability Voya ‐ Rates guaranteed until 1/1/24 & FMLA/ADA admin 2023 EBS Services & Capabilities 40
Renewal History Year Initial Final UBA UBA Comments Renewal Renewal Initial Final Specific stop loss deductible increase to $230K level at -18.9% to $142.18. Admin. fee rate hold for stop loss move back to Cigna. Third year of 3-year 2023 2.0% 0.0% PBM deal with rebate share at 100%.Added OAPIN higher deductible plan for choice. Employee contributions increased 0% and OAPIN a 33% decrease. 2022 6.0% 6.0% 9.3% 6.2% Specific stop loss renewed at $210K level at +68.8% to $175.28. Admin. fee increased 1.5%. Second year of 3-year PBM deal with rebate share at 100%. No plan changes. Employee contributions increased 6% for all tiers of coverage. 2021 9.1% 6.0% 8.7% 5.0% Specific stop loss deductible increase to $210K taking a +16% to -9.7% to $55.34/$154.20 by changing SL carrier to Symetra. Negotiated 3-year PBM deal with rebate share increased to 100%. No plan changes. Employee contributions increased 6% for all tiers of coverage. 2020 6.3% 6.0% 9.7% 5.5% Specific stop loss deductible increase to $200K taking a +15% to -1%to $115.01. Rebate share remained at 90%. No plan changes. Health Matters Care Mgmt Preferred added. Employee contributions increased 6% EE only, 1.5% EE/Sp, 1% EE/CH & 9.8% Family. 2019 5.5% 5.5% 8.6% 4.6% Specific stop loss renewed at $175K level at +20% to $116.13. Rebate share remained at 90%. Plan change to brand name Rx drug copays. Employee contributions increased 5.5% EE only, 3% EE/Sp, 1% EE/CH & 8% Family. Cigna admin fee reduced by $0.50 PEPM because Telehealth is now no extra charge. Specific stop loss renewed at $175K level at +13% to $96.78. 2018 8.7% 8.7% 14.0% 9.8% Rebate share remained at 90%. No plan changes. Employee contributions changed from 2 tier to 4 tier (increases 8.7% EE only, 7.5% EE/Sp, 5.5% EE/CH & 10% Family to ease change for non-singles). 2017 5.0% 1.0% 11.2% 6.2% Change from Aetna to Cigna. Admin fee was a -12.2% to $37.81. Specific stop loss renewed at $175K level at a -20.3% to $85.65. Rebate share remained at 90%. No plan changes. 2016 4.6% 4.6% 10.5% 5.9% Admin fee was a 2.0% to $43.04. Specific stop loss renewed at $175K level at a 5% increase to $107.48. Rebate share remained at90%. No plan changes. 2015 7.5% 7.5% 11.2% 6.2% Admin fee was a 1.5% to $42.20. Specific stop loss renewed back at $175K level at a no change (no laser). Rebate share remained at 90%. 10/1/13 14.4% 9.3% 10.6% 5.6% 15 month stop loss renewal period to get plan anniversary date to January 1st. No change to admin. fee. Specific stop loss increased to $200K with one laser at $300K was essential a hold at $102.34. Rebate share increased to 90%. 10/1/12 19.4% 12.8% 10.8% 5.5% Admin fee was a -6.6% to $41.58. Specific stop loss at $175K with one laser at $300K was a -4.1% to $102.31. Rebate share increased to 80%. 10/1/11 19.0% 10.2% 5.0% Admin fee was a +4% to $44.53. Specific stop loss at $175K was a +54.7% to $106.69. Rebate share increased to 60%. Made HRA and HSA plans exactly the same plan design. 5-Yr. Average 5.8% 4.7% 10.1% 6.2% 2023 EBS Services & Capabilities 41
Medical Plan Change Year to Year Time Period Jan'18 - Dec'18 Jan'19 - Dec'19 Jan'20 - Dec'20 Jan'21 - Dec'21 Jan'22 - Dec'22 Avg # EE's 546 557 555 567 529 % Change Yr to Yr 2.0% -0.4% 2.2% -6.7% Total Cost (Actual) $8,504,299 $9,447,146 $9,714,888 $10,087,835 $9,505,181 Rebates ($317,405) ($389,729) ($411,134) ($377,595) ($428,018) Total Cost after Rebates (Actual) $8,186,894 $9,057,416 $9,303,754 $9,710,240 $9,077,163 Premium Equivalent (Budget) $8,964,075 $9,423,475 $9,565,415 $10,291,673 $10,154,683 Total Cost / Premium Equivalent 91.3% 96.1% 97.3% 94.4% 89.4% Employee Contributions $1,752,590 $1,845,794 $1,865,322 $2,006,979 $1,980,163 EE Contibs % Total Cost 20.6% 19.5% 19.2% 19.9% 20.8% Net Velcro Cost $6,434,303 $7,211,622 $7,438,432 $7,703,261 $7,097,000 Velcro Cost PEPM $982 $1,079 $1,117 $1,132 $1,118 Velcro Cost PEPY (Annual) $11,784 $12,947 $13,403 $13,586 $13,416 % Change Yr to Yr 9.9% 3.5% 1.4% -1.3% 2023 EBS Services & Capabilities 42
