State of New Jersey. State Health Benefits Program. Plan Year 2019 Rate Renewal Recommendation Report. State Employee Group

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1 State of New Jersey State Health Benefits Program Plan Year 2019 Rate Renewal Recommendation Report State Employee Group September 2018

2 Table of Contents Subject Page Executive Summary 3 Plan Year 2019 Overview 5 Trend Analysis 8 Financial Projections 10 Minimum Value 12 Renewal Rate Development 13 Exhibits Enrollment Projections Trend Analysis Aggregate Costs Plan Year 2019 Premiums Plan Year 2019 Plan Option Summary 35 About Aon 38 September

3 Executive Summary The purpose of this report is to recommend premium levels for the State Employee and Retiree Group of the State Health Benefits Program (SHBP) for January 1, 2019 through December 31, Benefits Maintained by the SHBP The State of New Jersey operates the SHBP as a multiple-option program for State Employees and Retirees, with the following medical and prescription drug plan options for Plan Year 2019, which are summarized in Exhibit 5: Self-insured Preferred Provider Organization (PPO) plans NJ DIRECT, administered by Horizon, and the Freedom PPO, administered by Aetna. In Plan Year 2019, both Horizon and Aetna will offer five options under their respective PPO plans. The 2035 option is only available to Actives and the $10 copay option is only available to select Retirees. All other options are offered to Active Employees and Early Retirees. Self-insured Health Maintenance Organization (HMO) plans Administered by Aetna and Horizon. There is one HMO option available to Active Employees and three HMO options available to Early Retirees. Self-insured High Deductible plans Administered by Aetna and Horizon. Employees may select either the $1,500 or $4,000 High Deductible option. Early Retirees are only offered the $4,000 High Deductible option and neither option is available to Medicare-eligible Retirees. Self-insured Tiered Network plans Administered by Aetna and Horizon for Active Employees only, have no out-of-network coverage and provide the same prescription drug benefit as the PPO Insured Medicare Advantage Plans All Medicare Advantage PPO and HMO plan options for Medicare-eligible members in Plan Year 2019 will be administered by Aetna. Self-Insured Medicare Supplement Plans Medicare-eligible members enrolled in Horizon's PPO or HMO plans are covered under Horizon's self-insured Medicare Supplement plans. Active Employees and Retirees are also enrolled in a Prescription Drug Plan available under the SHBP, which is administered by Optum. The prescription drug card benefit options are linked to the medical plan selection. September

4 Recommended Renewal Increases Aon is recommending a 0.6% decrease for Active Employees, a 4.1% increase for Early Retirees, and a 32.8% decrease for Medicare Retirees. For all groups combined, the recommendation is a decrease of 3.5%. The recommended renewal changes for Plan Year 2019 by benefit plan are listed below. Renewal changes were calculated separately for the PPO (which includes the High Deductible plans), the HMO, the Tiered Network, and the Prescription Drug Plans. EE + EE + Total Single Spouse Family Child(ren) Actives PPO Medical 6.3% 6.3% 6.3% 6.3% 6.3% HMO Medical 6.3% 6.3% 6.3% 6.3% 6.3% Tiered Network Medical 3.7% 3.7% 3.7% 3.7% 3.7% PPO Rx (25.4%) (25.4%) (25.4%) (25.4%) (25.4%) HMO Rx (25.4%) (25.4%) (25.4%) (25.4%) (25.4%) Tiered Network Rx (21.1%) (21.1%) (21.1%) (21.1%) (21.1%) Total (0.6%) (0.6%) (0.6%) (0.6%) (0.6%) Early Retirees PPO Medical 9.8% 9.8% 9.8% 9.8% 9.8% HMO Medical 9.8% 9.8% 9.8% 9.8% 9.8% PPO Rx (17.9%) (17.9%) (17.9%) (17.9%) (17.9%) HMO Rx (17.9%) (17.9%) (17.9%) (17.9%) (17.9%) Total 4.1% 4.1% 4.1% 4.1% 4.1% Medicare Retirees PPO Medical (58.1%) (58.1%) (58.1%) (58.0%) (58.0%) HMO Medical (29.1%) (29.1%) (29.1%) (28.8%) (28.6%) PPO Rx (18.8%) (18.8%) (18.8%) (18.8%) (18.8%) HMO Rx (18.8%) (18.8%) (18.8%) (18.8%) (18.8%) Total (32.8%) (32.8%) (32.8%) (32.8%) (32.7%) Grand Total (3.5%) (3.5%) (3.5%) (3.5%) (3.5%) These premium changes for Plan Year 2019 are projected to produce no loss or gain for State Actives and Retirees. September

5 Plan Year 2019 Overview Benefit Design Changes Retiree Prescription Drug: The renewal projections assume the retiree prescription drug copays and out-of-pocket maximums will remain unchanged from Plan Year Other Changes: The SHBP Plan Design Committee approved several plan changes for Plan Year 2017 that were reaffirmed for both Plan Year 2018 and Plan Year These changes include an out-of-network reimbursement change for physical therapy services in the PPO plans, mandatory generic for prescription drugs, and a prescription drug copay change. The SHBP Plan Design Committee approved the continuation of the alternative prescription drug formulary for Plan Year The Plan Year 2019 Renewal projections include the prescription drug formulary currently in place for Plan Year 2018 which was approved for continuation in Plan Year Employee/Retiree Contribution Changes Actives: It is anticipated that the Chapter 78 contributions will motivate a small number of employees to migrate to the lower-cost benefit plans, and Plan Year 2019 enrollment projections assume that 0.5% of the enrollment in the Horizon NJ DIRECT15 plan will migrate to lower-cost plans from Plan Year 2018 to Plan Year Retirees: Chapter 78 does not apply to existing Retirees as of 7/1/2011 or to Employees who had 20 or more years of service on 7/1/2011. For this reason, no changes to Retiree contributions are assumed for Plan Year 2019, which means that the majority of Retirees will continue to have no contributions towards the cost of their Retiree health benefits. Tiered Network Plans Tiered Network Enrollment: The SHBP Plan Design Committee approved a Tiered Network plan option for SHBP Active Employees, effective January 1, The Tiered Network Plan is offered by both Horizon and Aetna. Plan Year 2018 enrollment projection assumptions for the Tiered Network Plan are consistent with Plan Year 2018 open enrollment results. It is assumed that 1.0% of State Active enrollment in the Aetna and Horizon PPO15 plans will migrate to the Tiered Network plans in Plan Year Tiered Network enrollment is assumed to be distributed among the tiers (Single, Family, etc.) consistent with the projected distribution of enrollment in the existing plans. Tiered Network Premium Change: There is relatively low enrollment and immature plan experience in the Tiered Network Plans. With two years of full claim experience, the Tiered Network plan premium change will reflect 5% actual experience in these plans. Therefore, the Plan Year 2019 premium rate change will continue to be based primarily on the NJ DIRECT15 premium rates but will reflect a blend of actual experience and the theoretical pricing relative values that were used in the initial rate development for the Tiered Network plans for State Actives. Tiered Network Incentive: The State provided an incentive in the form of a gift card per Active Employee who enrolls in the Tiered Network plan for Plan Year 2018 with a two-year commitment. The incentive varied by tier and was offered to State Employees only. This renewal assumes that the incentive will be continued for Plan Year This renewal does not reflect the cost of the incentives or the administrative cost associated with providing gift cards. September

