Calculating Your Body Mass Index (BMI)

Calculating Your Body Mass Index (BMI) 1. Write down your weight in pounds (example: 190) 2. Multiply that number by 703 (190 x 703 = 133,570) 3. Multiply your height in inches by itself ( 70 x 70 = 4,900) 4. Divide the answer to #2 by the answer to #3 (133,570 divided by 4,900 = 27.26) This is your BMI. BMI Categories: Under 18.5 - underweight 18.5-24.9 normal weight 25-29.9 overweight 30 and above obese BMI Risk of Associated Disease According to BMI and Waist Size Waist less than or equal to 40 in. (men) or 35 in. (women) Waist greater than 40 in. (men) or 35 in. (women) 18.5 or less Underweight N/A 18.5-24.9 Normal N/A 25.0-29.9 Overweight Increased High 30.0-34.9 Obese High Very High 35.0-39.9 Obese Very High Very High 40 or greater Extremely Obese Extremely High Extremely High Partnership for Healthy Weight Management This material is provided by CIGNA for informational/educational purposes only. It is not intended as medical/clinical advice. Only a health care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card. 832809 10/09 CIGNA Behavioral Health and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. 832809 10/09 2009 CIGNA

HEALTHY REWARDS If good health is its own reward, consider this a well-deserved bonus. 816714 a 03/09

CIGNA Healthy Rewards includes special offers on programs and services designed to help you enhance your health and wellness. The offers include brand names such as Weight Watchers, Mayo Clinic books, Jenny Craig, and more. Reward yourself. CIGNA Healthy Rewards broadens your health care choices and saves you money by providing discounts whenever you use Healthy Rewards participating providers. To find them, simply call 1.800.870.3470. Or, visit www.cignabehavioral.com. NO REFERRALS. NO CLAIM FORMS. NO CATCH. There s no time limit or maximum to Healthy Rewards if you re a customer. So use them whenever you need them. If your CIGNA HealthCare plan includes coverage for any of these services, this program is in addition to, not instead of, your plan coverage. Healthy Rewards are separate from your plan coverage. The program doesn t apply to your plan copays or coinsurance. The choice to use the discounts is entirely yours no doctor s referral is required. No claim forms, either. Set the appointments yourself, and enjoy savings by showing your ID card when you pay for services. A better, healthier lifestyle is only a click away at www.cignabehavioral.com. The following pages highlight Healthy Rewards programs, which are available to customers of any CIGNA HealthCare medical, dental, or behavioral health plan. For a complete list, visit www.cignabehavioral.com.