2023 Medical Plan Financial Review 2022 2023 July 2022 Annual Jan 2023 Annual $ Change % Change Line of Coverage Enrollment Rate Premium Enrollment Rate Premium Premium Premium Medical - CIGNA HSA Employee 217 $932.62 236 $932.62 0.0% EE+Spouse 81 $2,145.04 80 $2,145.04 0.0% EE+ Child(ren) 27 $2,051.78 20 $2,051.78 0.0% Family 107 $2,490.13 109 $2,490.13 0.0% Total 432 $8,375,625 445 $8,449,935 $74,310 0.9% HRA Employee 41 $932.62 44 $932.62 0.0% EE+Spouse 28 $2,145.04 22 $2,145.04 0.0% EE+ Child(ren) 2 $2,051.78 2 $2,051.78 0.0% Family 13 $2,490.13 14 $2,490.13 0.0% Total 84 $1,617,285 82 $1,526,298 ($90,987) -5.6% OAPIN (EPO) Employee 6 $797.39 0.0% EE+Spouse 0 $1,834.01 0.0% EE+ Child(ren) 1 $1,754.27 0.0% Family 0 $2,129.06 0.0% Total 7 $78,463 $78,463 Total Medical Annual Cost 516 $9,992,910 534 $10,054,697 $61,787 0.6% Annual Employee Contributions ($1,948,618) ($1,957,342) Net Velcro USA Annual Cost $8,044,293 $8,097,356 $53,063 0.7% 2023 EBS Services & Capabilities 43
2023 Working Rate and Contribution Adjustment Medical Rate Analysis Current 2022 Rates Proposed 2023 Rates Difference ENROLL- TOTAL Velcro EE TOTAL EE ENROLL- RATE Velcro EE TOTAL EE EE EE % MENT MONTHLY ER % MONTHLY MONTHLY ANNUAL ANNUAL Velcro MENT CHANGE MONTHLY ER % MONTHLY MONTHLY ANNUAL ANNUAL Velcro ANNUAL CHANGE HSA 0.0% 0.0% Employee 217 $932.62 80.5% $750.76 $181.86 $2,428,542 $473,566 $1,954,977 236 0.0% $932.62 80.5% $750.76 $181.86 $2,641,180 $515,030 $2,126,150 $0.00 0.0% EE+Spouse 81 $2,145.04 80.5% $1,726.76 $418.28 $2,084,979 $406,571 $1,678,408 80 0.0% $2,145.04 80.5% $1,726.76 $418.28 $2,059,238 $401,551 $1,657,687 $0.00 0.0% EE+ Child(ren) 27 $2,051.78 80.5% $1,651.68 $400.10 $664,777 $129,631 $535,145 20 0.0% $2,051.78 80.5% $1,651.68 $400.10 $492,427 $96,023 $396,404 $0.00 0.0% Family 107 $2,490.13 80.5% $2,004.55 $485.58 $3,197,327 $623,479 $2,573,848 109 0.0% $2,490.13 80.5% $2,004.55 $485.58 $3,257,090 $635,133 $2,621,957 $0.00 0.0% 432 445 HRA Employee 41 $932.62 80.5% $750.76 $181.86 $458,849 $89,476 $369,373 44 0.0% $932.62 80.5% $750.76 $181.86 $492,423 $96,023 $396,401 $0.00 0.0% EE+Spouse 28 $2,145.04 80.5% $1,726.76 $418.28 $720,733 $140,543 $580,190 22 0.0% $2,145.04 80.5% $1,726.76 $418.28 $566,291 $110,427 $455,864 $0.00 0.0% EE+ Child(ren) 2 $2,051.78 80.5% $1,651.68 $400.10 $49,243 $9,602 $39,640 2 0.0% $2,051.78 80.5% $1,651.68 $400.10 $49,243 $9,602 $39,640 $0.00 0.0% Family 13 $2,490.13 80.5% $2,004.55 $485.58 $388,460 $75,750 $312,711 14 0.0% $2,490.13 80.5% $2,004.55 $485.58 $418,342 $81,577 $336,765 $0.00 0.0% 84 82 HDHP Employee 6 -14.5% $797.39 84.7% $675.68 $121.71 $57,412 $8,763 $48,649 EE+Spouse 0 -14.5% $1,834.01 84.7% $1,554.08 $279.93 $0 $0 $0 EE+ Child(ren) 1 -14.5% $1,754.27 84.7% $1,486.51 $267.76 $21,051 $3,213 $17,838 Family 0 -14.5% $2,129.06 84.7% $1,804.10 $324.96 $0 $0 $0 7 516 Annual Total $9,992,910 $1,948,618 $8,044,293 534 Annual Total $10,054,697 $1,957,342 $8,097,356 Annual Change (%) $61,787 $8,724 $53,063 Annual Change ($) 0.6% 0.4% 0.7% Contribution Split Contribution 100.0% 19.5% 80.5% Contribution Split 100.0% 19.5% 80.5% 2022 EBS Services & Capabilities 44
Monthly Claims Dashboard 2023 45
