Here are the proposed changes to the Healthcare system for Franklin Town employees

1. Town of Franklin HealthCare plan Proposed Changes

4. HMO Plan Design $10 co-pay $25 co-pay $45 co-pay MOD 3 for 1 $10 co-pay $20 co-pay $35 co-pay MOD 3 for 1 Prescription drugs : Generic Preferred Brands Non-Preferred Brands $25 co-pay $0 co-pay Ct Scans, MRI’s, PET Scans $50 co-pay $75 co-pay Emergency Room visit $150 (pd by town) $150 (pd by town) Out-patient Hosp $250 (pd by town) $250 (pd by town) In-patient Hosp $15.00 co-pay $15.00 co-pay Physician’s office visit JULY 1, 2009 CURRENT HMO PLAN COVERED SERVICE

5. PPO Plan Design $10 co-pay $25 co-pay $45 co-pay Note: MOD 2 for 1 $10 co-pay $20 co-pay $35 co-pay Prescription drugs : Generic Preferred Brands Non-Preferred Brands $25 co-pay $0 co-pay Ct Scans, MRI’s, PET Scans $50 co-pay $50 co-pay Emergency Room visit $150 (pd by town) $0 (pd by town) Out-patient Hosp $250 (pd by town) $0 (pd by town) In-patient Hosp $15.00 co-pay $15 co-pay Physician’s office visit JULY 1, 2009 In-Net CURRENT PPO PLAN In-Net COVERED SERVICE

6. Member’s Annual Premium Costs FY10 vs FY09 $3,631 $10,114 $3,798 $10,582 $3,631 $10,114 PPO INDV PPO FAM $1,936 $4,949 $1,974 $5,045 $1,887 $4,823 HMO INDV HMO FAM FY10 New Plan Estimate! FY10 Status Quo Plan FY09 Status Quo Plan Plan

8. Franklin = 225 seniors $70 co-pay $15 co-pay Non-Preferred Brand $40 co=pay $15 co-pay Brand $20 co-pay $2 co-pay Generic (90 days) Drug Program Mail Order $35 co-pay 20% co-insurance Non-Preferred Brand $20 co-pay 20% co-insurance BRAND $10 co-pay $35 calendar quarter ded then $0 co-pay GENERIC RETAIL PHARMACY benefits remain the same Coverage all other Prescription Drug MEDEX 2 MEDEX 3 SERVICE MEMBER’S COST