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29-Apr-08

Eligibility Discussion

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Logical Relationship

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Lumenos - Customizations Not Allowed for any Group size

1. Changes to preventive care benefits, including dollar or service limits2. Rx copays pre or post deductible

3. HRA payment for additional, IRA allowed, non covered expenses ( for example over the counter medications)4. Any integration of benefits with outside vendors other than WellPoint-supported vendors for Gen C5. Separate deductible buckets for Rx and medical. Okay to carve out Rx completely (except for HSA)

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Guidance

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-- l i i li l

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l i i li l

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