TOTAL HEALTH INSIGHT Powered by Consultative AnalyticsSM December 2, 2016 Copyright 2016 Cigna – Confidential & Privileged – Not for Distribution

Population/Percentile Cost Profile                                                                                                                                            What portion of the population drives your healthplan costs of $141.4 Million? Top 1% of claimants:    284 individuals    34% of total cost    $47.4 Million Total medical cost vs. % of Population Top 5% of claimants: 100% 85%   1,422 individuals   59% of total cost 80% 72%   $83.2 Million % of Total plan spend 59%                                                                                                                                                                            60% Top 10% of claimants: 34%   2,844 individuals 40%   72% of total cost   $101.8 Million 20% 0% Top 20% of claimants: Top 1% Top 5% Top 10% Top 20%    5,689 individuals    85% of total cost % of Population    $120.0 Million Current Period reflects claims incurred between Sep. 2015 and Aug. 2016, paid through Oct. 2016 Base Period reflects claims incurred between Sep. 2014 and Aug. 2015, paid through Oct. 2015

Cancer Cost Per Patient Cancer Summary Cancer prevalence by age band Prevalence and cost by condition Condition # of Members Prevalence Cancer Cost Per Patient Total Plan Spend Breast 174 0.7% $30,165 $5,248,653 20.0% Male Rep. 115 0.5% $16,083 $1,849,569 15.0% Female Rep. 61 0.2% $17,377 $1,060,018 Neoplastic Disease 59 0.2% $50,517 $2,980,532 10.0% Dermatology 41 0.2% $2,258 $92,576 Gastrointestinal 33 0.1% $34,643 $1,143,225 5.0% Thyroid 18 0.1% $13,641 $245,530 Central Nervous 15 0.1% $10,853 $162,799 0.0% Rectum 14 0.1% $49,597 $694,354 <01 1-17 18-29 30-39 40-49 50-59 60-64 65+ Other 51 0.2% $40,529 $2,067,003     Male 0.0% 0.1% 0.1% 0.3% 1.6% 3.8% 7.9% 16.7% Total 550 2.2% $28,262 $15,544,259     Female 0.0% 0.1% 0.6% 0.8% 2.3% 4.8% 7.6% 14.8% Cancer screening rates   · 550 individuals with eligibility in the current period had a cancer episode, or 2.2% prevalence    · Average cost per patient for these episodes was $28,262 for a total of $15,544,259    · The primary cancer type was Breast with 0.7% prevalence and $5,248,653 in total plan spend 80% 60% 40% 20% 0% Breast Cancer Cervical Cancer Colon Cancer     Current 58% 60% 34%     Norm 60% 58% 47% Current Period reflects claims incurred between Sep. 2015 and Aug. 2016, paid through Oct. 2016