Monthly Claim Actual vs Budget Report EE+ EE+ Medical Rx Stop Loss Total Paid Expected Specific/ Total Working Rates Total Cost to EE EE % of Employee Spouse Child(ren) Family Subs Claims Claims Adjustment Claims Claims % to Exp Admin Assessment Cost x Enrollment Working Rates Contrib Total Jan-21 282 121 31 127 561 $503,692 $160,806 ($2,723) $661,775 $827,856 79.9% $23,169 $65,590 $750,534 $851,321 88.2% $166,014 Feb-21 294 122 31 127 574 $414,651 $133,028 $0 $547,679 $845,094 64.8% $23,706 $66,569 $637,955 $863,902 73.8% $168,470 Mar-21 298 122 32 128 580 $1,337,752 $156,348 ($333,150) $1,160,950 $855,849 135.6% $23,954 $67,174 $1,252,078 $871,707 143.6% $169,992 Apr-21 299 122 35 127 583 $826,239 $174,551 ($81,102) $919,688 $859,827 107.0% $24,078 $67,574 $1,011,340 $876,044 115.4% $170,839 May-21 292 121 35 129 577 $685,689 $167,731 ($150,835) $702,585 $849,072 82.7% $23,830 $67,267 $793,682 $872,560 91.0% $170,158 Jun-21 292 119 35 129 575 $935,272 $141,091 ($196,464) $879,899 $846,420 104.0% $23,748 $66,934 $970,580 $868,513 111.8% $169,369 Jul-21 292 120 36 127 575 $851,725 $215,592 ($224,296) $843,021 $844,554 99.8% $23,748 $66,934 $933,702 $867,774 107.6% $169,226 Aug-21 287 118 36 126 567 $687,725 $152,823 ($295,964) $544,584 $832,080 65.4% $23,417 $66,095 $634,096 $856,978 74.0% $167,120 Sep-21 289 118 35 126 568 $916,246 $190,367 ($320,213) $786,400 $835,272 94.1% $23,458 $66,064 $875,922 $856,802 102.2% $167,086 Oct-21 276 119 34 125 554 $494,584 $170,622 ($117,959) $547,247 $820,440 66.7% $22,880 $65,017 $635,144 $843,103 75.3% $164,412 Nov-21 274 119 33 125 551 $777,669 $177,202 ($320,532) $634,339 $815,529 77.8% $22,756 $64,714 $721,810 $839,408 86.0% $163,691 Dec-21 273 117 31 122 543 $737,125 $220,455 ($172,494) $785,086 $803,988 97.6% $22,426 $63,480 $870,993 $823,562 105.8% $160,601 3,448 1,438 404 1,518 6,808 $9,168,369 $2,060,616 ($2,215,732) $9,013,253 $10,035,981 89.8% $281,170 $793,412 $10,087,835 $10,291,673 98.0% $2,006,979 19.9% Jan-22 276 117 34 121 548 $495,582 $144,260 $0 $639,842 $813,072 78.7% $22,967 $102,524 $765,332 $879,439 87.0% $171,491 Feb-22 273 111 33 122 539 $301,497 $123,467 $0 $424,965 $799,062 53.2% $22,589 $100,585 $548,140 $864,209 63.4% $168,521 Mar-22 272 112 33 122 539 $327,990 $152,603 $0 $480,593 $797,567 60.3% $22,589 $100,752 $603,934 $865,422 69.8% $168,757 Apr-22 272 111 30 119 532 $585,482 $189,799 $0 $775,282 $786,006 98.6% $22,296 $98,855 $896,433 $849,651 105.5% $165,682 May-22 271 110 29 117 527 $562,717 $200,860 $0 $763,578 $778,389 98.1% $22,087 $97,667 $883,331 $839,541 105.2% $163,711 Jun-22 261 109 29 118 517 $415,296 $156,429 $0 $571,725 $757,176 75.5% $21,667 $96,622 $690,015 $830,560 83.1% $161,959 Jul-22 263 109 30 120 522 $627,757 $185,361 ($38,041) $775,077 $766,288 101.1% $21,877 $97,644 $894,597 $839,457 106.6% $163,694 Aug-22 266 106 27 119 518 $548,424 $289,186 ($41,896) $795,714 $756,906 105.1% $21,709 $96,061 $913,485 $827,175 110.4% $161,299 Sep-22 270 104 27 119 520 $594,845 $160,354 ($55,016) $700,183 $760,850 92.0% $21,793 $95,937 $817,914 $826,615 98.9% $161,190 Oct-22 274 107 25 123 529 $540,300 $214,845 ($19,549) $735,595 $774,861 94.9% $22,170 $97,710 $855,475 $842,638 101.5% $164,314 Nov-22 272 107 25 123 527 $635,595 $240,789 ($75,261) $801,123 $770,917 103.9% $22,087 $97,501 $920,710 $840,772 109.5% $163,951 Dec-22 278 106 25 125 534 $522,276 $153,570 ($80,810) $595,036 $780,984 76.2% $22,380 $98,399 $715,815 $849,203 84.3% $165,595 3,248 1,309 347 1,448 6,352 $6,157,762 $2,211,523 ($310,574) $8,058,711 $9,342,078 86.3% $266,212 $1,180,257 $9,505,181 $10,154,683 93.6% $1,980,163 20.8% Jan-23 286 102 23 123 534 $381,855 $181,020 $0 $562,875 $787,054 71.5% $22,487 $75,924 $661,286 $837,891 78.9% $163,112 Feb-23 286 98 23 121 528 $600,945 $207,762 $0 $808,707 $781,163 103.5% $22,234 $75,071 $906,012 $824,061 109.9% $160,347 572 200 46 244 1,062 $982,800 $388,782 $0 $1,371,582 $1,568,218 87.5% $44,721 $150,995 $1,567,298 $1,661,952 94.3% $323,459 20.6% Rx Rebates Total Cost Working Rates % to WR 2021 ($377,595) $9,710,240 $10,291,673 94.4% 2022 ($428,018) $9,077,163 $10,154,683 89.4% This is an accumulation of each plan (HSA/HRA/OAPIN) 2022 EBS Services & Capabilities 46