WEIGHT MANAGEMENT AND NUTRITION FITNESS Weight Watchers : For more than 40 years Weight Watchers has been teaching people how to lose weight safely by promoting healthy lifestyles. Now you have access to three Weight Watchers programs: traditional meetings, Weight Watchers Online Subscriptions, and Weight Watchers At Home. Visit cignabehavioral.com for details. Jenny Craig : This popular weight loss program provides personalized weight loss and weight management services, including nutritionally balanced and prepared Jenny s cuisine. You can sign up for a free 30-day trial membership or take advantage of discounts of up to 50 percent on six-month and one-year programs. Visit cignabehavioral.com for more details. Healthyroads TM for Living Weight Management Program: This program incorporates four important elements of weight control: nutrition, exercise, guided imagery and relaxation techniques. Includes personal progress reports to track your improvements. Weight Management Scales: Need a scale? Take advantage of our special scale offer with drugstore.com TM. For more information, please visit cignabehavioral.com. NutriSystem : This program provides portion-controlled meals tailored to six different groups: men, women, men over 60, women over 60, Type II diabetics, and vegetarians, delivered right to your door. It also provides behavioral modification training through unlimited counseling services, books, exercise DVDs, and web-based tools including calculators, trackers, communities, newsletters and more. Visit cignabehavioral.com for more details. Fitness Club Memberships: Get fitness club membership discounts throughout the GlobalFit TM network. Individuals can choose from over 12,000 clubs including Bally Total Fitness SM, Curves, Gold s Gym and many more. Individuals join through GlobalFit and receive flexible membership and transfer options. GlobalFit also offers discounts on home gym equipment. Visit cignabehavioral.com for more details. Just Walk 10,000 Steps-a-Day: A fun, easy way to fit regular exercise into your busy schedule. The eight-week program includes an ACCUSPLIT X 120 pedometer, online tools to log daily steps and track progress, and educational materials that include a walking handbook and stretch card with illustrations. Visit cignabehavioral.com to register. Make a healthy resolution today. TOBACCO CESSATION MIND/BODY QuitNet : An online smoking cessation program that combines several effective methods into one easy-to-use program. Includes intensive social support, highly personalized content, access to and support for approved pharmaceutical therapies, and professional counseling. Combining these key components increases the likelihood of success compared with usual treatment or do-ityourself techniques. Visit www.cignabehavioral.com for the special lifetime membership rate. Tobacco Solutions: Healthy Rewards makes it easier (and less expensive) to quit smoking. Get the help you need with discounted Novartis Habitrol nicotine replacement patches. The eight-week program includes a behavioral CD and access to a toll-free support line. You can also get discounts on nicotine patch supplies, gum and lozenges. To find out more, visit cignabehavioral.com. Healthyroads TM for Living Tobacco Cessation Program: Thanks to this telephonic and web-based program, tobacco users receive support and a personalized cessation plan to meet their individual needs. Quit today for a healthier tomorrow! Yoga Journal: Yoga can reduce your stress and increase your flexibility. Now you can save money through several Yoga Journal offers, including discounts on annual subscriptions, DVDs, and conferences. Healthyroads TM for Living Mind/Body Program: The use of positive mental visualization and relaxation techniques can help employees to lose weight, quit smoking, reduce pain, prepare for surgery or even cope with chronic illness. SpaFinder: Go to a spa to lose weight, get in shape, escape from daily stresses, or simply relax. CIGNA customers have access to over 3,500 participating facilities including day, destination, hotel, and medical spas (for a complete list, visit cignabehavioral.com). Individuals receive 10 percent off gift certificates with free ground shipping.

VISION AND HEARING CARE VITAMINS, HEALTH AND WELLNESS PRODUCTS Exams, Eyewear and Contacts: Healthy Rewards offers discounts on exams, frames, lenses, contacts and accessories at thousands of eye care locations nationwide, including Sears, JCPenney, Pearle Vision, and Target. Lasik Vision Correction: A technique that may reduce or eliminate the need for glasses or contacts. Initial consultations are free through participating eye care professionals. Hearing Exams and Aids: Save on hearing aids and hearing tests. Screenings are free. Wellness Coupons: Find and print money saving coupons from Linkwell Health Savings TM for wholesome foods and over-the-counter health and wellness related products that can be redeemed at most major retailers throughout the country. Discounts vary by coupon. drugstore.com: An online pharmacy that stocks the same health and wellness items as the corner drugstore for less. CIGNA individuals receive an additional discount at checkout, as well as special deals on weight management scales and blood pressure monitors. Healthyroads TM for Living: Visit cignabehavioral.com to order vitamins and herbal supplements at a discount. We ll ship your order to your door, with no charge for standard deliveries. ALTERNATIVE MEDICINE HEALTHY LIFESTYLE PRODUCTS Acupuncture: A painless, ancient healing technique, acupuncture can help to correct imbalances in the body caused by a variety of illnesses or conditions resulting in pain relief and better health. Chiropractic Care: Relief from pain, better mobility and improved circulation are proven benefits of this time-honored method. Massage Therapy: A variety of new and ancient massage techniques that soothe muscles, tone up circulation and help to relieve pain naturally. Mayo Clinic Books: Get health information from a trusted source at a discount. Choose from more than 25 books and 10 DVDs on topics including fitness, women s health, and healthy aging. Receive a free downloadable e-booklet with book purchase. Visit cignabehavioral.com for a list of topics and ordering information. Magazine Discounts: Save on newsstand prices and subscription rates on popular health, wellness, and special interest magazines, including fitness, Prevention, Consumer Reports, Bon Appétit, Time, Health, and more. Discounts apply to renewed subscriptions. Find the coupon on cignabehavioral.com, print and mail it to the address shown. Healthy Rewards is a discount program. Some Healthy Rewards programs are not available in all states. If your CIGNA HealthCare plan includes coverage for any of these services, this program is in addition to, not instead of, your plan benefits. Healthy Rewards programs are separate from your medical benefits. A discount program is NOT insurance, and the member must pay the entire discounted charge. CIGNA, CIGNA HealthCare and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Tel- Drug, Inc. and its affiliates, CIGNA Behavioral Health, Inc., Intracorp, and HMO or service company subsidiaries of CIGNA Health Corporation and CIGNA Dental Health, Inc. In Arizona, HMO plans are offered by CIGNA HealthCare of Arizona, Inc. In California, HMO plans are offered by CIGNA HealthCare of California, Inc. and Great-West Healthcare of California, Inc. In Connecticut, HMO plans are offered by CIGNA HealthCare of Connecticut, Inc. In Virginia, HMO plans are offered by CIGNA HealthCare Mid-Atlantic, Inc. In North Carolina, HMO plans are offered by CIGNA HealthCare of North Carolina, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company. 816714 a 03/09 2009 CIGNA

