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					                             Benefit Systems & Services
                                     Division of Dukane Corporation


                             Presents Its’ Services Capabilities to:

                                   Broker Consultants
                                  Providing Solutions




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




 Executive Team
 Officers:
               Carmen J. Morreale, President, Founder
               Lynn M. Scanlon, Vice President, Benefit Operations
               Tricia Rotolo, Director, Account Management
               Robyn Stanek, Director, Benefit Administration
               Brenda Turner, Manager, Quality Control
   Each member of the executive team has over 20 years of
   benefit administration experience, including IT, marketing,
   operations and sales.



BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  About BSSI
  Year founded:                              1986

  Headquarters:                              760 Pasquinelli Dr. #320
                                             Westmont, Illinois 60559
  Number of Employees:                       75

  Number of Clients:                         Benefit Administration- 95
                                             Information Systems – 18
                                             Taft Hartley – 6




BSSI – www.benefit-sys.com
   Benefit Systems & Services
            A Division of Dukane Corporation




  BSSI Overview:


  Benefit Systems and Services is both a premier Third
   Party Administrator and developer of administrative
   software solutions to TPAs nationwide.
  There are two distinct areas of expertise at BSSI:
          1) Third Party Administrator of Medical and Dental Plans
   for self-funded programs in the public and private sector.
   BSSI provides customer service, claims processing and all IT
   support.
          2) Marketing, development and support of TPA software
   administration systems and web processes for TPAs (both
   self-funded and fully insured programs) nationwide.



BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation


   Types of Plans/ Services Administered by BSSI



        Health
             o     Traditional PPO Plans
             o     Health Reimbursement Arrangements (HRA)
             o     Health Savings Accounts (HSA)
           Prescription Drug Plans
           Dental
           COBRA Compliance Administration
           Disability
           Vision
           Section 125 Plans – Flexible Spending Accounts
           HIPAA
           Medicare Part D
BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  IT Solutions Services
  Proprietary Software Solution for TPAs
      Customer Service
      Claims Administration
      Reporting
  Web Processes for
      Plan Sponsors
      Member access for account detail
      On-line reporting
  On-Line enrollment
  Member-only Access
  Plan Sponsor Reporting
  Benefit Needs Calculators
  Robust web content
        Including health management information

BSSI – www.benefit-sys.com
   Benefit Systems & Services
            A Division of Dukane Corporation




   BSSI Company Metrics
 Average client contract length: 12.7 years
 Average experience of claim analysts: 13+ years
 Internal auditing unit
 Flexibility to modulate customer service staff based on call
  volume
 Customer Service Hours :                     7:30 AM – 7:00 PM M-Thr
                                               7:30 AM – 4:30 PM Fri
                                               9:00 AM – 12:00 PM Sat


 Random call recording for quality control purposes
 100% of calls logged in customer service

BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  A Record of Industry Leadership
  BSSI is one of the most powerful and respected sources
    for benefit plan solutions and services.
   BSSI:
   Processes thousands of healthcare transactions each year
   Is recognized as a pioneer in providing cutting edge technology for
    self-administered programs
   Provides secure, HIPAA compliant processing environments to
    private, public and Taft-Hartley client plans
   Offers highly flexible, integrated enterprise payer claims processing
    system
   Provides Broker / Plan Sponsor / Member web access
   Offers unmatched client and member service


BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  BSSI     has access to and can electronically interface
   with a large number of PPOs. We can administer
   plans using multiple PPOs for customers with
   employees in different parts of the country.
  Partial list of our PPO partners:




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  Pharmacy Benefit Manager (PBM)
  BSSI works with PBM’s to integrate the pharmacy
   data at a detail level into the reporting data base.
   This allows us to report on a complete picture of the
   plan costs. Partial list of PBM partners:




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                              Utilization Review (UR)
                              Case Management (CM)
                             Disease Management (DM)
  BSSI works with many UR/CM/DM firms. We have
   developed a facility to identify cases based on
   trigger diagnoses that allows early involvement of
   the firms.
  We have, however, a two way data interface with
  Hines & Assoc. which allows the case notes to
  become a part of the BSSI data base record.


BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                             Account Management




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




 Account Management services:
 Enrollment employee meetings
        Employee communication
        Re-enrollment and ongoing communication
 Bi-weekly phone calls, as needed
 Monthly on-site meetings, as needed
 Quarterly on-site meetings
 Designated account manager and backup contact
 General employee meetings, as needed
 Scheduled on-site one-on-one consulting
 Staffing at benefit fairs



BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                              Customer Service




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  BSSI Customer Service
  Flexibility to modulate customer service staff based on call volume –
   can add additional service representatives into call loop if volume
   dictates
  Customer Service Hours :                  7:30 AM – 7:00 PM M-Thr
                                             7:30 AM – 4:30 PM Fri
                                             9:00 AM – 12:00 PM Sat
  Random call recording for quality control purposes
  E-mail CSR response within one business day
  100% of calls logged in customer service
  All calls handled in Westmont office –
     no offshore services used



BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                             BSSI Web Site Access




BSSI – www.benefit-sys.com
   Benefit Systems & Services
           A Division of Dukane Corporation




Online Access Web Site Demo For Participants, Providers, HR




 BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                                   Participant Online Access




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                                    Online Reporting Menu




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




     Report Criteria – Drill Down




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                                       Broker Suite




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                        The BROKER SUITE product is private labeled with
                         your logo. This is an on-line service that offers:
                        Employee Eligibility Data Benefit enrollment and on-line
                         election capabilities
                        Easy to use benefit calculators
                        Free form area for company health initiatives
                        This secure portal, can be a link on your client
                         company intranet site or a stand-alone site,
                         provides HR professionals with:
                        Employee demographic information (age, sex, DOB, SS#, etc.)
                        All employee contact information
                        All employee dependent information
                        All benefit election data --all on-line, secure, easy to maintain
                         and update
                        Enrollment data can be distributed electronically to carriers


BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                                       Broker Suite
                                     On-line Demo




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                             HealthPlace America




BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                                                                                                                   Member Support
                                                                                                                   Members are provided a
                                                                                                                   custom web portal to
                                                                                                                   compare hospitals and
                                                                                                                   physicians based on quality
                                                                                                                   and cost. Our concierge
                                                                                                                   plus service coordinates
                                                                                                                   the entire process through
                                                                                                                   recovery.
          The Healthplace Benefit™ provides members access to top U.S.
          doctors and hospitals who are competing for high-value procedures
          with fixed case-rate pricing.
                                                                                                                   Marketing Support
                                                                                                                   The Healthplace Benefit™
          When you add the Healthplace Benefit™:                                                                   provides communications
                                                                                                                   to promote member
             • The member can choose to have their procedure performed by top quality U.S. doctors                 utilization, including:
               outside their local network, while realizing significant “out of pocket” savings.
                                                                                                                   •Employee intro letter
             • Plan Sponsors will realize lower overall costs on your entire health benefit plan, while offering   •Employee intro flyer
               enhanced quality, choice and savings for your plan’s beneficiaries.
                                                                                                                   •Email newsletters
             • Healthplace America™ concierge plus service coordinates the entire process, starting
                                                                                                                   •Home mailings
               with a beneficiary’s initial inquiry through their recovery, ensuring a better overall healthcare   •Statement stuffers
               experience.                                                                                         •Posters




BSSI – www.benefit-sys.com
                                                                                                                                 7/12/2011
  Benefit Systems & Services
          A Division of Dukane Corporation




       Value impact on plan sponsor and member



            Cost impact comparison for a Coronary Artery Bypass Graft

                                                            PLAN SPONSOR                  MEMBER

          In-Network                     Medical Cost       $67,500                       --
          Local Hospital
                                         Beneficiary Cost   (1,000)                       (1,000)         Deductible, co-pay &
                                                                                                          uncovered expenses



                                         Total Cost         $66,500                       ($1,000)




          Healthplace Benefit™           Medical Cost       $39,165        Incl. travel
                                                                           & lodging
                                                                                          --
          Provider
          HealthGrades 5-star facility
                                         TPA Admin. Fee     1,000                         --


                                         Beneficiary                                      $3,000          Recovery benefit

                                         Incentives


                                         Total Cost         $43,165                       $3,000


                                         Savings            $23,335                       $4,000


                                                                                               *Using actual data from TPA clients




                                                                                                                                       27
BSSI – www.benefit-sys.com
                                                                                            7/12/2011
  Benefit Systems & Services
          A Division of Dukane Corporation