6 Federal Health Care Reform In-Network Out-of-Pocket Maximum: Effective 1/1/2019, Federal Health Care Reform requires that innetwork medical and prescription drug benefits have a combined out-of-pocket maximum no greater than $7,900 single / $15,800 family. This benefit change will not have a significant impact on projected costs. The chart below summarizes a history of these out-of-pocket maximums: Out-of-Pocket Maximum Plan Year (Single/Family) 2017 $7,150 / $14, $7,350 / $14, $7,900 / $15,800 Public Health Insurance Exchanges: The public health insurance exchanges that are mandated by Federal Healthcare Reform, which began in 2014, are assumed to have minimal impact on enrollment or cost levels within the SHBP. Full-Time Employee Definition: The Patient Protection and Affordable Care Act (Affordable Care Act) defines full-time employees as employees who work 30 or more hours per week. The employer mandate, which is applicable to full-time employees, was essentially first effective 1/1/2015. This requirement is not projected to have a cost impact on the SHBP because in general, the State offers coverage to all full-time employees. Minimum Value: Effective 1/1/2015, the Affordable Care Act required employers to offer plans that have a minimum value of at least 60% (i.e., the plan s share of total allowed costs of benefits provided under the plan is at least 60% of such costs). All of the SHBP plan options were tested and have a minimum value in excess of 60%. More details are included in the Minimum Value section of this report. ACA 9010: Section 9010 of the ACA imposes a Health Insurer Fee (HIF) on each covered entity engaged in the business of providing health insurance for United States health risks. The HIF will help fund the federal subsidies given to lower-income families that may not have coverage. On January 22, 2018, Congress passed a spending bill which places a moratorium on this tax in Plan Year Aon s projections assume that the HIF will not be reinstated for Plan Year New Jersey State Mandates Female Contraceptive Mandate: Effective March 15, 2018, existing State legislation was amended to require all health insurance/medical providers to cover female contraceptive drugs and devices in the same way other prescription drugs are covered. This legislation is not expected to materially impact the SHBP. 3-D Mammography/Breast Cancer Screening Mandate: Effective January 1, 2019, a State mandate will remove member cost-sharing for 3-D mammography screenings when the screening is routine for members ages 40 years or older. This mandate is estimated to increase non-medicare medical claims by approximately 0.1% annually. September

7 Vendor Changes Medical Vendors: Aon assumes that Horizon and Aetna will be the only medical vendors in Plan Year No changes to the current self-insured contracts are assumed. Effective January 1, 2019 all SHBP fully-insured Medicare Advantage plans will be administered by Aetna. Pharmacy Benefit Manager: Aon assumes that Optum will continue to administer the prescription benefits for Actives and Retirees in Plan Year Eligibility Changes Chapter 375 Coverage of Adult Children New Jersey currently mandates the coverage of adult children under age 31 at a premium level that is equivalent to the child rate included in the standard premium tables, loaded 2% for additional expenses. The Adult child rate will be approximately 88% of the Single Employee rate. Adult dependent enrollment is 192 as of March Part-Time Coverage Part-time Employees may enroll in any of the SHBP plans and as of March 2018, 199 State Part-time Employees participate. Aon recommends a rate load of 1% for Plan Year 2019, a decrease from the rate load of 4% used in Plan Year This is based on the most recent three-year average loss ratio for Part-time Employees. Enrollment Changes Exhibit 1A shows historical enrollment patterns from January 2016 through July 2018 and includes a projection of enrollment from August 2018 through December This projection assumes that State Active enrollment will remain flat in Plan Years 2018 and Early Retiree enrollment is projected to decrease 3.0% per year in Plan Years 2018 and 2019; and Medicare Retiree enrollment is projected to increase 2.5% in Plan Year 2018 and 3.5% in Plan Year Exhibit 1B shows the projected distribution of enrollment among benefit options and assumes that 0.5% of the enrollment in the Horizon NJ DIRECT15 plan will migrate to lower-cost benefit options from Plan Year 2018 to Plan Year In addition, 1.0% of enrollment in the Aetna and Horizon $15 PPO plans is assumed to migrate to the Tiered Network plans in Plan Year Exhibit 1C shows enrollment by benefit option and coverage tier as of July Active Demographic Changes The Active Employee average age increased by 0.4 from Plan Year 2017 to Plan Year The average HMO Employee age is almost two years older than the average PPO Employee age. The average age of Employees enrolling in the new benefit options increased by a year from Plan Year 2017 to 2018, and is approximately nine years younger than Employees in the Legacy Plans. Average Employee Age March 2017 March 2018 Change Legacy PPO Legacy HMO Legacy Total New Plans Total September

8 Trend Analysis The recommended claim trend assumptions for Plan Years 2018 and 2019 are: Plan Year 2018 Plan Year 2019 Prescription Prescription Medical Drugs Medical Drugs PPO Actives 4.50% 8.00% 5.00% 8.00% PPO Early Retirees 6.00% 8.00% 5.50% 8.00% Self-Insured Medicare Retirees 4.50% 8.00% 4.00% 8.00% HMO Actives 6.00% 8.00% 6.00% 8.00% HMO Early Retirees 6.00% 8.00% 6.00% 8.00% The Medicare Retiree medical trend assumptions do not reflect the fully insured Medicare Advantage plans. The Plan Year 2019 Medicare Advantage premium rates are provided by Aetna. The Tiered Network Active medical and prescription drug trend assumptions are consistent with the HMO Active trend assumptions above. Exhibits 2A and 2B presents historical SHBP trend experience and Aon s trend assumptions for Plan Year 2019 for medical and prescription drug, respectively. These experience trends are based on estimated incurred claim trends from July 1, 2016 to June 30, The claim costs in these exhibits have been normalized for estimated benefit and vendor changes. Aon recommended trends are developed using vendor recommended trends, national Aon trend guidance (which reflects vendor surveys, Pharmacy Benefit Manager national surveys and other external sources) as well as actual SHBP plan experience adjusted for expected future trends. Medical Trends: PPO Actives: The PPO Active medical trend has been lowered to 4.5% in Plan Year 2018 from the Plan Year 2018 Renewal Report and has been lowered to 5.0% for Plan Year PPO Early Retirees: The Plan Year % PPO medical trend for Early Retirees remains the same as was reflected in the Plan Year 2018 Renewal Report. The Plan Year 2019 medical trend has been lowered to 5.5%. Self-Insured Medicare Retirees (PPOs and HMOs): The self-insured Medicare Retiree medical trend is 4.5% in Plan Year 2018 and 4.0% in Plan Year 2019, as compared to the Plan Year 2018 Medicare Retiree medical trend of 3.5% in the Plan Year 2018 Renewal Report. HMO Actives: The medical trend assumption for HMO Actives is 6.0% in Plan Year 2018, a 50 basis point increase from the Plan Year 2018 Renewal Report trend of 5.5%. The HMO trend assumption in Plan Year 2019 is 6.0%. HMO Early Retirees: The medical trend assumption for HMO Early Retirees is 6.0% in Plan Years 2018 and 2019, which represents a 50 basis point increase as compared to the Plan Year 2018 trend assumption of 5.5% shown in the Plan Year 2018 Renewal Report. Prescription Drug Trends: Prescription drug claim experience has been favorable due to SHBP plan design changes, recent favorable market industry trend reductions and the change in PBM. September

