Tax-Advantaged Account Solutions HSA, FSA, DCAP, HRA and How they Impact the Bottom-line

1. Tax-Advantaged Account Solutions HSA, FSA, DCAP, HRA and How they Impact the Bottom-line 2010 Amegy Bank N.A. Member FDIC.

2. Introduction 2010 Amegy Bank N.A. Member FDIC.

3. Employers face unprecedented challenges in 2011 In March 2010, comprehensive federal health care reform, called the Patient Protection and Affordable Care Act (PPACA), became law. It is intended to expand coverage while building upon and strengthening the private, employer- based health insurance system. Passage of PPACA will have both short and long term effects! The PPACA has many components-from new reporting mandates, taxes and fees to major structural changes such as insurance reforms, employer and Individual Mandates, and state insurance exchanges-phasing in over many years. Every employer-sponsored health plan will be impacted. Introduction 2010 Amegy Bank N.A. Member FDIC.

4. This law will have significant impact on employers and the health care market over the coming decade and beyond • Goals of reform are embedded in the law's voluminous provisions • Expand coverage relying on many existing mechanisms, including public programs, employers, and the private insurance market • Remove perceived barriers to coverage • Address affordability issues • Lack of detail and unknown consequences will require ongoing interpretation, monitoring and a flexible approach • Various government agencies must develop regulations - likely to be a long and staggered process taking many years Healthcare Reform Overview 2010 Amegy Bank N.A. Member FDIC.

5. There is a Partial Solution . . . • Utilize Tax-Advantaged HealthCare Accounts • Health Savings Accounts – HSAs • Flexible Spending Accounts – FSAs • Dependant Care Assistance Plans – DCAPs • Health Reimbursement Arrangements – HRAs • They provide Employer & Employee Meaningful Savings, Robust Benefits, Are Ease to Use and Comply with HCR 2010 Amegy Bank N.A. Member FDIC.

6. Tax-Advantaged Accounts 2010 Amegy Bank N.A. Member FDIC.

7. A HSA is like a 401(k) for healthcare. The funds can be used to pay for qualified medical expenses today or can be saved for future expenses. • Account Advantages • Interest and investments • Portable – it stays with you when you leave your company or retire Health Savings Account You can spend your money on today’s expenses, or save and invest your HSA funds for future expenses or for retirement! 2010 Amegy Bank N.A. Member FDIC.

8. Flexible Spending Account • Contributions • Employees contribute – up to a limit of $2,500 • Contributions are tax free and processed through payroll • Using The Account • Use the funds for qualified medical expenses of spouse & dependents – NOT Over The Counter • Total funds for the year are available when the plan becomes effective (even with no current year contributions) • Funds Forfeiture • Unused amounts at year-end are NOT rolled over to the next plan year 2010 Amegy Bank N.A. Member FDIC.

9. Dependent Care Account • Contributions • Contributions are tax free, processed through payroll up to $5,000 annual limit • Using The Account • Use the funds for child or dependent care -- typical expenses include day care, before and after school care • Funds become available as contributed • Funds Forfeiture • Unused amounts at year-end are NOT rolled over to the next plan year 2010 Amegy Bank N.A. Member FDIC.

10. Health Reimbursement Arrangement • Contributions • Employers contributes funds into this account • Using The Account • Use the funds for qualified medical expenses - (may be limited by employer) • Use the funds for spouse or dependents qualified medical expense • Funds Forfeiture • Funds may roll over to the next plan year, depending on your employer’s plan 2010 Amegy Bank N.A. Member FDIC.

11. Market Data 2010 Amegy Bank N.A. Member FDIC.

12. Enrollment in CDHP Continues to Grow 2010 Amegy Bank N.A. Member FDIC.

13. HDHPs Growth Rates 2010 Amegy Bank N.A. Member FDIC.

14. 2012 Projected Growth by Market 2010 Amegy Bank N.A. Member FDIC.

15. Why? . . . Meaningful Savings 2010 Amegy Bank N.A. Member FDIC.

16. Case Study 2010 Amegy Bank N.A. Member FDIC.

17. ZIONS BANCORPORATION 2010 Amegy Bank N.A. Member FDIC.

18. Where We Were – 2004 Benefit Plans • 8 Health Care Carriers A Variety of Self-Funded & Fully-Insured Options Offered • 12 Plan Options Varied by Affiliate & included diverse HMO, PPO, EPO & Rx plans • Benefits plans • Cost increased annually by 19%+ 2010 Amegy Bank N.A. Member FDIC.

19. Tipping Point – ’07 Benefits Increase The average increase for all HMOs was over 20% greater than the average for all CDHP options. 2010 Amegy Bank N.A. Member FDIC.

20. CDHP vs. HMO Costs CDHP continues to trend long-term reductions and medical cost savings. 6th Annual Aetna HealthFund Study March 2010 2010 Amegy Bank N.A. Member FDIC.

21. Transitions To 100% CDHPs • Phase One: Intro to HDHP Option • High Deductible Health Plan Introduction • 33% of eligible employees enrolled in HDHP option, exceeding the industry average for HDHP enrollment by 6 times! • Zions funded a $500 dollar contribution to all HDHP participant Health Savings Accounts. 2010 Amegy Bank N.A. Member FDIC.

22. Real Results . . . Zions & Our Employees Have Saved More Than $10 Million Since the CDHP was Introduced in 2005 From 2006-2011, the Annual Percentage Increase in Health Care Costs Fell From Double Digit Levels to Below 5%. CDHPs BRING DOWN PLAN COSTS 2010 Amegy Bank N.A. Member FDIC.

23. What Could You Save?? 2010 Amegy Bank N.A. Member FDIC.

24. Conclusion 2010 Amegy Bank N.A. Member FDIC.

25. What’s It All Mean? This is Complicated Stuff Be Pro-active so You Can Control Costs Find a Partner That Understands and Can Help Even with HCR – Employers Can Still Provide Vital Benefits and Save Significant Amounts on Overall Healthcare Costs A HDHP/HSA is One Good Mechanism 2010 Amegy Bank N.A. Member FDIC.

26. Thank You and Questions 2010 Amegy Bank N.A. Member FDIC.