1. My Health. My Life. Open Enrollment: October 1 – October 17

2. 1 Why is your health important to you?

3. 2 What you can do …  Get involved in your health  Knowledge is power – learn about your risks  Take advantage of services available to support you Did You Know? Nearly 80% of disease in this country is preventable.

4. 3 Making decisions about your benefits  Open enrollment is a time to decide which options best meet your needs  Benefits: health, dental, vision, reimbursement accounts Did You Know? Collectively, benefits represent an additional 20 - 25 percent of your compensation. 25% Benefits 75% Salary

5. 4 Duke’s Health Plans  Duke offers 4 plans to meet the diverse needs of faculty, staff and their families.  Consider: cost, coverage, physician network, dependents, etc. Did You Know? For those enrolled in Duke Select and Duke Basic the provider network will continue to expand in Wake County.

6. 5 IndividualFamily 2007200820072008 Duke Basic $20.97 $212.20 Duke Select $53.48 $54.55$318.73$325.10 Blue Care $88.07 $89.83$398.56$406.53 Duke Options $84.94 $86.64$392.50$400.35 Improving health impacts cost  The projected premium increase nationally is 5 times higher than Duke’s very small average premium increase. $0 – $1.76/month$0 – $7.97/month

7. 6 Comparing the Cost of Health Care  Did You Know? In 2006, the average medical claims cost per Duke employee was $5,298, most of which was covered by Duke.

8. 7 Pharmacy Benefits  No increase in pharmacy co-pays  Decrease in co-pay for diabetic insulin and supplies – savings of up to $1,200/year Did You Know? Typically, generic drugs cost 30 percent to 60 percent less than the brand-name drug.

9. 8 Duke’s Vision Plan for 2008  No increase for premiums in 2008.  Premiums from $8.85 for individual coverage and $27.47 for family coverage. Vision Plan: provides coverage for prescription lenses and frames or contact lenses (in lieu of eyeglasses), as well as a complete annual eye exam.

10. 9 Duke’s Dental Plans for 2008  No increase in premiums for Dental Plan B.  Premiums for Dental Plan A will increase $1.24/month for individual coverage and $3.75/month for family coverage. IndividualFamily 2007200820072008 Dental Plan A $29.69$30.93$89.92$93.67 Dental Plan B $10.88 $40.40

11. 10 Save with Reimbursement Accounts  Pre-tax savings is about $30-$40 for every $100 of eligible expenses  Health Care Reimbursement Account  Dependent Care Reimbursement Account

12. 11 Reimbursement Account Examples

13. 12 Reimbursement Made Easy  Pay at point of sale  Works like a debit card … deducts pre-tax dollars from your reimbursement account  Helps reduces paperwork of filing claims, waiting for reimbursement Did You Know? Despite being one of the best ways to save money on health care expenses, only 18 percent of eligible faculty and staff take advantage of the Health Care Reimbursement Account.

14. 13 Timeline  Aug. – Sept.: Meetings with managers  September: Articles in Working@Duke and INSIDE Duke Medicine.  Sept. 17: Open enrollment packages mailed.  Sept. 24 - Oct. 12: Information sessions  Oct. 1 - Oct. 17: Open enrollment period

15. 14 Manager’s Role – Deliver 4 key messages 1.Your health is important – take advantage of available benefits and services – start by taking your health risk assessment 2.Duke’s increase for health insurance in 2008 will be 5 times less than increases nationally 3.No increases in co-pays or deductibles for health, pharmacy, dental, or vision benefits – in fact, decreasing diabetic supply co-pay 4.The time to enroll or change coverage will be from Oct. 1 – Oct. 17

16. 15 Questions?