Retiree Choices New Choices Better Value New Coverage

Retiree Choices New Choices Better Value New Coverage Updated | 9/8/2011

What we’ll cover today • What is changing and why? • What you need to do? • Introducing Extend Health • Understanding supplemental Medicare insurance • Next steps • Questions & Answers 2

What’s Changing? U. S. Steel is changing the way it provides access to health care coverage for Medicare eligible non-union retirees and dependents • Existing group health care coverage for Medicare eligible non-union retirees and dependents ends on December 31, 2011 • You have access to personalized decision support for comparing and enrolling in a robust choice of supplemental Medicare coverage options • Extend Health provides 1: 1 services to help you find and enroll in the coverage that meets your medical and financial needs 3

Why this Approach? U. S. Steel is committed to providing access to affordable and quality health care coverage that supplements benefits available through traditional Medicare • Private supplemental Medicare insurance market offers access to comprehensive coverage at lower cost than current group plans • Nearly half of our non-union Medicare population opt out of group coverage to purchase insurance in the private market (or other sources) • Enables each retiree and dependent to choose coverage that best meets their individual needs • Retiree participants losing group coverage are not subject to pre-existing conditions restrictions or underwriting during this enrollement period (except for end-stage renal disease) • Provides access to expert decision support resources so you can make informed health care choices • Extend Health is the industry leading retiree advocacy service 4

Why Extend Health? Largest most experienced independent Medicare Coordinator (private insurance exchange) providing enrollment support in supplemental Medicare plans • Expertise – Personalized expert support from licensed benefit advisors - rigorously trained to help retirees compare and select coverage • Experience – Has helped hundreds of thousands of Medicare eligible retirees transition from group health plans and enroll in supplemental coverage in the individual market • Culture – Supports a “No Retiree Left Behind” philosophy for supporting retirees during enrollment and ongoing advocacy after retirees are enrolled • Tools – Simple approach to helping individuals choose and enroll in a supplemental plan that suits their individual needs 5

How This Affects You § U. S. Steel and Transtar, Inc. group sponsored coverage for non-union Medicare participants ends December 31, 2011 § You must select and enroll in plans available in the individual market to maintain supplemental Medicare insurance coverage and must do so prior December 7, 2011 to have supplemental Medicare insurance coverage effective January 1, 2012 § Extend Health can help you assess options and enroll in the coverage that’s right for you What you pay • Depends on what coverage you choose How you enroll • You will have more health care coverage options to choose from – you can enroll through Extend Health or on your own • Private supplemental Medicare insurance options generally provide comprehensive coverage and more affordable premiums than current group coverage • You and your Medicare covered dependents enroll separately • Extend Health provides personalized decision support and enrollment assistance Your support • Extend Health is here to help you understand the costs associated with your coverage options – premiums, co-payments, deductibles and all other costs. 6

What You Need To Do Action required by current participants in U. S. Steel sponsored group coverage! • • Enroll in Medicare Part B if not already enrolled Choose new individual supplemental Medicare medical and/or prescription drug plan(s) if you want supplemental Medicare and prescription drug coverage in 2012 • Enroll through Extend Health or on your own between October 17 and December 7 • You and your eligible dependents each need to enroll separately for coverage During this enrollment period only, coverage elections are guaranteed and not subject to underwriting if you are losing group coverage 7

Retirees or covered spouses who are not yet eligible for Medicare • Change generally will not affect non-union retiree participants who currently are not eligible for Medicare • U. S. Steel sponsored program for pre-Medicare retirees and eligible spouses remains available • 2012 Annual Enrollment period information will be mailed soon • Pre-Medicare participants will receive information about Retiree Choices when the individual becomes Medicare eligible 8

Introducing Extend Health The Industry’s Largest Private Medicare Exchange

Who is Extend Health? • Independent company, dedicated to serving Medicareeligible retirees. • Partner with 70+ health plan carriers to provide you coverage to fit your individual needs and budget. • Objective and Trusted U. S. –based licensed benefit advisors. • Focused on helping each participant make an informed and confident decision. 10