9 The prescription drug plan design changes approved by the SHBP Plan Design Committee in recent years have had a positive impact on prescription drug claims experience, which is reflected in Aon s recommended Plan Year 2018 and Plan Year 2019 trends for the SHBP. The Aon prescription drug trend recommendation for Actives and Retirees has been lowered to 8.0% in Plan Year 2018 from 11.0% that was used in the Plan Year 2018 Renewal Report. The recommended prescription drug trend for Plan Year 2019 is 8.0%. Medicare Advantage: Effective January 1, 2019, Aetna will administer all SHBP Medicare Advantage plans. Horizon will no longer administer the NJDIRECT10 and NJDIRECT15 Medicare Advantage plans. The Medicare Advantage rates in 2018 were provided by Aetna and Horizon. The Medicare Advantage rates in 2019 were provided by Aetna. These fully-insured premium rates reflect the moratorium of the Health Insurer Fee in Plan Year Below is a table summarizing the fully insured Medicare Advantage per member per month rates for Plan Years 2018 and Aetna Horizon State % Change % Change PPO 10 $ $ (62.6%) $ NA NA PPO 15 $ $ (69.9%) $ NA NA HMO 10 $ $ (29.8%) NA NA NA HMO 1525 $ $ (38.6%) NA NA NA Please note, the significant reduction in Medicare Advantage rates is due to the 2018 procurement of all Medicare Advantage plans. September

10 Financial Projections Aggregate Financial Projections Using the assumptions and methodology described in this report s Renewal Rate Development section, below are Aon s current estimated projected costs for Plan Years 2017, 2018 and Plan Year 2019 renewal premiums were developed to match projected costs in aggregate, so there is no projected gain or loss for Plan Year Projected Financial Results (in $ millions) Legacy HMOs New Plans PPO 10 PPO 15 Total Plan Year 2017 Premium Rates x Enrollment $132.0 $1,947.2 $393.0 $117.2 $2,589.4 Incurred Claims $110.4 $1,768.7 $350.3 $69.1 $2,298.5 Administrative Charges $2.4 $36.1 $11.4 $3.8 $53.7 Net Gain (Loss) $19.2 $142.4 $31.3 $44.3 $237.2 Plan Year 2018 Premium Rates x Enrollment $111.7 $1,918.8 $362.8 $145.2 $2,538.5 Incurred Claims $94.8 $1,780.2 $331.1 $90.4 $2,296.5 Administrative Charges $2.0 $36.2 $10.0 $5.1 $53.3 Net Gain (Loss) $14.9 $102.4 $21.7 $49.7 $188.7 Plan Year 2019 Premium Rates x Enrollment $88.7 $1,807.6 $342.7 $181.3 $2,420.3 Incurred Claims $84.7 $1,766.7 $334.7 $180.4 $2,366.5 Administrative Charges $2.2 $35.7 $10.2 $5.8 $53.9 Net Gain (Loss) $1.8 $5.1 ($2.3) ($4.7) ($0.1) The current Plan Year 2017 financial results project a gain of $237.2 million. By comparison, last year s renewal analysis projected a gain of $131.4 million for Plan Year This resulting gain is primarily due to better-than-expected medical and prescription drug claim experience. The current Plan Year 2018 financial results project a gain of $188.7 million. By comparison, last year s renewal analysis projected a gain of $2.8 million for Plan Year This projected gain from last year s renewal analysis is largely due to better-than-expected medical and prescription drug claim experience. The Plan Year 2019 average renewal recommendation is a decrease of 3.5%, which is projected to produce no loss or gain for State Actives and Retirees for Plan Year Plan Year 2019 projected cost for the State Group is equal to $2.4 billion: $1.8 billion for Actives and $0.6 billion for Retirees. More detailed aggregate projections are attached in Exhibit 3. The losses and gains displayed in this table and in Exhibit 3 assume that all premiums are fully funded. September

11 Self-Insured Vendor Administrative Fees and Claim Charges The sections below show Plan Year 2019 administrative fees and other claim charges, as applicable, separately by each of the medical and prescription drug vendors. The fees are reported by the vendors in different categories and may appear aggregated within different rows in Exhibit 3, including incurred medical and prescription drug claims, capitation and administrative fees. Unless otherwise noted, all per-employee per-month (PEPM) and per-member per-month (PMPM) fees will remain the same from Plan Year 2018 to Plan Year Medical Fees/Charges Plan Year 2019 Per Employee Per Month (PEPM) Administrative Fees Horizon Aetna PPO HMO HDHP Tiered PPO HMO HDHP Tiered Actives Base Administrative Fee $23.72 $37.02 $28.54* $47.40 $33.11 $45.15 $34.54 $46.95 NJWELL Administrative Fee $0.60 $0.60 $0.60 $0.60 $1.79 $1.79 $1.79 $1.79 Early and Medicare Retirees Base Administrative Fee $23.72 $37.02 $28.54* N/A $33.11 $45.15 $34.54 N/A Base Administrative Fee Split Contracts $11.86 N/A N/A N/A $16.56 $22.58 N/A N/A * Includes $4.82 Health Savings Account Fee per account per month Other fees/claim charges that may be included within the incurred medical and prescription drug claims, capitation and administrative fees within Exhibit 3 include but are not limited to: NJWELL and Retiree Wellness Program fees (physician attestation forms, gift cards, etc.) DPCMH and PCMH administrative fees and capitation amounts Claim recovery services Prescription Drug Fees Administrative fees charged by Optum for the prescription drug program for Plan Year 2019 are $5.25 PEPM for Commercial and $8.00 PMPM for EGWP. September

12 Minimum Value Under the Affordable Care Act, beginning in 2014, eligible individuals who purchase coverage under a qualified health plan through a state health insurance exchange may receive a premium tax credit or cost-sharing subsidy unless they are eligible for other healthcare coverage, including coverage under an employer-sponsored health plan that is affordable to the employee and provides minimum value. A plan fails to provide minimum value if the plan s share of the total allowed costs of benefits provided under the plan is less than 60% of such costs. The 2019 SHBP plans were tested using the Minimum Value calculator provided by Health and Human Services (HHS) and the Internal Revenue Service (IRS). All the SHBP plans have a minimum value greater than the 60% minimum requirement with values ranging from 66% for the $4,000 High Deductible plan up to 95% for the Active NJ DIRECT15 plan. September

13 Renewal Rate Development Rating Methodology Exhibit 3 shows the aggregate projected costs for Plan Years 2017, 2018 and 2019, separately for each PPO, Tiered Network, HMO and High Deductible plan. Costs were projected separately for each benefit plan for Actives, Early Retirees and Medicare Retirees, and for medical claims, prescription drug claims, administrative costs and aggregate premiums. Plan Year 2019 premium increases were calculated separately for Actives, Early Retirees and Medicare Retirees, and by coverage type: PPO, Tiered Network, HMO and prescription drugs. Aetna experience was used to develop the HMO premium increases; Horizon experience for the PPO and Tiered Network premium increases; and Express Scripts and Optum experience for the prescription drug premium increases. Projection Assumptions 1. Using paid claim data through June 2018 supplied by Horizon, Aetna, Express Scripts (through December 2017), and Optum (beginning December 2017), Aon estimated completed incurred claims for Plan Year 2018, separately for each benefit plan, for medical versus prescription drugs and for Actives, Early Retirees and Medicare Retirees. Due to the change in PBM and limited prescription drug data through March of 2018, the renewal reports have been updated using paid claim data through June in an effort to capture savings due to the change in PBM. 2. Capitation and other similar fixed claim charges were added to the incurred claims. 3. Estimated incurred claims in Plan Year 2018 were divided by projected average covered members to get average claims per member per year. Covered members were based on historical billing enrollment data by coverage tier and adjusted with assumptions for the number of members per coverage tier. 4. Claims per member were projected from the mid-point of the experience period to the midpoint of Plan Year 2019 using the annual trend rates listed in the Trend Analysis section of this document. 5. Aggregate claims for Plan Year 2019 are the product of projected enrollment and the projected claims per member. 6. Plan Year 2019 projected Medicare Advantage fully insured premiums are based on rates provided in Aetna s Medicare Advantage RFP Response. 7. Prescription drug rebates for Plan Years 2016 and 2017 are based on actual rebate payment data received from the State. Rebates for Plan Years 2018 and 2019 are based on data provided by Optum. 8. Prescription drug rebates paid through the medical plan for Plan Years 2016 and 2017 are based on actual rebate payment data provided by Aetna and Horizon. Prescription Drug Rebates paid through the medical plan for Plan Years 2018 and 2019 are incorporated in the medical claim projections. September