A Fact Sheet Benefits of Quitting Smoking Physical Benefits of Stopping Tobacco Use Timeline Fact Sheet Benefits of Quitting Smoking Within 20 minutes of your last cigarette: Blood pressure drops to normal Pulse rate drops to normal Body temperature of extremities increases to normal After 8 hours: Carbon monoxide level in blood drops to normal Oxygen level in blood increases to normal After 24 hours: Chances of heart attack decrease After 48 hours: Nerve endings in nose and mouth start to re-grow Ability to taste and smell improves After 72 hours: Bronchial tubes relax, making breathing easier Lung capacity increases 2 weeks to 3 months: Circulation improves Lung function increases up to 30% 1 to 9 months: Coughing, sinus congestion, fatigue, shortness of breath decrease Cilia re-grow in lungs, increasing ability to handle mucus, clean lungs, and reduce infection 5 years: Pre-cancerous cells are replaced with normal cells; risk of other cancers such as mouth, voice box, esophagus, bladder, kidney and pancreas decreases 10 years: Pre-cancerous cells are replaced with normal cells; risk of other cancers such as mouth, voice box, esophagus, bladder, kidney and pancreas decreases Source: U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000 This material is provided by CIGNA for informational/educational purposes only. It is not intended as medical/clinical advice. Only a health care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card. CIGNA Behavioral Health and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. 832815 10/09 2009 CIGNA 832815 10/09

A Checklist for Wellness - Women The Tools You Need to Get Healthy and Stay That Way What are the keys to staying healthy and preventing disease? Get recommended screening tests. Be tobacco free. Be physically active. Eat a healthy diet. Stay at a healthy weight. Take preventive medicines if your doctor prescribes them. And at every checkup, you can talk with your doctor about how to stay healthy no matter what your age is. Remember to talk with your doctor to determine which tests are right for you based on your age, gender and family history. Deductibles, coinsurance and/or copayments may apply. Please see your benefits materials for details. Use the checklist on the following pages to talk with your doctor to determine what tests are right for you and to record details such as test date, results, next test date and questions to ask. Your CIGNA HealthCare plan focuses on helping to keep you well, rather than just providing benefits for covered illness or injury. 832814 10/09

