1. BUDGET & FISCAL AFFAIRS HEALTH BENEFITS SUBCOMMITTEE April 3, 2013 2:00 PM

2. Putting a Face to our Wellness Program 2 Kim Bowie, Senior Planner Planning and Development Department

3. Wellness at a Glance Key Benchmarks 1.Capture Senior Level Support 2.Create Cohesive Wellness Teams 3.Collect Data to Drive Health Efforts 4.Craft an Operating Plan 5.Choose Appropriate Interventions 6.Create a Supportive Environment 7.Consistently Evaluate Outcomes 3 Seven Dimensions

4. 2011-2012: Discover Health New brand/logo was developed to increase employee awareness of wellness platform. On-site biometric screenings were conducted with 9,399 employees. 89% (18,557) completed the health assessment. There were three options for Wellness Engagement. 4

5. 2012-2013: Challenge Yourself Over 500 employees walked through downtown to the GRB for the Wellness Fair on July 19, 2012. Over 2,000 employees attended the Health Fair and received their biometric screenings. 90% (17,797) completed the health assessment. Wellness engagement options were expanded. 5

6. 2013-2014: Improve! Wellness has evolved and employees are actively engaged in wellness programming, now it’s time to Improve! The 2013-2014 Wellness program will be geared towards incentivizing employees’ participation in wellness activities. 6

7. 2013-2014 Wellness Incentive Plan Active employees on the city’s medical plan are eligible for a premium discount in May 2014. Three Step Process 1.Obtain biometric information. 2.Complete the online Health Assessment. 3.Earn at least 500 wellness points. 7

8. Cigna’s Risk Stratification 8 Overall Risk Levels Low Risk = 1 to 2 risk factors Medium Risk = 3 to 4 risk factors High Risk = 5 or more risk factors

9. Cigna’s Health Risks 9 Alcohol useJob satisfaction Blood pressurePerception of health Body weightPhysical activity CholesterolSafety belt usage Existing medical problemSmoking HDL CholesterolStress Absent days due to illnessHealth age index Life satisfactionDrug use (for relaxation)

10. Wellness Champions-Zero Health Risk Must take the online Health Assessment to determine risk. Employees with zero risk based on Cigna’s risk stratification tool will not be required to fulfill the 500-point requirement and will automatically receive the benefit premium discount. They are strongly encouraged to participate in additional wellness activities, and remain eligible for prize drawings. Cigna will notify employees in the zero risk category of their status through a personalized letter and an automated phone call. 10

11. Wellness Points Options 11 Wellness Points OptionsPoints Healthy Pregnancy Program250 Disease Management Programs250 Preventative Health Screening(s)150 Telephonic Coaching100 Smoking Cessation Program100 Department-Specific Programs100 Physical Activity75

12. Wellness Points Options 12 Wellness Points OptionsPoints Alternative/Complementary Medicine (acupuncture, chiropractor, stress management, etc.) 75 Online Coaching Modules50 Wellness Presentations or Lifestyle Management Programs 50 Family Wellness Day50 Charity Walk / Run (5k minimum)50 Weight Management Program (i.e., Weight Watchers, Jenny Craig, etc.) 50

13. Prize Levels per Total Points Accrued per Benefit Plan Year Bronze: 505-650 points – In addition to a Wellness Champion rubber wristband or an apple pin, individuals in this category will be entered into a drawing for the prizes listed below: $25 gift card to healthy food store/restaurant/fitness store (300) Insulated Lunch Bag (300) 1-week Weight Watchers Pass (300) Silver: 655-800 points – In addition to a Wellness Champion t-shirt, individuals in this category will be entered into a drawing for one of the prizes listed below: $50 gift card to healthy food store/restaurant/fitness store (200) 1-month Weight Watchers Pass (200) 1-hour Massage Certificate (200) 13

14. Prize Levels per Total Points Accrued per Benefit Plan Year Cont. Gold: 805-950 points – In addition to a Wellness Champion t-shirt, individuals in this category will be entered into a drawing for one of the prizes listed below: $75 gift card to healthy food store/restaurant/fitness store (100) 17-week Weight Watchers Pass (100) 3-month YMCA Pass (100) Platinum: 955 or more points – In addition to a Wellness Champion t-shirt, individuals in this category will be entered into a drawing for one of the prizes listed below: Wii Game Console plus 1 fitness game (75) $100 gift card to a healthy food store/restaurant/fitness store (75) 6-month YMCA Pass (75) 14

15. Summary Points Our new wellness program will commence May 1, 2013. All employees will be encouraged to obtain biometric numbers and complete the annual health assessment. (Voluntary Program) Employees with zero risk based on the 2013 health assessment will be exempt from additional wellness activities, but they are still encouraged to participate. To be eligible for a premium discount in May 2014, employees with low, moderate or high risk factors will have to: (1)obtain their biometric numbers, (2)complete the annual health assessment, and (3)earn at least 500 wellness points through thirteen (13) options. 15

16. Recent Awards/Recognition Houston’s Healthiest Employer Award American Heart Association Fit Friendly Award Poster Presentation – Texas Public Health Association Oral Presentation – National Wellness Conference 16

17. Houston’s Healthiest Employers Award 5,000+ Employees 1.Harris Health System 2.The Methodist Hospital System 3.BP America Inc. 4.Houston Independent School District 5.City of Houston 6.ConocoPhillips 7.Chevron Corporation 8.Harris County 9.Cameron International Corporation 10.Klein Independent School District 17 Note: As selected by the Houston Business Journal

18. Change is evolutionary, not instantaneous. 18