14 9. EGWP projections include monthly CMS capitation payments per Medicare-eligible Retiree for prescription drug coverage, an annual CMS payment for reinsurance on catastrophic claims, prescription drug manufacturers coverage gap reimbursement payments and CMS Low Income Cost Sharing (LICS) payments. These amounts are equal to recommendations from Express Scripts for Plan Year 2017 and from Optum for Plan Years 2018 and a. CMS per capita payments: The Plan Year 2019 CMS per capita payment is assumed to be $20.07 Per Member Per Month (PMPM). b. Coverage Gap Discount: The Plan Year 2019 credits are assumed to be $74.19 PMPM. c. Catastrophic Reinsurance: This payment has a very long lag, and the Plan Year 2017 credit is not expected until the beginning of Plan Year The Plan Year 2019 credits are assumed to be $ PMPM. d. Low Income Cost Sharing (LICS): Plan Year 2016 and 2017 actual LICS payments were provided by Express Scripts. For Plan Year 2019, the subsidy payment is assumed to be $2.21 PMPM. 10. Total SHBP projected Plan Year 2019 claim costs are the sum of projected medical and prescription drug claims, capitation charges, payments from CMS related to EGWP Plus Wrap and prescription drug rebates. 11. Tiered Network projected costs in Plan Year 2019 reflect 5% of actual Plan Year 2018 medical and prescription drug claim experience. 12. Base administrative fees per subscriber per month or per member per month are multiplied by the projected average enrollment for the applicable projection Plan Year. Plan Year 2019 administrative fees were provided by Horizon, Aetna and Optum. 13. Overhead charges, which are internal State of New Jersey administrative costs charged against the plans, are projected to be equal to $4.4 million for Plan Year All other fees and claim charges reported by the vendors have been reflected in the projections. Projected Premiums 1. Plan Year 2019 self-insured premiums were developed by applying the projected premium increase percentages listed in the Executive Summary section of this document to Plan Year 2018 premium rates. 2. Aggregate Plan Year 2019 premiums are calculated by multiplying projected Plan Year 2019 enrollment and projected Plan Year 2019 premium rates. September

15 Data Assumptions 1. Claims: For medical and prescription drug claims, claim files from each of the vendors, which have claims paid through June 30, 2018, were used. 2. Enrollment: Monthly census files received from the Division of Pensions and Benefits were matched against the claims data files to determine enrollments for Active and Retiree and for State participants as compared to Local Employers participants. Billing counts from the Division of Pensions and Benefits through July 2018 are used for the exposure units in the cost analysis. September

16 Exhibit 1A Enrollment Projections State Enrollment Actives Early Retirees Medicare Retirees 160, , , ,000 80,000 60,000 40,000 20, Annual Change in Enrollment Actual Projected Projected 2016 to to to 2019 Actives (0.2%) 0.1% 0.0% Early Retirees (1.6%) (3.0%) (3.0%) Medicare Retirees 3.1% 2.5% 3.5% Projected 2018 enrollment for Active Employees and Retirees was assumed to be consistent with open enrollment results. September

17 Exhibit 1B Actives Projected Plan Year 2019 Plan Distribution State Employees Plan Year 2019 PPO 15 PPO 1525 PPO 2030 PPO 2035 HD 4000 HD 1500 HMO 15 Tiered Network Assumes approximately 85% of employees will enroll in the PPO plans, 11% in the HMO plans, 4% in the Tiered Network plans, and less than 1% in the High Deductible plans. Assumes approximately 90% of employees will enroll in the Legacy plans, with approximately 10% in the new benefit options. Assumes approximately 80% of employees will enroll in the Horizon plans and approximately 20% of employees will enroll in the Aetna plans. Actives Horizon Aetna Total PPO % 6.0% 78.3% PPO % 1.1% 2.8% PPO % 1.0% 2.3% PPO % 0.6% 1.2% HD % 0.1% 0.2% HD % 0.0% 0.1% HMO % 10.3% 11.3% Tiered Network 2.7% 1.1% 3.8% Total 79.8% 20.2% 100.0% September

18 Exhibit 1B Retirees Projected Plan Year 2019 Plan Distribution State Retirees Plan Year 2019 PPO 10 PPO 15 PPO 1525 PPO 2030 HD 4000 HMO 10 HMO 1525 HMO 2030 Assumes approximately 42% of retirees will remain in the $10 copay plans. Assumes approximately 82% of retirees will enroll in the PPO plans, 18% in the HMO plans, and less than 1% in the High Deductible plan. Assumes approximately 97% of retirees will enroll in the Legacy plans, with approximately 3% in the new benefit options. Assumes approximately 21% of retirees will enroll in the Horizon plans and approximately 79% of retirees will enroll in the Aetna plans. Retirees Horizon Aetna Total PPO % 22.8% 23.5% PPO % 37.6% 55.0% PPO % 0.0% 3.0% PPO % 0.0% 0.1% HD % 0.0% 0.0% HMO % 18.1% 18.3% HMO % 0.1% 0.1% HMO % 0.0% 0.0% Total 21.4% 78.6% 100.0% September

19 Exhibit 1C Actives May 2018 Enrollment Number of Contracts as of May 2018 Employee + Employee + Single Spouse Family Child(ren) Total STATE - ACTIVE & COBRA Medical Plans Horizon 15 PPO 22,066 10,846 23,598 10,464 66,974 Horizon 1525 PPO ,457 Horizon 2030 PPO ,126 Horizon 2035 PPO Horizon HD Horizon HD Horizon Legacy HMO (15) Horizon Tiered Network ,759 Horizon Total 25,113 11,514 25,141 11,185 72,953 Aetna 15 PPO 2, , ,511 Aetna 1525 PPO Aetna 2030 PPO Aetna 2035 PPO Aetna HD Aetna HD Aetna Legacy HMO (15) 2,804 1,428 3,301 1,857 9,390 Aetna Tiered Network Aetna Total 7,279 2,520 5,726 2,745 18,270 Total 32,392 14,034 30,867 13,930 91,223 September