Women's Care Checklist Test/Screening Test Date Recommendations/Average Range My Results Next Test Date Notes/Questions Periodic Physical, may include: Height Weight Body Mass Index (BMI) 18.5 24.9 Waist Circumference Less than 35 inches Vision Screening Hearing Screening Blood Pressure (Systolic) Blood Pressure (Diastolic) Additional Recommended Screenings: Diabetes Screening (Glucose) Cholesterol/Lipid Disorders Screenings: High: 140 or above Prehypertension: 120 139 Normal adult: 119 or below High: 90 or above Prehypertension: 80 89 Normal adult: 79 or below Age 45+, or if history of risk factors, every 3 years For nonpregnant women with diabetes 90 mg/dl 130 mg/ dl before meals. Less than 200 mg/dl 2 hours after a meal. For women who have diabetes related to pregnancy (gestational diabetes) 105 mg/dl or less before breakfast, 155 mg/ dl or less 1 hour after a meal. Age 20+, every 5 years Cholesterol (Total) Desirable: Less than 200 mg/dl or less than 5.17 mmol/l Borderline high: 200 239 mg/dl, or 5.17 6.18 mmol/l High: 240 mg/dl or higher, or 6.21 mmol/l or higher HDL Cholesterol Desirable (High): More than 60 mg/dl or more than 1.56 mmol/l Acceptable: 40 60 mg/dl, or 1.04 1.56 mmol/l Undesirable (Low) : Less than 40 mg/dl or less than 1.04 mmol/l

Women's Care Checklist Test/Screening Test Date Recommendations/Average Range My Results Next Test Date Notes/Questions Additional Recommended Screenings: LDL Cholesterol (Note: High risk individuals should discuss their goals with their doctor.) Desirable: Less than 100 mg/dl or less than 2.6 mmol/l Near desirable: 100 129 mg/dl, or 2.6 3.35 mmol/l Borderline high: 130 159 mg/dl, or 3.38 4.10 mmol/l High: 160 189 mg/dl, or 4.12 4.88 mmol/l or higher Very high: 190 mg/dl or higher, or 4.90 mmol/l or higher Triglycerides Desirable: Less than 150 mg/dl or less than 1.69 mmol/l Borderline high: 150 199mg /dl, or 1.69 2.25 mmol/l High: 200 499 mg/dl, or 2.26 5.63 mmol/l Very high: 500 mg/dl or higher, or 5.64 mmol/l or higher Pap Test Once a year age 19 64 Chlamydia Age 25 and younger, if sexually active Mammogram Once a year age 40+ Bone Density Age 65+, or 60 if at risk Colorectal Cancer Screening Age 50+ Immunizations, including: Hepatitis A & B Those at risk HPV Age 9 26 Influenza Vaccination Age 19 49 as your doctor advises, age 50+ annually Pneumonia Vaccination Once for those age 65+ Tetanus Vaccination Every 10 years Varicella (chickenpox) If no evidence of prior immunization or chickenpox Zoster Age 60+ This material is provided by CIGNA for informational/educational purposes only. It is not intended as medical/clinical advice. Only a health care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card. CIGNA Behavioral Health and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. 832814 10/09 2009 CIGNA

A Checklist for Wellness - Men The Tools You Need to Get Healthy and Stay That Way What are the keys to staying healthy and preventing disease? Get recommended screening tests. Be tobacco free. Be physically active. Eat a healthy diet. Stay at a healthy weight. Take preventive medicines if your doctor prescribes them. And at every checkup, you can talk with your doctor about how to stay healthy no matter what your age is. Remember to talk with your doctor to determine which tests are right for you based on your age, gender and family history. Deductibles, coinsurance and/or copayments may apply. Please see your benefits materials for details. Use the checklist on the following pages to talk with your doctor to determine what tests are right for you and to record details such as test date, results, next test date and questions to ask. Your CIGNA HealthCare plan focuses on helping to keep you well, rather than just providing benefits for covered illness or injury. 832813 10/09