Velcro High-Cost Claimants Large Claim Listing VELCRO USA INC. Effective 01/01/2022 Claimants with over $50,000 in claims for 01/01/2022 -12/31/2022 $210,000 Claimant RelationshipStatus Plan Oct. Nov. Dec. ICD-9 Code Description Reimbursement Claimant 1 SP Active HSA $ 355,706 $ 361,463 $ 372,115 TYPE 2 DIABETES W DIABETIC PERIPHERAL ANGIOPATHY W GANGRENE $162,115 Claimant 2 EE Active HRA $ 218,797 $ 247,553 $ 279,486 END STAGE RENAL DISEASE $69,486 Claimant 3 SP Active HRA $ 203,640 $ 235,241 $ 254,796 TRAUM SUBRAC HEM W/O LOSS OF CONSCIOUSNESS, INIT $44,796 Claimant 4 EE COBRA HRA $ 208,171 $ 225,507 $ 244,177 MULTIPLE MYELOMA NOT HAVING ACHIEVED REMISSION $34,177 Claimant 5 EE Active HSA $ 161,807 $ 177,952 $ 194,451 CHRONIC LYMPHOCYTIC LEUK OF B-CELL TYPE NOT ACHIEVE REMIS Claimant 6 EE Active HSA $ 176,163 $ 177,842 $ 179,446 INFECT/INFLM REACTION DUE TO INTERNAL RIGHT HIP PROSTH, INIT Claimant 7 EE Active HRA $ 131,609 $ 172,645 $ 173,429 UNSP FRACTURE OF NAVICULAR BONE OF RIGHT WRIST, INIT Claimant 8 EE Active HRA $ 119,111 $ 119,865 $ 125,540 SECONDARY MALIGNANT NEOPLASM OF BRAIN Claimant 9 EE Active HRA $ 88,092 $ 123,115 MALIGNANT NEOPLASM OF TRIGONE OF BLADDER Claimant 10EE Active HSA $ 111,679 $ 112,493 $ 117,249 MALIGNANT NEOPLASM OF LOWER LOBE, LEFT BRONCHUS OR LUNG Claimant 11EE Active HRA $ 110,155 $ 114,293 $ 115,250 MALIGNANT NEOPLASM OF CECUM Claimant 12EE Active HSA $ 115,005 OTHER SEQUELAE OF NONTRAUMATIC INTRACEREBRAL HEMORRHAGE Claimant 13CH Active HSA $ 109,155 $ 110,474 $ 111,184 ARNOLD-CHIARI SYNDROME WITH SPINA BIFIDA AND HYDROCEPHALUS Claimant 14SP Active HRA $ 97,949 $ 98,508 $ 104,188 NON-ST ELEVATION (NSTEMI) MYOCARDIAL INFARCTION Claimant 15SP Active HRA $ 95,428 $ 101,078 $ 101,985 STEMI INVOLVING OTH CORONARY ARTERY OF ANTERIOR WALL Claimant 16EE Active HRA $ 75,096 $ 99,972 $ 99,972 MULTIPLE SCLEROSIS Claimant 17SP Active HSA $ 67,864 $ 98,465 $ 99,035 ACUTE CHOLECYSTITIS Claimant 18SP Active HSA $ 93,324 $ 93,551 $ 96,367 INTERVERTEBRAL DISC DISORDERS W RADICULOPATHY, LUMBAR REGION Claimant 19EE Terminated HRA $ 91,173 $ 91,173 $ 90,724 OTHER MALAISE ` Claimant 20SP Active HSA $ 53,962 $ 78,538 $ 88,734 POLYP OF CORPUS UTERI Claimant 21CH Active HSA $ 80,515 $ 88,225 $ 88,603 COMPRESSION OF BRAIN Claimant 22SP Active HSA $ 61,620 $ 61,963 $ 82,326 ULCERATIVE COLITIS, UNSPECIFIED, WITHOUT COMPLICATIONS Claimant 23CH Active HSA $ 75,598 $ 80,283 $ 81,099 LOCAL-REL SYMPTC EPI W CMPLX PART SEIZ, NTRCT, W/O STAT EPI Claimant 24SP Active HSA $ 76,488 $ 76,488 $ 76,488 INTERVERTEBRAL DISC DISORDERS W MYELOPATHY, THORACIC REGION Claimant 25EE Active HSA $ 68,048 $ 73,473 $ 74,175 MULTIPLE SCLEROSIS Claimant 26SP Active HSA $ 58,806 $ 62,636 $ 70,476 NON-PRS CHRONIC ULC UNSP PRT OF L LOW LEG W UNSP SEVERITY Claimant 27EE Terminated HRA $ 70,009 END STAGE RENAL DISEASE Claimant 28CH Terminated HSA $ 61,161 $ 61,161 $ 61,161 OTHER SPECIFIED JOINT DISORDERS, RIGHT HIP Claimant 29SP Active HSA $ 59,161 $ 59,506 $ 60,898 TYPE 2 DIABETES MELLITUS WITH FOOT ULCER Claimant 30SP Active HSA $ 53,102 $ 56,253 $ 59,364 UTEROVAGINAL PROLAPSE, UNSPECIFIED Claimant 31SP Active HSA $ 55,958 $ 57,767 PNEUMONIA, UNSPECIFIED ORGANISM Claimant 32SP Active HSA $ 55,009 $ 55,924 $ 56,274 TYPE 2 DIABTES MELLITUS WITH HYPOGLYCEMIA WITHOUT COMA Claimant 33SP Active HSA $ 53,036 $ 53,352 $ 55,529 UNILATERAL PRIMARY OSTEOARTHRITIS, LEFT HIP Claimant 34SP Active HSA $ 51,540 $ 51,815 $ 52,114 DIAPHRAGMATIC HERNIA WITHOUT OBSTRUCTION OR GANGRENE Total $ 3,234,874 $ 3,641,741 $4,032,527 $ 310,574 $ 6,815,397 $ 7,693,439 $ 8,369,285 Total Paid Claims (gross) 47.5% 47.3% 48.2%High Claimants / Total Paid Claims 2023 Specific Stop Loss Deductible is $210,000 (Symetra is reinsurer) 47
Financial Overview Year over Year Analysis Prior Period: January 2021- December 2021 Current Period: January 2022 – December 2022 • Members include employees, spouses and dependents. 2022 EBS Services & Capabilities 48
Financial Overview • While net medical spend saw a significant decrease of 16%, Rx claims increased by 7%. • Normalized for the fluctuations in membership month to month (6% decrease year over year), the claims PMPM mirrored the total paid shifts. • Overall, net medical and Rx claims decreased 5% PMPM. 2022 EBS Services & Capabilities 49