20 Exhibit 1C Retirees May 2018 Enrollment Number of Contracts as of May 2018 Employee + Employee + Single Spouse Family Child(ren) Total STATE RETIREES Medical Plans Horizon 10 PPO 7,135 4, ,585 Horizon 15 PPO 12,599 9,619 3,485 1,289 26,992 Horizon 1525 PPO ,520 Horizon 2030 PPO Horizon HD Horizon Legacy HMO (10) Horizon 1525 HMO Horizon 2030 HMO Horizon Total 20,717 14,380 3,745 1,452 40,294 Aetna 10 PPO Aetna 15 PPO ,412 Aetna 1525 PPO Aetna 2030 PPO Aetna HD Aetna Legacy HMO (10) 4,276 3,052 1, ,414 Aetna 1525 HMO Aetna 2030 HMO Aetna Total 5,049 3,721 1, ,149 Total 25,766 18,101 5,423 2,153 51,443 September

21 Exhibit 2A Medical Trend Assumption (A) Increase in Claims/Ee (B) Benefit + RFP Changes (C) = (A) - (B) Claim Trend PPO Active 07/01/ /30/ % (0.8%) 1.6% 07/01/ /30/ % (0.5%) 5.6% Average 3.6% Aon Plan Year 2019 Trend Assumption 5.0% PPO Early Retiree 07/01/ /30/ % (0.7%) 8.1% 07/01/ /30/ % (0.4%) 5.3% Average 6.7% Aon Plan Year 2019 Trend Assumption 5.5% HMO Active 07/01/ /30/2017 (3.1%) 0.2% (3.3%) 07/01/ /30/ % 0.4% 6.4% Average 1.6% Aon Plan Year 2019 Trend Assumption 6.0% HMO Early Retiree 07/01/ /30/ % 0.2% 10.4% 07/01/ /30/2018 (2.1%) 0.4% (2.5%) Average 3.9% Aon Plan Year 2019 Trend Assumption 6.0% Normalizing Adjustments 1/1/2016: Increase Emergency Room copays and restrict physical therapy for OON coverage. 1/1/2017: Increase Emergency Room copays and OON physical therapy reimbursement change. 1/1/2017: Expansion of Health Programs requirements to transgender individuals (ACA 1557). 5/16/2017: Treatments for Substance Use Disorder and Restrictions on Opioids Law. September

22 Exhibit 2B Prescription Drug Trend Assumption (A) Increase in Claims/Ee (B) Benefit + RFP Changes (C) = (A) - (B) Claim Trend Active Rx 07/01/ /30/2017 (14.7%) (20.4%) 5.7% 07/01/ /30/2018 (5.5%) (5.0%) (0.5%) Average 2.6% Aon Plan Year 2019 Trend Assumption 8.0% Retiree Rx 07/01/ /30/2017 (7.3%) (9.7%) 2.4% 07/01/ /30/2018 (0.2%) (1.9%) 1.7% Average 2.0% Aon Plan Year 2019 Trend Assumption 8.0% Normalizing Adjustments: 3/1/2016: Adjustment for compound drugs. 1/1/2017: Step-Therapy, Mandatory Generic, Preferred Formulary changes. September

23 Exhibit 3A Plan Year 2017 Aggregate Costs Page 1 of 2 Legacy Plans 1525 Total Aetna PPO 10 Aetna PPO 15 NJ DIRECT 10 NJ DIRECT 15 Aetna HMO Horizon HMO Aetna PPO Horizon PPO Aetna HMO Horizon HMO Employees and Retirees Average Medical Members 307, ,454 17, ,025 43,520 1,740 1,585 3, Incurred Medical Claims $1,703,032,000 $2,764,000 $76,844,000 $48,564,000 $1,281,065,000 $232,407,000 $6,547,000 $8,430,000 $14,744,000 $161,000 $25,000 Capitation $30,617,000 $0 $0 $142,000 $15,171,000 $14,514,000 $123,000 $0 $225,000 $18,000 $1,000 Incurred Prescription Drug Claims $799,041,000 $2,776,000 $27,936,000 $96,769,000 $517,701,000 $132,358,000 $2,440,000 $1,516,000 $7,955,000 $281,000 $36,000 Prescription Drug Rebates ($157,439,000) ($440,000) ($5,822,000) ($14,669,000) ($106,090,000) ($26,081,000) ($498,000) ($341,000) ($1,369,000) ($49,000) ($6,000) EGWP Credits ($76,827,000) ($730,000) ($1,600,000) ($24,808,000) ($36,453,000) ($11,313,000) ($173,000) $0 ($1,637,000) ($32,000) ($14,000) Administrative Fees $53,722,000 $91,000 $2,634,000 $2,333,000 $33,430,000 $10,850,000 $500,000 $387,000 $869,000 $14,000 $6,000 Total Cost $2,352,146,000 $4,461,000 $99,992,000 $108,331,000 $1,704,824,000 $352,735,000 $8,939,000 $9,992,000 $20,787,000 $393,000 $48,000 Total Premium $2,589,361,000 $4,936,000 $107,578,000 $127,024,000 $1,839,625,000 $378,137,000 $14,841,000 $13,438,000 $29,514,000 $552,000 $130,000 Gain (Loss) $237,215,000 $475,000 $7,586,000 $18,693,000 $134,801,000 $25,402,000 $5,902,000 $3,446,000 $8,727,000 $159,000 $82,000 Employees Average Medical Members 221,438 N/A 10,459 N/A 169,152 26,055 1,543 1,572 2,612 N/A N/A Incurred Medical Claims $1,296,769,000 N/A $63,970,000 N/A $1,039,164,000 $137,847,000 $5,869,000 $8,322,000 $10,681,000 N/A N/A Capitation $22,332,000 N/A $0 N/A $13,285,000 $8,324,000 $108,000 $0 $202,000 N/A N/A Incurred Prescription Drug Claims $400,808,000 N/A $19,057,000 N/A $314,865,000 $52,730,000 $1,489,000 $1,484,000 $2,279,000 N/A N/A Prescription Drug Rebates ($90,338,000) N/A ($4,295,000) N/A ($70,967,000) ($11,885,000) ($336,000) ($334,000) ($514,000) N/A N/A EGWP Credits N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Administrative Fees $39,915,000 N/A $2,290,000 N/A $26,557,000 $7,194,000 $429,000 $382,000 $492,000 N/A N/A Total Cost $1,669,486,000 N/A $81,022,000 N/A $1,322,904,000 $194,210,000 $7,559,000 $9,854,000 $13,140,000 N/A N/A Total Premium $1,840,063,000 N/A $90,156,000 N/A $1,418,445,000 $210,596,000 $13,069,000 $13,261,000 $21,822,000 N/A N/A Gain (Loss) $170,577,000 N/A $9,134,000 N/A $95,541,000 $16,386,000 $5,510,000 $3,407,000 $8,682,000 N/A N/A Retirees Average Medical Members 86, ,995 17,758 46,873 17, , Incurred Medical Claims $406,263,000 $2,764,000 $12,874,000 $48,564,000 $241,901,000 $94,560,000 $678,000 $108,000 $4,063,000 $161,000 $25,000 Capitation $8,285,000 $0 $0 $142,000 $1,886,000 $6,190,000 $15,000 $0 $23,000 $18,000 $1,000 Incurred Prescription Drug Claims $398,233,000 $2,776,000 $8,879,000 $96,769,000 $202,836,000 $79,628,000 $951,000 $32,000 $5,676,000 $281,000 $36,000 Prescription Drug Rebates ($67,101,000) ($440,000) ($1,527,000) ($14,669,000) ($35,123,000) ($14,196,000) ($162,000) ($7,000) ($855,000) ($49,000) ($6,000) EGWP Credits ($76,827,000) ($730,000) ($1,600,000) ($24,808,000) ($36,453,000) ($11,313,000) ($173,000) $0 ($1,637,000) ($32,000) ($14,000) Administrative Fees $13,807,000 $91,000 $344,000 $2,333,000 $6,873,000 $3,656,000 $71,000 $5,000 $377,000 $14,000 $6,000 Total Cost $682,660,000 $4,461,000 $18,970,000 $108,331,000 $381,920,000 $158,525,000 $1,380,000 $138,000 $7,647,000 $393,000 $48,000 Total Premium $749,298,000 $4,936,000 $17,422,000 $127,024,000 $421,180,000 $167,541,000 $1,772,000 $177,000 $7,692,000 $552,000 $130,000 Gain (Loss) $66,638,000 $475,000 ($1,548,000) $18,693,000 $39,260,000 $9,016,000 $392,000 $39,000 $45,000 $159,000 $82,000 Some plans may show $0 in certain cost categories. These plans may have costs which are less than $500 and round to $0. September