Men's Care Checklist Test/Screening Test Date Recommendations/Average Range My Results Next Test Date Notes/Questions Periodic Physical, may include: Height Weight Body Mass Index (BMI) 18.5 24.9 Waist Circumference Less than 40 inches Vision Screening Hearing Screening Blood Pressure (Systolic) Blood Pressure (Diastolic) Additional Recommended Screenings: Diabetes Screening (Glucose) Cholesterol/Lipid Disorders Screenings: High: 140 or above Prehypertension : 120 139 Normal adult: 119 or below High: 90 or above Prehypertension: 80 89 Normal adult: 79 or below Age 45+; or if history of risk factors at any age, every 3 years For men with diabetes 90 mg/dl 130 mg/dl before meals. Less than 200 mg/dl 2 hours after a meal Age 20+, every 5 years Cholesterol (Total) Desirable: Less than 200 mg/dl or less than 5.17 mmol/l Borderline high: 200 239 mg/dl, or 5.17 6.18 mmol/l High: 240 mg/dl or higher, or 6.21 mmol/l or higher HDL Cholesterol Desirable (High): More than 60 mg/dl or more than 1.56 mmol/l Acceptable: 40 60 mg/dl, or 1.04 1.56 mmol/l Undesirable (Low): Less than 40 mg/dl, or less than 1.04 mmol/l LDL Cholesterol (Note: High risk individuals should discuss their goals with their doctor.) Desirable: Less than 100 mg/dl or less than 2.6 mmol/l Near desirable: 100 129 mg/dl, or 2.6 3.35 mmol/l Borderline high: 130 159 mg/dl, or 3.38 4.10 mmol/l High: 160 189 mg/dl, or 4.12 4.88 mmol/l or higher Very high: 190 mg/dl or higher, or 4.90 mmol/l or higher

Men's Care Checklist Test/Screening Test Date Recommendations/Average Range My Results Next Test Date Notes/Questions Additional Recommended Screenings: Triglycerides Desirable: Less than 150 mg/dl or less than 1.69 mmol/l Borderline high: 150 199 mg/dl, or 1.69 2.25 mmol/l High: 200 499 mg/dl, or 2.26 5.63 mmol/l Very high: 500 mg/dl or higher, or 5.64 mmol/l or higher Prostate Screening Once a year age 50+ Ultrasound for Abdominal Aortic Aneurysm (AAA) Colorectal Cancer Screening Age 65 75 who have smoked Age 50+ Immunizations, including: Hepatitis A & B Those at risk Influenza Vaccination Age 19 49 as your doctor advises, age 50+ annually Pneumonia Vaccination Once for those age 65+ Tetanus Vaccination Every 10 years Varicella (chickenpox) If no evidence of prior immunization or chickenpox Zoster Age 60+ This material is provided by CIGNA for informational/educational purposes only. It is not intended as medical/clinical advice. Only a health care professional can make a diagnosis or recommend a treatment plan. For more information about your behavioral health coverage, you can call the customer service or the behavioral health telephone number listed on your health care identification card. CIGNA Behavioral Health and the Tree of Life logo are registered service marks of CIGNA Intellectual Property, Inc., licensed for use by CIGNA Corporation and its operating subsidiaries. All products and services are provided exclusively by such operating subsidiaries and not by CIGNA Corporation. 832813 10/09 2009 CIGNA

Telephone Seminar Evaluation Please complete this form and fax it to 1.952.996.2702, or email it to eshcomments@cigna.com Your company: Seminar date: Presenter: Company city, state: Title of seminar: Please state your agreement/disagreement with the following statement using this scale. 4 Strongly Agree 3 Agree 2 Disagree 1 Strongly Disagree 1. SEMINAR CONTENT: a. The information I received was helpful. 4 3 2 1 b. The seminar met the stated objectives. 4 3 2 1 2. SPEAKER EVALUATION: a. The speaker presented the information clearly. 4 3 2 1 b. The speaker responded well to participants. 4 3 2 1 c. The speaker was knowledgeable on the subject. 4 3 2 1 3. Overall I was satisfied with the seminar presentation. 4 3 2 1 4. What part(s) of the seminar did you like best, and why? 5. What part(s) of the seminar did you like least, and why?