High-Cost Claimants 36 $6.3M 34 $468 56% 48% $4.0M $320 Prior Current Prior Current Prior Current Prior Current 2 $2.2M -32% 48% less claimants decrease in total decrease in total of total plan spend in 2022 HCC Paid HCC Paid PMPM related to 34 individuals 36% decrease $148 PMPM decrease 8% decrease 2022 EBS Services & Capabilities 50
Stop-Loss: Changing Deductible Current Premium Renewal Premium Current SL Level Current SL Level Alternative 1 Alternative 2 Specific Stop Loss Deductible $210,000 $210,000 $220,000 $230,000 Annual Premium (Cigna 2023 rates & 516 enrolled) $1,089,885 $997,469 $944,590 $880,379 Annual Premium Change ($) -$92,416 -$145,295 -$209,506 Annual Premium Change (%) -8.5% -13.3% -19.2% Annual Premium Savings for Higher Deductible ($52,880) ($117,091) Velcro's High Claims (2019) Total Claim Reimbursement Reimbursement Reimbursement above $210,000 above $220,000 above $230,000 • What is net impact Claimant 1 $453,191 $243,191 $233,191 $223,191 Claimant 2 $317,303 $107,303 $97,303 $87,303 of a change to the Claimant 3 $281,056 $71,056 $61,056 $51,056 specific stop loss 3 Claimants $421,550 $391,550 $361,550 deductible Add'l Claims Paid by Velcro due to Higher Deductible $30,000 $60,000 Net (Savings) or Add'l Cost ($22,880) ($57,091) Velcro's High Claims (2020) Total Claim Reimbursement Reimbursement Reimbursement above $210,000 above $220,000 above $230,000 Claimant 1 $639,124 $429,124 $419,124 $409,124 Claimant 2 $371,674 $161,674 $151,674 $141,674 Claimant 3 $275,328 $65,328 $55,328 $45,328 Claimant 4 $247,683 $37,683 $27,683 $17,683 Claimant 5 $232,998 $22,998 $12,998 $2,998 Claimant 6 $215,048 $5,048 6 Claimants $721,855 $666,807 $616,807 Add'l Claims Paid by Velcro due to Higher Deductible $55,048 $105,048 Net (Savings) or Add'l Cost $2,168 ($12,043) Velcro's High Claims (2021) Total Claim Reimbursement Reimbursement Reimbursement above $210,000 above $220,000 above $230,000 Claimant 1 $1,074,112 $864,112 $854,112 $844,112 Claimant 2 $596,371 $386,371 $376,371 $366,371 Claimant 3 $532,984 $322,984 $312,984 $302,984 Claimant 4 $473,653 $263,653 $253,653 $243,653 Claimant 5 $394,298 $184,298 $174,298 $164,298 Claimant 6 $394,119 $184,119 $174,119 $164,119 Claimant 7 $217,441 $7,441 7 Claimants $2,212,978 $2,145,536 $2,085,536 2022 Add'l Claims Paid by Velcro due to Higher Deductible EBS Services & Capabilities $67,441 $127,441 51 Net (Savings) or Add'l Cost $14,562 $10,351
Velcro Self-Funded vs. Fully Insured Fully Insured vs Self Funded 2023 2024 Estimated Fully Insured (FI) cost $11,361,148 $12,351,339 Projected plan cost (SF) $10,190,011 $11,017,221 Return for self-funding at Projection $1,171,136 $1,334,119 Likelihood of beating FI 99.3% 99.3% 2023 2024 Likelihood of beating Fully Insured - 1 Year 99.3% 99.3% Likelihood of beating Fully Insured - 3 Year 100.0% 100.0% Likelihood of beating Fully Insured - 5 Year 100.0% 100.0% Using Velcro’s demographics (census data –age, gender, home state, contract type, industry code), plan design, and claims history, Claros projects appropriate fully insured premium costs and claims. Based on the last 12 months of claims data, Claros would expect 2023 fully insured premium to be 15% higher than current working rates. For 2024, Claros is projecting fully insured premium to be 25% higher than current working rates. 2023 EBS Services & Capabilities 52
Stop-Loss: Changing Deductible Likelihood of Plan Cost Outcome as a Percent of Expected by Scenario 30.0% • Illustrates the risk of self 25.0% w/o SL funded plan cost outcome with and without stop loss insurance. 20.0% ns • With stop loss insurance o i t ($230K) the results lie very a rv e 15.0% tightly around the expected s b O l Base Case plan cost (100%), but for a a i r T few years in which the plan 10.0% runs up to 120% and as low as 70% of expected. 5.0% 0.0% % of Expected Plan Cost 2023 EBS Services & Capabilities 53