Actual Case Study
          1000 Member Professional Employment
               Organization
          •      The PEO’s members have averaged 5 CABG’s      At an annual access fee of $24 per
                 and 8 joint replacements per year with paid   employee, breakeven is exceeded
                 claims costs averaging $79,514 per CABG and   with only 1-2 procedures per
                 $41,067 per joint procedure.                  1,000 employees per year.
          •      HPAM claims costs (including all medical,
                 travel, and incentives) average $40,000 per   And the access fee is not billed
                 CABG, and $25,000 per joint replacement.      until savings are generated,
          Healthplace America™ annual savings                  allowing the Healthplace Benefit
                                                               to be added for no incremental
          •      5 CABG Procedures @ $30,000 savings =         cost, and no risk!
                 $150,000
          •      8 Joint Replacements @ $15,000 savings =
                 $120,000
          •      $270,000 combined annual savings!




                                                                                                    28
BSSI – www.benefit-sys.com
  Benefit Systems & Services
                                                                                                7/12/2011


          A Division of Dukane Corporation




Network Build Out
             Hospitals that are currently accepting patients in the Healthplace Network are:
             Black Hills Surgery Center – South Dakota
             Aspirus Medical Center – Wisconsin
             Indianapolis Orthopedic Hospital – Indiana
             McBride Clinic Orthopedic Hospital – Oklahoma
             Chicago Institute of Neurosurgery and Nero Research – Illinois
             HIMA – Puerto Rico


             Hospitals accepting patients in the near future:
             Hoag Hospital – California
             Newport Orthopedics – California
             Abbott Northwestern – Minnesota
             Valley Orthopedics – Washington
             Arizona Heart Hospital – Arizona
             Heart Hospital of New Mexico – New Mexico
             Heart Hospital of Austin- Texas
             Dayton Heart Hospital - Ohio



                                                                                                      29
BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




  Procedures


   Cardiac Aortic & Mitral Valve Procedures
   Coronary Bypass
   Spinal Fusion
   Total Hip/Knee Replacement
   Re-dos Hip/Knee Replacement
   Shoulder Reconstruction
   Prostate Brachytherapy
   Gastric Bypass

                                               30
BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




 Benefits


   Brokers/TPAs
            New network that can control costs
            Additional benefit at no incremental cost
            Positive enhancement for the employees
            Solidify relationships, fight off BUCAs
            Maintain retention




BSSI – www.benefit-sys.com
  Benefit Systems & Services
            A Division of Dukane Corporation




  Roll-out


  Simple amendment to benefits plan
  Employee education/communication
            Website
            Employee meetings
            Brochures
            Posters
            Newsletter
  TPA/M&M education/communication
  No incremental cost, no billing


BSSI – www.benefit-sys.com
                                                          TALK ABOUT
                                                          HEALTHY RESULTS
Total Health
Wellness Consulting | Insurance Solutions | Fitness Network
                                                                            33
                                                                               AGENDA:
                                                                               Current Snapshot

                                                                               The Grand Canyon

                                                                               The Wrong Way
HEALTHY RESULTS
Work smarter, not harder.                                                      Building Your Road Map

                                                                               Arriving at Your Destination

                                                                               What They Say We Did
                 Total Health
                 Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                       34
                                                                      Operate 70 centers in 15 states
                                                                      Minnesota-based public company listed
                                                                       on the New York Stock Exchange (LTM)
                                                                      Over 15,000 team members
                                                                      Over 63 million individuals visit Life Time
                                                                       each year - More visits than annual visits
                                                                       to Disneyland, the NBA or the NFL
                                                                      1st to launch an incentive-based fitness
                                                                       program in partnership with an insurer
LIFE TIME FITNESS                                                     Partnerships that improve the health of
Changing millions of lives.                                            individuals of > 4,000 organizations
                                                                      Over 3 million readers of Experience Life
                                                                      23,000 athletes & 15,350,000 supporters
                                                                       participated in Life Time events last year
                Total Health
                Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                         35
To call Life Time Fitness “a gym” is like calling the Grand Canyon “a ditch.”