24 Exhibit 3A Plan Year 2017 Aggregate Costs Page 2 of HD 4000 HD 1500 Tiered Network Aetna PPO Horizon PPO Aetna HMO Horizon HMO Aetna PPO Horizon PPO Aetna PPO Horizon PPO Aetna PPO Horizon PPO Aetna HMO Horizon HMO Employees and Retirees Average Medical Members 1,395 2, ,689 2,670 Incurred Medical Claims $5,540,000 $8,404,000 $67,000 $41,000 $1,376,000 $2,102,000 $209,000 $289,000 $162,000 $264,000 $5,183,000 $7,844,000 Capitation $0 $175,000 $7,000 $0 $0 $75,000 $0 $10,000 $0 $4,000 $4,000 $148,000 Incurred Prescription Drug Claims $1,214,000 $2,676,000 $75,000 $11,000 $328,000 $650,000 $48,000 $21,000 $757,000 $55,000 $1,437,000 $2,001,000 Prescription Drug Rebates ($274,000) ($587,000) ($17,000) ($2,000) ($74,000) ($146,000) ($11,000) ($5,000) ($171,000) ($12,000) ($324,000) ($451,000) EGWP Credits $0 ($64,000) $0 ($3,000) $0 $0 $0 $0 $0 $0 $0 $0 Administrative Fees $340,000 $439,000 $6,000 $2,000 $232,000 $208,000 $28,000 $34,000 $14,000 $16,000 $508,000 $781,000 Total Cost $6,820,000 $11,043,000 $138,000 $49,000 $1,862,000 $2,889,000 $274,000 $349,000 $762,000 $327,000 $6,808,000 $10,323,000 Total Premium $11,360,000 $18,517,000 $162,000 $30,000 $5,707,000 $6,637,000 $514,000 $756,000 $363,000 $441,000 $11,292,000 $17,807,000 Gain (Loss) $4,540,000 $7,474,000 $24,000 ($19,000) $3,845,000 $3,748,000 $240,000 $407,000 ($399,000) $114,000 $4,484,000 $7,484,000 Employees Average Medical Members 1,384 2,269 N/A N/A ,689 2,670 Incurred Medical Claims $5,490,000 $8,024,000 N/A N/A $1,376,000 $2,102,000 $207,000 $264,000 $162,000 $264,000 $5,183,000 $7,844,000 Capitation $0 $173,000 N/A N/A $0 $75,000 $0 $9,000 $0 $4,000 $4,000 $148,000 Incurred Prescription Drug Claims $1,185,000 $2,422,000 N/A N/A $328,000 $650,000 $48,000 $21,000 $757,000 $55,000 $1,437,000 $2,001,000 Prescription Drug Rebates ($267,000) ($546,000) N/A N/A ($74,000) ($146,000) ($11,000) ($5,000) ($171,000) ($12,000) ($324,000) ($451,000) EGWP Credits N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Administrative Fees $337,000 $417,000 N/A N/A $232,000 $208,000 $27,000 $31,000 $14,000 $16,000 $508,000 $781,000 Total Cost $6,745,000 $10,490,000 N/A N/A $1,862,000 $2,889,000 $271,000 $320,000 $762,000 $327,000 $6,808,000 $10,323,000 Total Premium $11,241,000 $18,050,000 N/A N/A $5,707,000 $6,637,000 $483,000 $693,000 $363,000 $441,000 $11,292,000 $17,807,000 Gain (Loss) $4,496,000 $7,560,000 N/A N/A $3,845,000 $3,748,000 $212,000 $373,000 ($399,000) $114,000 $4,484,000 $7,484,000 Retirees Average Medical Members N/A N/A 4 9 N/A N/A N/A N/A Incurred Medical Claims $50,000 $380,000 $67,000 $41,000 N/A N/A $2,000 $25,000 N/A N/A N/A N/A Capitation $0 $2,000 $7,000 $0 N/A N/A $0 $1,000 N/A N/A N/A N/A Incurred Prescription Drug Claims $29,000 $254,000 $75,000 $11,000 N/A N/A $0 $0 N/A N/A N/A N/A Prescription Drug Rebates ($7,000) ($41,000) ($17,000) ($2,000) N/A N/A $0 $0 N/A N/A N/A N/A EGWP Credits $0 ($64,000) $0 ($3,000) N/A N/A $0 $0 N/A N/A N/A N/A Administrative Fees $3,000 $22,000 $6,000 $2,000 N/A N/A $1,000 $3,000 N/A N/A N/A N/A Total Cost $75,000 $553,000 $138,000 $49,000 N/A N/A $3,000 $29,000 N/A N/A N/A N/A Total Premium $119,000 $467,000 $162,000 $30,000 N/A N/A $31,000 $63,000 N/A N/A N/A N/A Gain (Loss) $44,000 ($86,000) $24,000 ($19,000) N/A N/A $28,000 $34,000 N/A N/A N/A N/A Some plans may show $0 in certain cost categories. These plans may have costs which are less than $500 and round to $0. September