Velcro Multi-Year Analysis – 1 Year Horizon 1 Year Gain / (Loss) vs Expected Plan Cost and Fully Insured Cost • 1st year of self funding 4,000,000 G/(L) vs Exp 30.0% finds SF winning against being fully insured even at 3,000,000 G/(L) vs FI 25.0%F 110% of expected plan r cost. 2,000,000 20.0% BC Likelihood e • Frequency of plan years 1,000,000 q that run over expected (red 15.0%u - e line) drops drastically 10.0%n between 104% and 106% (1,000,000) of expected. 5.0% c (2,000,000) y • Frequency of plan years (3,000,000) 0.0% that run over 110% is less than 1%. % of Expected 2023 EBS Services & Capabilities 54
Velcro Multi-Year Analysis – 5 Year Horizon 5 Year Cumulative Gain / (Loss) vs Expected Plan Cost and Fully Insured • After 5 years of self 14,000,000 Cost G/(L) vs Exp 35.0% funding, there is virtually no 12,000,000 30.0% F scenario in which there 10,000,000 G/(L) vs FI r would be a loss versus 5 8,000,000 25.0% e years of being fully insured. Likelihood 6,000,000 20.0% q • Half of the scenarios (red 4,000,000 u line) actually run less than 2,000,000 15.0% e expected in any given 5- - 10.0% n year period. (2,000,000) c 5.0% y (4,000,000) (6,000,000) 0.0% % of Expected 2023 EBS Services & Capabilities 55
Claros Stop Loss Tools SAMPLE Using client specific demographic and claims data, Claros can help us predictand gauge appropriate stop loss pricing and provide actuarial based leverage for negotiation if needed. 2022 EBS Services & Capabilities 56
Stop Loss Considerations • Complete evaluation of High-Cost Claimants • Market to all viable Stop Loss Carriers • EBS has access to National Carrier Agreements through UBA: o Symetra o Sun Life Advantages include renewal rate cap, no laser o Voya upon renewal, dividend share, etc. • UBA Consortium (The Benecon Group & Everest Re) o Allows Velcro Companies to take advantage of a “pool” of other groups to protect against fluctuations in ISL premium o Can “smooth” out renewal increases over time (e.g., average increase of 10% per year) o If the overall experiences is a strong financial year, portion of premium can be returned o No new lasers upon renewal o Renewal Rate Cap o NO ADMINISTRATIVE FEE (not a Captive) o Value Add Programs: Predictive Modeling Tools, Diseases Management Programs, Direct Provider Contracting, Cancer Support, Transplant Centers of Excellence, Wellness programs, etc. • Beginning in Q3 2023 EBS will have access to Captive pricing resulting from a partnership with UBA and Pareto Health o ParetoHealthis the largest captive manager in the United States o ParetoHealthmanages over $1B in stop loss premium, over 2,200 Captive member companies and 760,000 lives 2022 EBS Services & Capabilities 57
Recommendation = Health/Benefit Literacy Communication Campaign 1. Identify the member health care and benefit plan knowledge gap a. Employee Survey b. Focus Groups 2. Review the Claims Data a. What are the top areas of gaps in care? b. Establish baseline data 3. Develop and Deploy the Campaign a. In-person programs b. Educational Webinars c. Customized Videos d. Mandatory Training e. Relayto educational tool f. Incentive dollars??? 4. Measure Success a. Employee Survey b. Focus Groups c. Year over year data analtics for cohort group(s) 5. Develop a Sustainable Plan a. Real-time training tools – videos, recorded webinars, Engagement portals/apps, Relayto, etc. b. Healthcare Literacy Training as part of new hire c. Train the trainer sessions 2022 EBS Services & Capabilities 58
Future of Employer Health Plans • Movement to deconstruct Employer sponsored health plans • Employer’s value proposition/ objective may differ from BUCA’s • Ecosystem of interchangeable point solutions based on need: MSK, Mental Health, Diabetes, etc. • Migrate 1st point of contact away from multiple carriers (Med/Dent/Vision) to one Care Navigator • What is the future of Reference Based Pricing (RBP) plans • PBM reform/transparency 2023 EBS Services & Capabilities 59
