Lockton Wilsonart Meeting (EM) 1.23.25

• 2025 Review • Goals for 2026

Agenda • Introductions • Items to review • Updates and Wellness

Items to review 2024 Utilization meeting with Wilsonart – When will this be available for us to work with Wilsonart to schedule a meeting in early June? New programs being offered by BSW to WA in 2025 and 2026 Communication strategy Impact to members Renewal timeline and review ALL anticipated plan design changes Wilsonart will need to take in 2026 When will the renewal be available?

Expected renewal: we meet with Wilsonart, late July or early August (we will need this sooner than we received the 2025 renewal).

Utilization meeting Early June Renewal timeline – working with underwriting for late July or early August Plan design changes for 2026

Updates: Benefits in review

Riders • Hearing Aid Rider – in network same as DME • Vision Eyewear - $10 exam $0 eyewear ($200 Allowance) PPO and HMO Additional benefits • COBRA • Dental – MetLife • STD/LTD –MetLife • Basic Life and AD&D – MetLife

Integrated patient/member experience •

Provider search returns health plan provider network results

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Claims information in real-time, with deductible and OOP

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Member ID card, benefit documents and benefit details

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Single sign-on to wellness and pharmacy benefits

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Integrated member support with health plan service center

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Agent and AI-supported chat

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Real-time cost estimation

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Family account management

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EviCore and OncoHealth – Cancer Treatment Program and cutting-edge Analytics

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Member Support Member Guide •

Resources available on BSWHP website (formulary, find a pharmacy, etc) Specialty and mail order contact information

NEW! Open Enrollment/Portal Tools •

Find a pharmacy

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Formulary look-up functionality (preferred drugs/tiering/utilization management requirements)

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Price medications

Current Members •

Patient tools integrated with MyBSWHealth

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Rx Smart Save - Provides members with clinically appropriate, low-cost alternative medications in real time.

Members receive a message within the member portal

MyBSWHealth: One portal for Health AND Insurance

Wellness Programs

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WebMD Digital Wellness Platform The WebMD digital wellness platform provides resources and tools to encourage members to be healthy, while providing personalized support for various health conditions and health risks.

Wondr Health Wondr Health is a digital weight loss program available at no additional cost to fully insured commercial members.

Be Well Newsletter Quarterly newsletter featuring events, tips and reminders designed to help members make the most of their wellness benefits.

• Developed to improve the health of Type 2 diabetics and reduce overall healthcare costs • Available for large group plans starting 1/1/25 (excluding HDHP plans) • Offers $0 copays for diabetes medications and supplies while meeting program criteria • Works in tandem with BSW Be Well Coaching to offer a streamlined member experience • BSWHP custom program, offering more flexibility to meet group needs vs vendor • Led by pharmacist with over 20+ years of BSWH system experience – Established relationships with regional PCPs and Specialists

Webinars

Connect, learn, and get answers to some of your questions from doctors and other leading health experts.

Join us the 1st Wednesday of every month, from 11 AM - 11:30 AM. Each webinar will feature a new topic to help you live healthier.

• Three health coaching programs available:  Nutrition Management  Stress Management  Tobacco Cessation • Additional program available by referral, BSW Be Well with Diabetes.

This program is a partnership with the Pharmacy team.

BSWHP Group Value (GV) Formulary Tiering Current Tier Tier Name

New 2025 Tier Tier Name 0 ACA Preventive ACA Preventive 1 Preferred Generic Preferred Generic Non-Preferred 2 Generic Preferred Brand 3 Preferred Brand Non-Preferred 4 Non-Preferred Brand Specialty Preferred Specialty Preferred 5 Generic Generic Specialty Preferred 6 Specialty Preferred Brand Brand Specialty Non-Preferred Specialty Non7 Brand Preferred Brand

0 1 2 3 4 5 6

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GV Formulary will expand from a 6 tier to 7 tier formulary

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New Tier 2 NP generic tier added for higher cost generics

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Lower copay for Tier 1 preferred generic

Large Group/ASO

• Positive changes may occur monthly • Monthly changes can be viewed on the BSWHP website • Formulary drug lists are updated quarterly on the BSWHP website • Negative changes to the formulary occur typically bi-annually on 7/1 and 1/1 • Members taking chronic medications are notified of negative changes 60 days in advance, which includes preferred alternative options if applicable.

Prior Authorization A member, an authorized representative, or a prescriber can submit a request for an exception to the formulary • Request can be submitted electronically, by fax, mail, or phone Members and prescribers are notified of the determination in writing • If denied, information on how to appeal is included PA resources available at: Pharmacy Resources for Providers | Baylor Scott & White Health Plan (bswhp.org)

BSWHP Biosimilar Resources Available BSWHP-Biosimilar Education for Providers BSWHP-Biosimilar Basics for Patients

Medication Adherence: Pilot Outcomes

Proportion of Days Covered (PDC) 100.0%

100.0% 95.0% 90.0%

100.0% 92.1%

90.1%

85.0%

78.1%

80.0% 75.0% 70.0%

66.9%

65.0% 60.0% 55.0% 50.0% 45.0% 40.0% ACE/ARB

Diabetic Rx 2023 Baseline

YTD Q1 2024

Statin Goal

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Diabetes medication adherence increased by 25%

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ACE/ARB’s and Statin medications increased to 100%

’24-’25 Broker Bonus Program •

Sell a NEW GROUP, earn a bonus.

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RENEW an existing group, earn a bonus.

(Must have 300 or more current BSWHP members)

The amount you earn will be based on covered members.

For the group effective dates July 1, 2024 – June 30, 2025, you will earn •

$35 for each fully insured member on new group

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$12 for each self-funded member on new group

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$10 for each fully insured member on renewed group

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$3 for each self-funded member on renewed group

If you sell: • One fully insured group with 150 members ($35x150 = $5,250) • One self-funded group with 250 members ($12x250 = $3,000) If you renew: • Fully insured group with 400 members ($10x400 = $4,000) • Self-funded group with 250 members ($3x250 = $750)

You earn $13,000!

Questions?