                Total Health
                Wellness Consulting | Insurance Solutions | Fitness Network
                                                                              36
                                                                        70% of illnesses and associated
                                                                             costs are preventable

                                                                        95% of health care costs are spent
                                                                             diagnosing and treating – not
                                                                             preventing illness

                                                                        80% to 90% of heart attacks can be
THE WRONG WAY                                                                traced to lifestyle factors including
Where to go from here.                                                       eating too much & exercising too
                                                                             little



               Total Health
               Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                           37
                                                                           Health Care vs. Wages
                                                  60.0%
                                                  50.0%
                                                  40.0%
                                                  30.0%
                                                  20.0%
THE WRONG WAY                                     10.0%
Where to go from here.                             0.0%

                                                         2004                  2005       2006          2007


                                                                      Health Care        Wages


                 Total Health
                 Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                   38
                                                                  A PROVEN MODEL:
                                                                  Emphasis on prevention in dental care
                                                                  associated with slower cost growth



                                                • 50% spent on prevention          • 5% spent on prevention
                                                • 4.8% to 7.1%                     • 12.4% to 14.5%
                                                    annual increase                  annual increase



A DETOUR
Finding a way.




            Total Health
            Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                   39
                                                            • Average savings of $3.48 per $1 spent
                                                            • 2.4% increase in health care costs for
                                                               participating individuals compared
                                                               with 18% increase for non-participants

                                                            • Net improvement of 3 or more risk
A DETOUR                                                       factors saved an average of $146 per
Finding a way.
                                                               individual per month

                                                            • About 54% of large employers offered
                                                               health assessments to their staff in
                                                               2006 – up from 35% in 2004
           Total Health
           Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                40
THE WELLNESS PRINCIPLE
Healthy Results.
                                                                     A DYNAMIC PROCESS
                                                                     Preventive Wellness Programs | Insurance
                                                                     Plan Design | Long-term Financial Strategy


                   Total Health
                   Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                       41
                                                                     Reduce claims patterns and
                                                                     renewals via The Wellness Principle
                                                                            1. Establish the baseline
                                                                            2. Deliver individual and aggregate
                                                                               road maps
                                                                            3. With targeted information,
THE WELLNESS PRINCIPLE                                                         build 3 -5 year health
Work smarter, not harder.                                                      management strategy
                                                                            4. Change behaviors with extensive
                                                                               wellness programming
                                                                            5. Deliver ROI
                   Total Health
                   Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                       42
                                                                        Comprehensive and Confidential
                                                                      – CONVENIENT: Registration via
                                                                        Online Health Management System
                                                                      – VARIETY: Wide variety of tests and
                                                                        Health Assessment questionnaire
                                                                      – ACTION-ORIENTED: Individual
                                                                        reports providing road map for
                                                                        behavior change
ESTABLISH THE BASELINE                                                – EFFICIENT: Experience consists of
Health Point provides reason to engage.                                 10 minutes per participant
                                                                      – FAST: Results available within 7 days


                    Total Health
                    Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                     43
                                                                                  KEY DIFFERENTIATORS
                                                                                    Your one-stop shop
                                                                     – PROVEN TRACK RECORD: Screened
                                                                       over 1 million individuals from Fortune
                                                                       500 companies, insurers and schools
                                                                     – CUSTOMIZATION: Extremely flexible
                                                                       to tailor program to your needs
                                                                     – ONLINE SCHEDULER: Ultimate
                                                                       control to employer & individual in
                                                                       facilitating screening
ESTABLISH THE BASELINE                                               – DATA TRANSFER CAPABILITIES:
Health Point provides reason to engage.                                Transfer to almost any system to
                                                                       provide ultimate program integration
                                                                     – REPORTING: Comprehensive for both
                                                                       individual and aggregate needs
                    Total Health
                    Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                         44
                                                                                  ACTION-ORIENTED
                                                                                  Individual road map




ESTABLISH THE BASELINE
Health Point provides reason to engage.




                    Total Health
                    Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                        45
                                                                                 ACTION-ORIENTED
                                                                                 Aggregate road map




ESTABLISH THE BASELINE
Health Point provides reason to engage.




