1 CONFIDENTIAL |

Your Retiree Health Care Coverage Is Changing: Important Information!

2 CONFIDENTIAL |

• Reed Elsevier will no longer offer group retiree health care

coverage to retirees and their dependents, age 65 and

older

• You must take action and enroll in new coverage by April

30, 2013 to have continuous coverage on May 1, 2013

• RE has partnered with Extend Health – not an insurance

company – to help retirees understand, evaluate and

choose the best plan

Danielle Shanes, VP Reed Elsevier US Benefits

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• Predicability: Achieves more predictability in company

costs ... And costs to you.

• Competitive marketplace: You get the opportunity to take

advantage of evolving retiree health care marketplace.

• Choice: You get more options that better meet unique

health care and financial situations.

• Expertise: Extend Health is in the business of helping

retirees select and enroll in coverage that meets their

needs – Reed Elsevier is not.

• Resources and Support: Personal retiree benefits

advisors, ongoing help and advice.

Why Is Reed Elsevier Making This Change?

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How This Affects You

• Your costs may change, depending on what coverage you

choose.

• Your monthly premium will be paid directly to the insurance

company you select

• Advisors will help you understand your coverage –

networks, premiums, co-payments, deductibles and any

other costs.

• Decision-making information, tools and a website, as well

as advocacy support, are available to you.

• Extend Health will help you enroll in a plan by April 30,

2013 that meets your medical and prescription drug needs.

• Extend Health will help you establish your Health

Reimbursement Account

Coverage

costs

Enrolling in

coverage

Deciding on

coverage

5 CONFIDENTIAL |

Introducing Extend Health The Industry’s Largest Medicare Exchange

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• Independent company

• Partner with 80+ health plan carriers

• Objective and Trusted US based benefit

advisors

• Focused on helping each participant make an

informed and confident decision

Who is Extend Health?

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Why Extend Health

• We are experienced in helping people just

like you

• Our services are at no cost to you

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A Sample of Other Clients

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Plans & Partners

All Medicare Plan Types

• Medicare Advantage

• Medigap (supplement)

• Prescription Drug (Part D)

Vision

Dental

Select Carriers

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Educate

Evaluate/Enroll

Manage

The Process

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• Prepare you for

enrollment discussion

• Review Medicare basics

• Pre-existing conditions will not

limit your plan selection*

• Give us a call: 1-888-724-5575

• www.ExtendHealth.com/

reedelsevier

* except end-stage renal disease

Education Enrollment Guide

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Decision Support Tools

• Help Me

Choose

• Prescription

Profiler

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Licensed Benefit Advisor

• 100% domestic workforce

• Objective advocacy

• Neutral compensation

• Extend University

• Licensed, certified, appointed

• Average age 41

Hours of Operation

Monday – Friday

8 a.m. – 9 p.m.

Eastern Time

Evaluate and Enroll

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Enrollment Process

• Benefit Advisors can discuss coverage options with anyone – need to speak to the participant to complete the enrollment.

• Once you have made a coverage selection, enrollment is conducted via telephone.

• 100% of calls are recorded.

15 CONFIDENTIAL |

Medicare and You

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Your Future Coverage

Primary Coverage

Medicare A & B

Additional Coverage (Your Choice)

Medicare Advantage with

Prescription Drug (MAPD)

Medigap + Prescription Drug

Optional Coverage (your choice)

Dental and Vision

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Initial Coverage You pay

Deductible and co-pays for your plan

Coverage for the first $2970 in actual cost of meds

Coverage Gap – Donut Hole You pay

47.5% of brand drugs and 79% of generics

until out of pocket costs reach $4750

Catastrophic Coverage You pay

$2.65 for generics and $6.50 for brand

or 5% whichever is greater

Medicare Prescription Drug Coverage

20 CONFIDENTIAL |

Auto-Reimbursement

How the Process Works

Health Reimbursement Arrangement

21 CONFIDENTIAL |

What Is An HRA?

• Tax-advantaged account used to reimburse you for eligible health care expenses

• You must meet Reed Elsevier’s eligibility requirements to qualify for HRA

• Your HRA funds will be available May 1, 2013

22 CONFIDENTIAL |

Reed Elsevier

allocates

benefit dollars

to HRA

account of

eligible

participant

Participant

HRA

Account

Administered by

Extend Health

Participant works

through Extend

Health to enroll in

individual coverage

Participant is

reimbursed for

healthcare

expenses using

HRA benefit

dollars

Health Reimbursement

Arrangement: How It Works

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How to File a Paper Claim

Participant pays plan premium or

co-pays

Participant fills out claim form, attaches required information

Extend Health verifies receipt of

payment and eligibility

Extend Health reimburses customer

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Extend Health HRA Claim Form

Remember,

You can be

Reimbursed for

Part B by sending

in your statement

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How Auto-Reimbursement Works

Participant pays plan premium to

insurance company

Insurance company forwards receipt of payment to Extend

Health

Extend Health verifies receipt of

payment and eligibility

Extend Health reimburses participant

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• Auto-Reimbursement (AR) is a service offered by Extend

Health

• Auto-reimbursement only applies to premiums paid, not

expenses

• Auto-reimbursement is NOT available on all plans

• Forms and instructions provided in the HRA Welcome Kit

What is Auto-Reimbursement?

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Next Steps

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Next Steps

Review “Getting Started Guide”

Gather Medicare Prescriptions and Doctor information

Call Extend Health:

(888)724-5575

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Post Enrollment Customer Service

Advocacy and support services • Toll Free number to contact Extend Health

representative

• Direct support for claims issues, appeals and

network questions

• Renewal process – ability to pick new coverage for

future years – not locked into this year’s choice

• Ongoing enrollment services

30 CONFIDENTIAL |

Questions