1. December 2, 2009 Welcome to LiveWell

2. 1983: First Tennessee vehicle

3. North American annual production capacity: 1.3 million units

4. Nissan America’s Headquarters

5. US Employees – Approximately 13,000 total active employees 800 Michigan Farmington Hills (Design/Technical) 6,000 Tennessee Nashville (HQ), Smyrna & Decherd (Manufacturing) 3,400 Mississippi Canton (Manufacturing) 800 Texas Dallas (Financing), Irving (PDC) 75 California San Diego (Design) 100 Arizona Test Track

6. Why change is needed now n Increasing health care costs in the U.S. places us at a competitive disadvantage to other Nissan affiliates (i.e., NMEX, NMUK, China, Russia, Thailand, Indonesia). n Only companies that adapt their strategies to successfully control costs will survive in today’s automotive industry. n We need healthier employees and dependents in order to succeed n We are making changes that will help us maintain a competitive benefits package

7. Strategy (2009-2012) n Moved to “full replacement” CDHP Program on January 1, 2009 n Includes three critical components: 1.Multiple plan options: Health Reimbursement Arrangement (HRA); or Health Savings Account (HSA) 2.Comprehensive health management program (Focus on Wellness) Personal health questionnaire Disease management programs Wellness programs Lifestyle behavior change programs (weight management & tobacco cessation) Health Coaches Self-care tools 3.Comprehensive communication/education program

8. Health Plan Networks Utilization Management Quality data Health Reimbursement Account Traditional Flexible Spending Account Disease / Care Mgt.  Maternity  Cancer Health Advocate Complex Case Management Gaps in Care Wellness Services Behavioral Change Programs PHQ/Biometrics Incentive Management Tobacco cessation Weight management Pharmacy Benefit Manager Employee Assistance Programs Substance Abuse Fitness Center Mgmt Pilot The Trusted Choice for Workforce Health Management On-Site Medical/Wellness On-Site Program Delivery Today- Focus on Wellness & “Preventive” Care Health Improvement Programs Last year – No integrated health improvement programs

9. Account Seeding (2010)

10. “Keys” to Success n Be passionate about your mission n Benchmark (the best outside of your industry as well as those within) n Communicate openly n Cross-functional team input (no silos) n Metrics and system for tracking metrics n Communicate Wins n Integration is “vital” n Leverage common connections (THA)

11. Thank you!