Recommendation –Deconstruct & Rebuild the Velcro health plan • Drawing board approach to selecting BEST IN CLASS partners to best serve Velcro membership RFP for medical and dental Third Party Administrators (TPAs) • Can keep Cigna network with various TPA (Allegiance Benefit Plan Management) RFP for Carve-out Prescription Benefit Managers (PBM) • Using The TruverisMarketplace EBS can price out ANY PBMthat will agree to be part of the RFP process (ESI, Optum, CVS Caremark, ServeYouRx, Magellan, Prime, etc. • Sub-carve out Specialty Rx to an “overlay” program like ShaRx, PayorMatrix, etc. Healthcare Navigation partner (Accolade, Quantum, etc.) • First response Customer Service to “Navigate” the member through the health care experience • Would act as quarterback directing member to all Velcro Companies programs (wellness, mental health, EAP, diabetes mgmt., etc. Mental Health access solutions like Lyra, Spring, Modern, etc. Family Planning/Gender Affirming partners like Progyny, Carrot, FertilityIQ, etc.] Other Point Solutions as needed (e.g., MSK, Dialysis, High-Cost Imaging, DE&I, etc.) 2022 EBS Services & Capabilities 60
Where Are We Going? Our strategy aims to engage employees, analyze the data, create incentives, maintain compliance, establish plan stability, contain costs, and monitor closely Past & Present Near Term Short Term Future 2023 & prior 2023 in preparation for 2024 2024 in preparation for 2025 Beyond 2025 Status Quo renewals: - Develop comprehensive - Use analytics to validate - Explore high performing Obtain renewals and purchase health literacy campaign programming (limited) networks coverage at the lowest possible - Review potential vender - Evaluate PBM carve out - Leverage data for predictive price without sacrificing quality partners for RFP modeling for point - Market Stop Loss to all - Evaluate TPA vs. ASO model solutions viable carriers - Full PBMCarve out analysis - Propose wellness / point - Consider plan design and monitoring solution offerings tied to - Case management carve- options - Review potential point analytics out - Reset Hooked on Health solutions based on data - Direct negotiation with incentives based upon - Develop comprehensive local health care providers objectives - Reviewaleave program voluntary benefit strategy best practices/changes - Captive/Consortium Stop - Investigate Reference Loss Pricing Based Pricing Model 2023 EBS Services & Capabilities 61
Medical & Rx Benchmarking & Plan Design Contribution
2023 Plan Design Benchmark Plan Design Velcro Velcro National New Hampshire Industry HDHP (HSA/HRA) OAPIN (EPO) HRA/HSA EPO HDHP HDHP HDHP In-Network Single Deductible $1,500 $3,000 $3,000 $2,000 $3,000 In-Network Family Deductible $3,000 $6,000 $6,000 $4,000 $6,000 In-Network Coinsurance 20% 20% 10% 15% 20% In-Network Single OOP Max $3,000 $7,500 $5,500 $4,000 $4,000 In-Network Family OOP Max $6,000 $15,000 $11,000 $8,000 $8,000 HSA/HRA Fund Employee Up to $1,500 $756 $750 $500 HSA/HRA Fund Family Up to $3,000 $1,500 $1,500 $1,000 *Velcro HSA/HRA Funded through Hooked On Health 2023 EBS Services & Capabilities 63
2023 Total Monthly Premium $3,000 $2,500 $2,000 $1,500 $1,000 $500 $0 Velcro HDHP (HSA/HRA) Velcro OAPIN (EPO) National New Hampshire Industry Single $933 $797 $585 $824 $667 EE + Spouse $2,145 $1,834 $1,204 $1,878 $1,355 EE + Child $2,052 $1,754 $1,055 $1,458 $1,247 Family $2,490 $2,129 $1,696 $2,498 $1,818 Single EE + Spouse EE + Child Family 2022 EBS Services & Capabilities 64
2023 Monthly Employee Contribution ($) $600 $500 $400 $300 $200 $100 $0 Velcro HDHP (HSA/HRA) Velcro OAPIN (EPO) National New Hampshire Industry Single $182 $122 $102 $112 $108 EE + Spouse $418 $280 $383 $385 $224 EE + Child $400 $268 $321 $446 $163 Family $486 $325 $549 $519 $271 Single EE + Spouse EE + Child Family 2022 EBS Services & Capabilities 65
