PAGE 9 LHD RFP Response 2. Describe your approach to supporting the programs throughout the Plan year 3. In your opinion, what are the three major challenges companies our size face? Describe how your firm helps meet these challenges. Pharmacy spend is a runaway train, especially with the rise of specialty drugs and gene therapies hitting seven-figure price tags. LHD has an in-house pharmacist who pulls underutilized but high-impact cost-control levers without disrupting employees. Through contract audits, Rx carve-outs, and medical-to-pharmacy coverage conversion, we help Our milestones help monitor our vision and manage short and long-term goals. This approach allows us to be more intentional and more proactive, eliminating the frustrating surprises. There is wasted (1) time, (2) money, and (3) perceived value in the complexity of healthcare. We attack waste through a relentless focus on administration, risk management, plan design and plan cost distribution, and employee communication. Knowing very little about your plan, our areas of focus would include: JAN FEB MAR Strategy Meeting • Recap Renewal Finalize any renewal matters. Review benchmarking. Discuss strategic initiatives. Review compensation disclosure. APR MAY JUN Pre-Renewal Meeting Financial Review Initial projections Develop/send vendor RFP’s. Review results, identify best in class vendors. Model plan design options and impacts. JUL AUG SEP Renewal Meeting Financial Review Finalize renewal budget, rates, contributions and plan designs. Review and establish open enrollment strategy. OCT NOV DEC Open Enrollment Deploy open enrollment strategy. Hold open enrollment meetings. Process and remit enrollment data to carriers. Q1 Q2 Q3 Q4 Outcomes: Fully evaluate last year’s successes; strategic imperatives determined; confidence in renewal execution and plan. Outcomes: Maximized investments with vendor partners; ensures benefit plans are supporting organizational goals. Outcomes: Benefit budget aligns with overall financial targets; plans are compliant and market competitive; clear path to open enrollment and communications. Outcomes: Employees appreciate the value of benefits offered and are empowered with information to make benefit elections. COST CONTAINMENT AND PHARMACY SPEND