25 Exhibit 3B Plan Year 2018 Aggregate Costs Page 1 of 2 Legacy Plans 1525 Total Aetna PPO 10 Aetna PPO 15 NJ DIRECT 10 NJ DIRECT 15 Aetna HMO Horizon HMO Aetna PPO Horizon PPO Aetna HMO Horizon HMO Employees and Retirees Average Medical Members 306, ,503 16, ,684 40,909 2,040 1,884 5, Incurred Medical Claims $1,793,009,000 $1,789,000 $94,127,000 $49,924,000 $1,333,101,000 $233,957,000 $7,201,000 $8,644,000 $21,477,000 $130,000 $18,000 Capitation $27,375,000 $0 $0 $121,000 $15,212,000 $11,043,000 $157,000 $0 $281,000 $20,000 $1,000 Incurred Prescription Drug Claims $780,936,000 $1,685,000 $28,323,000 $88,612,000 $507,691,000 $124,382,000 $2,347,000 $1,582,000 $15,096,000 $248,000 $46,000 Prescription Drug Rebates ($211,643,000) ($365,000) ($8,116,000) ($18,887,000) ($142,853,000) ($33,282,000) ($687,000) ($497,000) ($3,480,000) ($59,000) ($10,000) EGWP Credits ($93,231,000) ($680,000) ($2,476,000) ($27,430,000) ($44,811,000) ($13,749,000) ($210,000) $0 ($3,745,000) ($35,000) ($18,000) Administrative Fees $53,346,000 $58,000 $3,182,000 $1,984,000 $33,040,000 $9,398,000 $596,000 $478,000 $1,250,000 $13,000 $6,000 Total Cost $2,349,792,000 $2,487,000 $115,040,000 $94,324,000 $1,701,380,000 $331,749,000 $9,404,000 $10,207,000 $30,879,000 $317,000 $43,000 Total Premium $2,538,479,000 $3,352,000 $124,813,000 $108,336,000 $1,794,022,000 $345,668,000 $17,166,000 $15,836,000 $39,444,000 $488,000 $113,000 Gain (Loss) $188,687,000 $865,000 $9,773,000 $14,012,000 $92,642,000 $13,919,000 $7,762,000 $5,629,000 $8,565,000 $171,000 $70,000 Employees Average Medical Members 219,852 N/A 12,000 N/A 165,095 23,706 1,845 1,871 3,061 N/A N/A Incurred Medical Claims $1,358,751,000 N/A $78,121,000 N/A $1,071,690,000 $138,641,000 $6,378,000 $8,589,000 $13,639,000 N/A N/A Capitation $22,577,000 N/A $0 N/A $13,296,000 $8,375,000 $140,000 $0 $241,000 N/A N/A Incurred Prescription Drug Claims $379,878,000 N/A $18,533,000 N/A $298,077,000 $46,872,000 $1,693,000 $1,570,000 $2,707,000 N/A N/A Prescription Drug Rebates ($119,218,000) N/A ($5,816,000) N/A ($93,547,000) ($14,710,000) ($531,000) ($493,000) ($849,000) N/A N/A EGWP Credits N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Administrative Fees $39,831,000 N/A $2,784,000 N/A $26,070,000 $6,106,000 $522,000 $474,000 $573,000 N/A N/A Total Cost $1,681,819,000 N/A $93,622,000 N/A $1,315,586,000 $185,284,000 $8,202,000 $10,140,000 $16,311,000 N/A N/A Total Premium $1,826,725,000 N/A $103,419,000 N/A $1,386,513,000 $192,044,000 $15,489,000 $15,668,000 $25,459,000 N/A N/A Gain (Loss) $144,906,000 N/A $9,797,000 N/A $70,927,000 $6,760,000 $7,287,000 $5,528,000 $9,148,000 N/A N/A Retirees Average Medical Members 86, ,503 16,302 47,589 17, , Incurred Medical Claims $434,258,000 $1,789,000 $16,006,000 $49,924,000 $261,411,000 $95,316,000 $823,000 $55,000 $7,838,000 $130,000 $18,000 Capitation $4,798,000 $0 $0 $121,000 $1,916,000 $2,668,000 $17,000 $0 $40,000 $20,000 $1,000 Incurred Prescription Drug Claims $401,058,000 $1,685,000 $9,790,000 $88,612,000 $209,614,000 $77,510,000 $654,000 $12,000 $12,389,000 $248,000 $46,000 Prescription Drug Rebates ($92,425,000) ($365,000) ($2,300,000) ($18,887,000) ($49,306,000) ($18,572,000) ($156,000) ($4,000) ($2,631,000) ($59,000) ($10,000) EGWP Credits ($93,231,000) ($680,000) ($2,476,000) ($27,430,000) ($44,811,000) ($13,749,000) ($210,000) $0 ($3,745,000) ($35,000) ($18,000) Administrative Fees $13,515,000 $58,000 $398,000 $1,984,000 $6,970,000 $3,292,000 $74,000 $4,000 $677,000 $13,000 $6,000 Total Cost $667,973,000 $2,487,000 $21,418,000 $94,324,000 $385,794,000 $146,465,000 $1,202,000 $67,000 $14,568,000 $317,000 $43,000 Total Premium $711,754,000 $3,352,000 $21,394,000 $108,336,000 $407,509,000 $153,624,000 $1,677,000 $168,000 $13,985,000 $488,000 $113,000 Gain (Loss) $43,781,000 $865,000 ($24,000) $14,012,000 $21,715,000 $7,159,000 $475,000 $101,000 ($583,000) $171,000 $70,000 Some plans may show $0 in certain cost categories. These plans may have costs which are less than $500 and round to $0. September

26 Exhibit 3B Plan Year 2018 Aggregate Costs Page 2 of HD 4000 HD 1500 Tiered Network Aetna PPO Horizon PPO Aetna HMO Horizon HMO Aetna PPO Horizon PPO Aetna PPO Horizon PPO Aetna PPO Horizon PPO Aetna HMO Horizon HMO Employees and Retirees Average Medical Members 1,665 2, ,102 3,905 Incurred Medical Claims $7,289,000 $9,507,000 $34,000 $318,000 $1,544,000 $1,860,000 $63,000 $77,000 $111,000 $156,000 $8,171,000 $13,511,000 Capitation $0 $194,000 $10,000 $0 $0 $81,000 $1,000 $10,000 $0 $5,000 $14,000 $225,000 Incurred Prescription Drug Claims $1,150,000 $2,593,000 $76,000 $107,000 $492,000 $779,000 $117,000 $66,000 $141,000 $49,000 $2,077,000 $3,277,000 Prescription Drug Rebates ($361,000) ($795,000) ($23,000) ($32,000) ($154,000) ($244,000) ($37,000) ($21,000) ($44,000) ($15,000) ($652,000) ($1,029,000) EGWP Credits $0 ($74,000) $0 ($3,000) $0 $0 $0 $0 $0 $0 $0 $0 Administrative Fees $425,000 $466,000 $5,000 $2,000 $261,000 $225,000 $35,000 $38,000 $19,000 $22,000 $659,000 $1,184,000 Total Cost $8,503,000 $11,891,000 $102,000 $392,000 $2,143,000 $2,701,000 $179,000 $170,000 $227,000 $217,000 $10,269,000 $17,168,000 Total Premium $13,486,000 $19,918,000 $160,000 $35,000 $5,992,000 $7,108,000 $629,000 $780,000 $467,000 $573,000 $14,120,000 $25,973,000 Gain (Loss) $4,983,000 $8,027,000 $58,000 ($357,000) $3,849,000 $4,407,000 $450,000 $610,000 $240,000 $356,000 $3,851,000 $8,805,000 Employees Average Medical Members 1,652 2,429 N/A N/A ,102 3,905 Incurred Medical Claims $7,126,000 $9,077,000 N/A N/A $1,544,000 $1,860,000 $61,000 $76,000 $111,000 $156,000 $8,171,000 $13,511,000 Capitation $0 $190,000 N/A N/A $0 $81,000 $1,000 $9,000 $0 $5,000 $14,000 $225,000 Incurred Prescription Drug Claims $1,131,000 $2,345,000 N/A N/A $492,000 $779,000 $72,000 $63,000 $141,000 $49,000 $2,077,000 $3,277,000 Prescription Drug Rebates ($355,000) ($736,000) N/A N/A ($154,000) ($244,000) ($23,000) ($20,000) ($44,000) ($15,000) ($652,000) ($1,029,000) EGWP Credits N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Administrative Fees $422,000 $444,000 N/A N/A $261,000 $225,000 $33,000 $33,000 $19,000 $22,000 $659,000 $1,184,000 Total Cost $8,324,000 $11,320,000 N/A N/A $2,143,000 $2,701,000 $144,000 $161,000 $227,000 $217,000 $10,269,000 $17,168,000 Total Premium $13,356,000 $19,291,000 N/A N/A $5,992,000 $7,108,000 $582,000 $671,000 $467,000 $573,000 $14,120,000 $25,973,000 Gain (Loss) $5,032,000 $7,971,000 N/A N/A $3,849,000 $4,407,000 $438,000 $510,000 $240,000 $356,000 $3,851,000 $8,805,000 Retirees Average Medical Members N/A N/A 6 16 N/A N/A N/A N/A Incurred Medical Claims $163,000 $430,000 $34,000 $318,000 N/A N/A $2,000 $1,000 N/A N/A N/A N/A Capitation $0 $4,000 $10,000 $0 N/A N/A $0 $1,000 N/A N/A N/A N/A Incurred Prescription Drug Claims $19,000 $248,000 $76,000 $107,000 N/A N/A $45,000 $3,000 N/A N/A N/A N/A Prescription Drug Rebates ($6,000) ($59,000) ($23,000) ($32,000) N/A N/A ($14,000) ($1,000) N/A N/A N/A N/A EGWP Credits $0 ($74,000) $0 ($3,000) N/A N/A $0 $0 N/A N/A N/A N/A Administrative Fees $3,000 $22,000 $5,000 $2,000 N/A N/A $2,000 $5,000 N/A N/A N/A N/A Total Cost $179,000 $571,000 $102,000 $392,000 N/A N/A $35,000 $9,000 N/A N/A N/A N/A Total Premium $130,000 $627,000 $160,000 $35,000 N/A N/A $47,000 $109,000 N/A N/A N/A N/A Gain (Loss) ($49,000) $56,000 $58,000 ($357,000) N/A N/A $12,000 $100,000 N/A N/A N/A N/A Some plans may show $0 in certain cost categories. These plans may have costs which are less than $500 and round to $0. September

