© NYSE Euronext. All Rights Reserved.

Total Health Management at NYSE Euronext

Presented by: Maria Berikakis

2

Our Business Case

• 2008 - On the path to doubling our healthcare expenses within 5 years – Needed to make changes

• 2009 – Made changes to our medical plan design and implemented a health management program to control company costs

• Engage employees to assume greater role in managing their healthcare while also helping to manage their costs

• Provide employees with the necessary resources to help them

• Partnered with Nationwide Better Health in January 2009

• In our second year, too soon to tell the return on investment

3

The Healthcare Continuum

*Star indicates change

4

NYSE

ClaimsData

Vendor Integration

OnlineResources

Telephonic Coaching

Condition Mgmt

Lifestyle Mgmt

HealthRisk

Assessment

Our Wellness Program

EAP

Onsite Clinic

Disability Carrier

MedicalCarrier

Components of our Wellness Program

5

Our ProgramsLifestyle

Management

Nutrition

Tobacco Cessation

Weight Management

Stress Management

Physical Inactivity

Condition / Disease Management

Cancer

Diabetes

Maternity

High Cholesterol

High Blood Pressure

Asthma

Congestive Heart Failure

6

Our Evolving Program

Year 1 - 2009

• Free biometric screenings during Open Enrollment period

• Employees who complete Health Check = $20 monthly reduced medical premium

• Enrollment in a Lifestyle Management or Condition Management program = $100 incentive

• Completion of a program = $200 incentive

• Limit of one set of incentives per year

Year 2 – 2010

• Employees who complete Health Check = $20 monthly reduced medical premium

• Employees covering their spouse /domestic partner – BOTH MUST complete the Health Check = $40 monthly reduced medical premium

• All employees must complete Tobacco Usage Affidavit

• Enrollment in a Lifestyle Management or Condition Management program = $100 incentive

• Completion of a program = $200 incentive

• Tobacco users pay $20 monthly surcharge on their medical premiums

• If enrolled and complete Tobacco Cessation Program, surcharges will be reimbursed

• Limit of one set of incentives per year

**Employees MUST take Health Check ANNUALLY**

7

Employee Experience– Roll out of Wellness Program:

• Major concerns around privacy• Felt NYSE was playing the role of “Big Brother”• Felt that the wellness program was the “gate keeper” to access their medical

coverage

– Incentives:• Quick to enroll in programs to receive the incentives• Commented that great incentives were chosen to get employees motivated

– Tobacco Surcharge/Affidavit:• Heard a lot of noise. • Tobacco users felt targeted• Emails to the CEO –”What about the overweight people?”• Some employees felt that this was a good idea• Self-report - No enforcement – Honesty Method

8

Our Success Story

9

Our Future – What’s Next for 2011?

• Ongoing Return on Investment (ROI) review

• Explore Activity vs. Outcome based initiatives

• Focus on Weight Management

• Free Biometric Screenings via our Clinic

• Modify program design to increase program participation

• Expand wellness programs to European offices