The document provides an overview of the City of Dania Beach self-funded group health plan as of July 2010. It summarizes the current enrollment which is 214 total members, with 67% being active employees. It also reviews the plan experience from October 2008 to September 2009 and October 2009 to June 2010, showing revenue, claims, and net medical claims. Finally, it compares benefits and costs to other local plans and outlines upcoming health care reform changes.

1. City of Dania Beach Self-Funded Group Health Plan Update July 2010

2. Current Health Plan Enrollment Summary June 2010 Active Employees Retirees Under 65 Retirees Over 65 COBRA Adult Dependents Total Employee Only 45 13 14 0 2 74 Employee + Family 99 28 13 0 0 140 Total 144 41 27 0 2 214 Percentage of Enrollees 67.29% 19.16% 12.62% 0.00% 0.93% 100%

3. Self-Funded Health Plan Operating Gain/Loss

4. Self-Funded Health Plan Experience

5. Average Revenue & Claims Per Subscriber Per Month

6. Health Plan Components October 2008 through September 2009 % of Total October 2009 through June 2010 % of Total Revenue $2,068,648 $1,863,396 Gross Medical Claims $1,451,317 $1,187,683 Rx Claims $557,161 24.09% $449,116 23.94% Capitation $7,329 0.32% $5,499 0.29% ASO Fee $126,386 5.46% $82,997 4.42% Reinsurance Premium $297,877 12.88% $273,360 14.57% Expected Reinsurance Reimbursements $126,933 $122,514 Net Medical Claims $1,324,384 57.25% 1,065,169 56.77% Total Claims & Fees $2,313,136 100% $1,876,141 100%

7. Employee Contribution Comparison Dependent health premium does not include employee amounts. Dania Beach General Employees Dania Beach Firefighters Miramar General Employees HMO Miramar General Employees POS Employee Health Premium $463.15 $463.15 $379.97 $704.46 Contribution % 0% 0% 0% 0% Dependent Health Premium $764.21 $764.21 $765.15 $1,206.96 Contribution % 5% 2% 50% 50% Aventura POS Fort Lauderdale General Employees POS Lauderhill General Employees HMO Lauderhill General Employees POS Employee Health Premium $588.96 $825.93 $447.68 $585.39 Contribution % 0% 23% 0% 24% Dependent Health Premium $1,076.59 $1,093.86 $670.94 $948.33 Contribution % 50% 32% 31% 51%

8. Market Benefit Comparison - Pharmacy City of Dania Beach AvMed City of Fort Lauderdale AvMed City of Miramar Humana City of Lauderhill Humana City of Aventura United Retail Prescriptions (30 days) Tier 1, Generic $5 $10 $5 $10 $7 Tier 2, Preferred Brand $10 $20 $10 $25 $20 Tier 3, Non-Preferred Brand $25 $35 $25 $40 $50 Mail Order Prescriptions (90 days) $10/$20/$50 $20/$40/$70 $10/ $15 /$50 $20/$50/$80 $17.50/$50/$125 Red indicates a lesser benefit. Blue indicates an improved benefit.

9. Market Benefit Comparison – POS In Network Hospital Services CYD = Calendar Year Deductible. Red indicates a lesser benefit. Blue indicates an improved benefit. City of Dania Beach AvMed City of Fort Lauderdale AvMed City of Miramar Humana City of Aventura United City of Lauderhill Humana Calendar Year Deductible (CYD) $150 per person, $300 family None $250 per person, $500 family None $150 per person, $300 family Hospital - Inpatient CYD only $100 per day 1st 3 days + 10% CYD only $250 per admission CYD + 20% Hospital - Outpatient CYD only $150 CYD only No charge CYD + 20% Outpatient Advanced Diagnostic Testing (MRI/CT Scans, etc.) No charge 10% CYD only No charge No charge

10. South Florida Health Plan Trend Factors AvMed Aetna Blue Cross Blue Shield CIGNA Humana United HMO 10.5% 13.5% 17.7% 12.0% 11.2% 12.5% POS 14.8% PPO 15.2% Rx 8% - 11.2%

11. Health Care Reform Changes October 2010 Health Plan Renewal Change lifetime maximum benefit from $5,000,000 to Unlimited Annual limits for “non-essential” benefits allowed Dependents to age 26 must be allowed to continue coverage Pre-existing condition limitations for children under age 19 prohibited Preventive services provided by network physician covered at no charge to member including Routine immunizations for children and adults Blood pressure, diabetes & cholesterol screenings Well-child visits to age 21 Physical exams, vision & hearing screenings Mammography, cervical cancer screening Colon cancer screenings

12. Thank you. If you have any questions regarding this material, please contact Lloyd F. Rhodes The Rhodes Insurance Group 954-524-5075 [email_address]