27 Exhibit 3C Projected Plan Year 2019 Aggregate Costs Page 1 of 2 Legacy Plans 1525 Total Aetna PPO 10 Aetna PPO 15 NJ DIRECT 10 NJ DIRECT 15 Aetna HMO Horizon HMO Aetna PPO Horizon PPO Aetna HMO Horizon HMO Employees and Retirees Average Medical Members 307,580 15,753 40,471 2, ,929 39,428 2,487 2,515 6, Incurred Medical Claims $1,838,418,000 $17,934,000 $122,398,000 $23,350,000 $1,287,038,000 $228,089,000 $14,836,000 $16,778,000 $34,854,000 $299,000 $75,000 Capitation $25,324,000 $0 $0 $207,000 $12,930,000 $11,032,000 $167,000 $0 $325,000 $20,000 $1,000 Incurred Prescription Drug Claims $878,933,000 $98,126,000 $209,844,000 $6,260,000 $368,877,000 $133,473,000 $5,522,000 $4,885,000 $21,107,000 $249,000 $82,000 Prescription Drug Rebates ($249,104,000) ($21,095,000) ($48,637,000) ($1,990,000) ($121,607,000) ($36,845,000) ($1,728,000) ($1,621,000) ($5,416,000) ($62,000) ($19,000) EGWP Credits ($127,148,000) ($38,151,000) ($64,104,000) $0 $0 ($19,442,000) ($313,000) $0 ($4,929,000) ($57,000) ($27,000) Administrative Fees $53,924,000 $1,880,000 $6,092,000 $343,000 $29,648,000 $9,568,000 $594,000 $529,000 $1,310,000 $12,000 $6,000 Total Cost $2,420,415,076 $58,709,753 $225,620,346 $28,172,747 $1,576,908,229 $325,875,000 $19,078,000 $20,571,000 $47,251,000 $461,000 $118,000 Total Premium $2,420,277,000 $79,268,000 $241,794,000 $9,421,000 $1,565,810,000 $322,525,000 $20,154,000 $20,339,000 $44,426,000 $441,000 $123,000 Gain (Loss) ($138,076) $20,558,247 $16,173,654 ($18,751,747) ($11,098,229) ($3,350,000) $1,076,000 ($232,000) ($2,825,000) ($20,000) $5,000 Employees Average Medical Members 219,849 N/A 13,125 N/A 158,700 22,633 2,282 2,498 3,775 N/A N/A Incurred Medical Claims $1,460,335,000 N/A $89,865,000 N/A $1,082,734,000 $140,449,000 $13,839,000 $16,623,000 $25,037,000 N/A N/A Capitation $20,814,000 N/A $0 N/A $11,300,000 $8,476,000 $152,000 $0 $262,000 N/A N/A Incurred Prescription Drug Claims $431,682,000 N/A $28,029,000 N/A $309,453,000 $48,331,000 $4,450,000 $4,838,000 $6,677,000 N/A N/A Prescription Drug Rebates ($143,289,000) N/A ($9,304,000) N/A ($102,717,000) ($16,042,000) ($1,477,000) ($1,606,000) ($2,216,000) N/A N/A EGWP Credits N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Administrative Fees $40,112,000 N/A $2,761,000 N/A $25,678,000 $6,114,000 $521,000 $525,000 $611,000 N/A N/A Total Cost $1,809,654,000 N/A $111,351,000 N/A $1,326,448,000 $187,328,000 $17,485,000 $20,380,000 $30,371,000 N/A N/A Total Premium $1,809,506,000 N/A $110,082,000 N/A $1,330,994,000 $184,690,000 $18,467,000 $20,143,000 $30,446,000 N/A N/A Gain (Loss) ($148,000) N/A ($1,269,000) N/A $4,546,000 ($2,638,000) $982,000 ($237,000) $75,000 N/A N/A Retirees Average Medical Members 87,731 15,753 27,346 2,747 22,229 16, , Incurred Medical Claims $378,083,000 $17,934,000 $32,533,000 $23,350,000 $204,304,000 $87,640,000 $997,000 $155,000 $9,817,000 $299,000 $75,000 Capitation $4,510,000 $0 $0 $207,000 $1,630,000 $2,556,000 $15,000 $0 $63,000 $20,000 $1,000 Incurred Prescription Drug Claims $447,251,000 $98,126,000 $181,815,000 $6,260,000 $59,424,000 $85,142,000 $1,072,000 $47,000 $14,430,000 $249,000 $82,000 Prescription Drug Rebates ($105,815,000) ($21,095,000) ($39,333,000) ($1,990,000) ($18,890,000) ($20,803,000) ($251,000) ($15,000) ($3,200,000) ($62,000) ($19,000) EGWP Credits ($127,148,000) ($38,151,000) ($64,104,000) $0 $0 ($19,442,000) ($313,000) $0 ($4,929,000) ($57,000) ($27,000) Administrative Fees $13,812,000 $1,880,000 $3,331,000 $343,000 $3,970,000 $3,454,000 $73,000 $4,000 $699,000 $12,000 $6,000 Total Cost $610,761,076 $58,709,753 $114,269,346 $28,172,747 $250,460,229 $138,547,000 $1,593,000 $191,000 $16,880,000 $461,000 $118,000 Total Premium $610,771,000 $79,268,000 $131,712,000 $9,421,000 $234,816,000 $137,835,000 $1,687,000 $196,000 $13,980,000 $441,000 $123,000 Gain (Loss) $9,924 $20,558,247 $17,442,654 ($18,751,747) ($15,644,229) ($712,000) $94,000 $5,000 ($2,900,000) ($20,000) $5,000 Some plans may show $0 in certain cost categories. These plans may have costs which are less than $500 and round to $0. September