The New Alcon Health Plan

1. The New AlconHealth Plan Enjoy Better Health Enjoy a Better Health Plan

2. Alcon, Inc. – World’s Leading Eye CareCompany • Pharmaceuticals, Surgical Devices and Consumer Products • Founded in 1945 in Fort Worth, Texas by Robert Alexander and William Conner. Hence, the name ALCON.

3. Alcon at a Glance Sales $4.4 billion in 2005 Size 12,600 total employees 6,200 United States 6,400 International 70 operating companies worldwide Products Pharmaceuticals – Infection/Inflammation, Glaucoma, Allergy, Dry Eye Surgical Devices – Cataract, Retinal, Refractive Consumer – Contact Lens Solutions, Ocular Vitamins Science $2.5 billion planned R&D investment in the treatment of eye disease over next 5 years

4. Fortune Magazine“100 Best CompaniesTo Work For” • On Fortune’s “100 Best Companies To Work For” list each of the past 8 years • #32 on the 2006 list

5. Alcon’s Total Health Management Program • Health Plan and Health Management / Wellness Programs Integrated • Disability Management (STD, W/C & LTD) • On-site Medical Clinic (minor medical care and therapy) • Automated External Defibrillators (one-minute fast walk) • Fitness Center • On-site Wellness and Health Risk Reduction Programs • Tobacco-free property effective January 1, 2007!

6. Today’s Topics • Why we made a change • Health Plan 2005 – 2007: A New Approach • Plan Development • Specifics • Participation Results

7. Why We Made a Change

8. Demographics and Lifestyles Make a Difference • Medical cost increases continue to outpace inflation • Alcon’s aging workforce and low turnover rate mean even greater increases in medical costs and more lost productivity over time (obesity and high risk factors) • Unhealthy lifestyles lead to more health care risks and increased medical costs

9. Health Plan 2005 – 2007 A New Approach

10. Alcon Health Plan - New Vision • Goal #1 - Provide health promotion resources that assist plan participants in: • containing health risk escalation for healthy individuals • identifying health risks and improving health status for individuals “at risk”. • Goal #2 - If ill-health presents itself, provide access to high quality medical care at the appropriate level and in the most cost effective manner.

11. A New Vision for Alcon’s Health PlanEnjoy…A Healthier, Longer Life • Objectives: • Identify health risks sooner & take action • Reduce medical care costs and increase productivity • Help improve health or maintain healthy lifestyle for a healthier, better quality of life • Employees & spouses are asked to take more personal accountability for their health • In return, Alcon provides: • Enhanced benefits • Resources to help reduce health risk and maintain a healthy lifestyle

12. A New Approach to Healthcare:Moving from Illness to Wellness • Focus is on prevention and wellness, rather than just treatment of illness • Provides programs and tools to reduce specific health risks and encourage healthy lifestyles • Encourages employees and dependents to use premier UHC network providers as well as utilization management programs (future incentives are being considered).

13. A New Approach Health Plan Design: More than just a medical plan: • Alcon’s Health Plan covers preventive care • Health Risk Identification via Health Assessment • Wellness programs integrated into Health Plan • Targeted risk-intervention programs - Health coaching • Physical activity tracking program – “Virtual Fitness Center” • Financial incentive delivered through a company-funded Health Reimbursement Account (HRA)

14. Plan Development

15. Timeline • Health Risk Assessment implemented during 2005 ( August - October) • Premier Medical Plans launched January, 2006 • $200 contribution to Health Reimbursement Account made in January, 2006 • Health Assessment offered again in 2006 (August – September) • Employee and covered spouse eligible for another $200 HRA contribution in January, 2007 based on participation in “health coaching” or physical activity program.

16. Partners • United Healthcare (PPO/EPO Networks, myUHC.com, Provider Quality Measures) • Optum (Nurseline, Care Coordination, Disease Management, Self Care) • United Behavioral Health (EAP, Managed Mental Health) • Staywell Health Management (Health Assessment, Health Risk Interventions, ROI) • PartnerComm (Participant Communications) • Tiena Health (On-site Game of Health, Medical Management – Blood Screening) • MediFit (Virtual Fitness Center, Physical Activity Programming, Fitness Center Management)

17. Specifics

18. The Health Assessment Questionnaire • Gateway to: • 2 new “Premier” medical plans with enhanced benefits • Supported by free lab screenings to measure cholesterol and blood sugar for employees and covered spouses.

19. New Health Plan Overview Completed Health Assessment Health Assessment Not Completed • Option to enroll in a plan that offers: • Greater wellness benefits • Greater intervention and support • Higher plan benefits • May only enroll in the plan that offers: • Lower plan benefits • No additional wellness benefits Basic PPO Medical Plan Premier PPO Medical Plan Premier EPO Medical Plan

20. Blood Screening Test Biometric screening values: cholesterol (HDL/LDL), blood sugar, blood pressure, height and weight Two options were provided (self reported on HA): • Recent Results: • Tests performed by personal physician if tests occurred in the last 6 months, or • Visit to a local lab: • Special lab requisition form and UHC medical ID card, • Website to find locations – national sites

21. Health Reimbursement Account Contribution Employee has two ways to qualify for the $200 company contribution for 2007: • Track physical activity on MediFit’s Virtual Fitness Center website – at least 20 minutes/day, three times per week for 10 weeks out of a 12-week period. • Complete telephone-based Staywell Health Coaching sessions • Both employee and covered spouse must qualify

22. How Does A Participant’s Health Condition Affect Eligibility For Benefits? • Choice of health plan or employee rates are NOT affected by any health condition, screening test results or the information entered into the Health Assessment questionnaire. This information is not shared with Alcon. • Eligibility for Premier plans is based only on whether the Health Assessment is submitted by deadline.

23. Privacy Is Protected! Confidentiality of Health Information is Critical to Program Success: • The health information provided in the Health Assessment is protected by StayWell in a completely confidential manner. • Individual health data will not be shared with Alcon in accordance with privacy laws. • Staywell Wellness Manager coordinates invitations to special on-site risk reduction programs. • Carefully avoided “back door” release – for example, nonparticipation data.

24. Deadlines • Blood Screening: July – Sept Provided guidance that two weeks are needed to receive screening results. • Health Assessment Submittal: August 15 - September 30 • Annual Open Enrollment (PPO or EPO): November • New Plan effective January 1, 2007 • Physical Activity Tracking/ Health Coaching Deadline: October 31

25. Participation Results

26. 2005 H.A. Participation ResultsEligible Participants: Covered employees and covered spouses HA ParticipantsTotal Eligible% Total Participation 9,716 10,056 96.6 On-line 9,523 98.0 Paper 193 2.0 Employee 5,989 61.6 Spouse 3,727 37.4 Basic PPO Participants 179

27. Worldwide Leader in Ophthalmic Research and Manufacturing