2023 Monthly Employee Contribution (%) 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Velcro HDHP (HSA/HRA) Velcro OAPIN (EPO) National New Hampshire Industry Single 19.5% 15.3% 18% 14% 20% EE + Spouse 19.5% 15.3% 33% 20% 23% EE + Child 19.5% 15.3% 31% 16% 23% Family 19.5% 15.3% 33% 20% 21% Single EE + Spouse EE + Child Family 2022 EBS Services & Capabilities 66
Pharmacy Optimization 2023 EBS Services & Capabilities 67
Truveris
Addressing the Whole Iceberg Emotional Financial Social Physical Total Rewards – Wellness Wellness Wellness Wellness effective benefits Communicate priorities effectively Make it Decrease last- easier to minute requests take time off Clearly defined projects Fair Clear Strategies to ensure Commission (unchanged) customer happiness Structure priorities and success 2023 EBS Services & Capabilities 69
About Globex Globex Service Team Don Wiening –SVP –Practice Leader 25+ years int’l experience; has lived and worked in 4 countries; speaks German. Valentine Zimnitsky – Senior Consultant 20+ years int’l experience; worked in C&B departments of several Fortune 20 companies; speaks Russian, Ukrainian, Spanish. Kevin Boyce – Vice President 10+ years int’l experience; extensive experience with global plans. • EBS’s “International Benefits Department” • Dedicated team with 200+ years combined experience • 300 partner brokers and correspondents in 160 countries • Customer-driven philosophy and approach 2023 EBS Services & Capabilities 70
Globex Customers We provide custom-tailored solutions designed More than 75% of our 180+ corporate clients are in to meet each client’s needs and objectives. the Technology, Finance, Professional Services and Financial Services industries Partner Desk Client Size (Worldwide Clients by Industry Headcount) >5000 <500 Other, 25% Finance, 12% 24% 22% Financial Services, 1000-5000 6% 32% 500-1000 Tech, 34% Professional 32% Services, 13% 2023 EBS Services & Capabilities 71
Globex Network Globex has a worldwide network of Partner Brokers and correspondents in 160 countries Globex Head Office Globex China Chester, NJ Beijing, China Your Servicing Team Representative Office Globex GUS Globex France Globex UK Fairfield, CT Paris, France Haywards Heath, UK Global Underwriting Services. Supports our Broker Network Supports our Broker Network 2022 EBS Services & Capabilities 72
Broker Selection Our Partner Brokers have been carefully selected Countries Broker Name(s) based on several criteria including: Aditya Birla • Range of capabilities India JK Insurance Prudent • Geographic territory Beijing Nova • Experience working with multinational China Pacific Prime WISE clients Germany Profion • Willingness to work with clients of all sizes ABG Japan Benefit Strategies • Market position/reputation Dyna • Independence Lawrie Insurance Group • English language ability Canada JDIMI Vezina Upon selection and invitation to join the Globex Taiwan WISE team, Partner Brokers make a contractual commitment to working within the Globex model and are required to adhere to Globex standards and procedures for service and customer satisfaction. 2023 EBS Services & Capabilities 73
Service Model Local Operation Globex Broker Globex Broker Existing Broker Local Operation Local Operation EBS Globex Broker Client Globex Broker Local Operation Local Operation Globex Existing Broker Globex Broker Local Operation Globex Broker Local Operation Local Operation 2023 EBS Services & Capabilities 74
Technology Globex360 Account information and reporting platform Dashboard Market information, country profiles, broker profiles 2023 EBS Services & Capabilities 75
Globex Value Proposition • Dedicated international team • Consultative, collaborative approach • Flexible network model • Innovative technology • Custom-tailored solutions 2023 EBS Services & Capabilities 76
Thankyou. 2023 EBS Services &Capabilities 77