Why Extend Health? • We are experienced in helping people just like you • Enrolled over 350, 000 participants • Our services are provided at no cost to you 11

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Plans & Partners All Medicare Plan Types § Medicare Advantage § Medigap § Prescription Drug (Part D) Vision Dental Select Carrier Partners

OPTION 1: Medigap Plan + Part D Plan MEDIGAP PLAN PART D PLAN MEDIGAP (Medicare Supplement) A Medigap plan fills the “gaps” in original Medicare Part A and Part B coverage (i. e. , helps pay the difference between your costs and the amount original Medicare pays). These plans provide additional coverage for your doctor visits and hospital stays as well as other expenses not covered by original Medicare. PART D PLAN A Part D plan supplements Medigap to provide prescription drug coverage. These plans help pay for your prescription drug expenses. You will need to pay your first premium when you enroll… 14

OPTION 2: Medicare Advantage Plan with Prescription Drug Coverage (MAPD)* MEDICARE ADVANTAGE MAPD PLAN An MAPD plan provides an all-in-one plan which bundles your Part A, Part B and prescription drug coverage together with additional benefits. These plans provide coverage for your doctor visits, hospital stays, and prescription drug expenses. * Note that Medicare Advantage plans are generally network based plans 15

Medicare Prescription Drug Coverage For 2012 (Part D Plan) Initial Coverage You pay * Deductible and Co-payments for your plan * Coverage for the first $2, 930 in Actual Cost of medications Coverage Gap – Donut Hole You pay * 50% of Brand Drugs and 86% of Generics Until out of pocket costs reach $4, 700 Catastrophic Coverage You pay * $2. 60 for generics and $6. 50 for brand Or 5% which ever is greater 16

The Process Educate Evaluate/Enroll Manage 17

Education Getting Started Guide § Gather information § Current prescriptions and preferred physicians § Current coverage and health conditions * § Give us a call toll-free at 866 -715 -2358 § Visit us on line www. Extend. Health. com/uss * Pre-existing conditions will not limit your plan selection - except end-stage renal disease 18

Education Enrollment Guide • Prepare you for enrollment discussion • Review Medicare basics • Appointment confirmation letter 19

Decision Support Tools • Help Me Choose • Prescription Profiler 20

Evaluate and Enroll Licensed Benefit Advisor Hours of Operation Monday – Friday 9 a. m. – 9 p. m. Eastern Standard Time • • • 100% domestic workforce Objective advocacy Neutral compensation Extend University Licensed, certified, appointed Average 43 Call Extend Health Toll-Free at 1 - 866 - 715 - 2358 21

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. 22

Medicare & You 23

Your Future Coverage Primary Coverage Medicare Parts A & B Additional Coverage (Your Choice) Medigap + Prescription Drug (PDP) or Medicare Advantage with Prescription Drug (MAPD) Optional Coverage (Your Choice) Dental and Vision 24

Next Steps

Before calling Extend Health Review Getting Started Guide Gather Medicare Card, prescriptions, & doctor information Call Extend Health Toll-Free at 1 -866 -715 -2358 26

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 coverage choice forever. — Enrollment elections are generally for a one year period. • Ongoing enrollment services as retiree or spouse turns age 65. 27

Some additional thoughts about making your choice • Things to consider – – Cost Benefits Where you live during the year Choices • Doctor • Hospital • Pharmacy – Prescription drug usage – Convenience 28

What you need to do – three steps 1. Contact Extend Health – offers one-stop-shopping for all benefit advisory and advocacy services • Choice to use Extend Health is yours to make 2. Evaluate and select the medical and prescription drug coverage that best meets your needs 3. Enroll in plan(s) selected and make arrangement for premium payment 29

Questions & Answers