                   Total Health
                   Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                      46
                                                                         Extensive Wellness Capabilities
                                                                         This is not Wellness Lite.
                                                                         • Coaching
                                                                         • Health Maintenance Curriculum
                                                                         • On-Site Personal Training
                                                                         • On-Site Nutrition Coaching
                                                                         • On-site Massage
                                                                         • On-site Group Fitness Classes
                                                                         • T.E.A.M. Programs
CHANGE BEHAVIORS                                                         • Life Time Centers
Meet participants at their level of readiness.
                                                                         • Health Maintenance Curriculum
                                                                         • Incentive Driven Fitness Program
                                                                         • Portal
                    Total Health
                    Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                      47
                                                                  HEALTH RISK           PROGRAM
                                                                  • Obesity             • T.E.A.M. Weight Loss
                                                                  • Cardiovascular      • O2 Training
                                                                  • Muscular/Skeletal   • Group Fitness
                                                                  • Diabetes            • Nutrition Coaches
CHANGE BEHAVIORS                                                  • Mental Stresses     • Massage, Yoga
Meet participants at their level of readiness.                    • Maintenance         • T.E.A.M. Fitness


                      Total Health
                      Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                      48
                                                                                      HEALTH COACHING
                                                                                  •   Linked with Health Profile
                                                                                  •   One-to-One relationship
                                                                                  •   Personal Web page
                                                                                  •   Online Health Center
                                                                                  •   Custom tracking and graphing
                                                                                  •   GetFit
CHANGE BEHAVIORS                                                                  •   Reinforced communications for
Meet participants at their level of readiness.                                        existing company benefits



                    Total Health
                    Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                              49
                                                                                  RESULTS:
                                                                       Current Status and Go-Forward Plan




ARRIVE AT YOUR DESTINATION
Enhanced vitality, productivity & engagement.




                  Total Health
                  Wellness Consulting | Insurance Solutions | Fitness Network
                                                                                                  50
                                                                    Our Fitness Reimbursement Program
                                                                    participants realized more than 33%
                                                                    decrease in PMPM health care claims
                                                                    costs after two years in program.
                                                                                            - Medica Health Plan


                                                                  Claims decreases:
                                                                   64% decrease in facility claims
                                                                   Decrease of 13% in physician claims
                                                                   9% decrease in RX claims
WHAT THEY SAY WE DID                                              Control group members realized:
Real Transformations.
                                                                   63.6% more visits to inpatient facilities
                                                                   Over 100% more ER visits
                                                                   43.4% more visits to outpatient facilities

                 Total Health
                 Wellness Consulting | Insurance Solutions | Fitness Network
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                                                                More than 50% of participants considered
                                                                it a key factor in selecting this health plan.

                                                                94% of respondents indicated their health
                                                                improved since joining the program:
WHAT THEY SAY WE DID                                            - 52% weight loss
Real Transformations.
                                                                - 73% more energy
                                                                - 52% less stress
                                                                - 10% drop in blood pressure

                 Total Health
                 Wellness Consulting | Insurance Solutions | Fitness Network
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                                                                      70% of our medical care costs were
                                                                      related to lifestyle factors before we
                                                                      implemented the health profile,
                                                                      coaching and ongoing education.
                                                                                        - School District

                                                                      Annual health care cost decreased
                                                                       from 24% to 3.6%
                                                                      In 2003 savings of $540,000, 2004
                                                                       additional savings of $520,000 and in
                                                                       2005 an additional $200,000 saved
WHAT THEY SAY WE DID                                                  Expected gross savings of $5 million
Real Transformations.
                                                                       in 5 years
                                                                      Fewer sick days, reduction in
                                                                       substitute staff and less stress

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                                                      A DYNAMIC PROCESS
                                                      Preventative Wellness Programs
                                                      Insurance Plan Design
                                                      Long-term Financial Strategy
Total Health
Wellness Consulting | Insurance Solutions | Fitness Network
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  Benefit Systems & Services
          A Division of Dukane Corporation




Summary – BSSI Provides:
Long history of accurate and timely service
State of the art call center with flexible capabilities
Extended Customer hours – including Saturday
Robust Reporting capabilities
       On-line, real time report delivery
       All data interfaced from involved vendors
       Hundreds of on-line reports available
Proprietary software system
       In-house development staff allows fast response to customer requests
       Web services hosted in-house allows customization and integration
Seamless data integration through superior
 technology
Experienced and dedicated client service team
A commitment to quality and timely service to your clients


BSSI – www.benefit-sys.com
  Benefit Systems & Services
          A Division of Dukane Corporation




                             Questions?



BSSI – www.benefit-sys.com

				
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