North America

Wellness at Volvo/Mack
The Real Truth

Jeffrey Burtaine M.D.
Medical Director: Volvo / Mack North America

Aldo Cipriotti
StayWell Senior Program Coordinator: Mack
North America
History
1. Program began in 2000, when Mack was
owned by Renault
2. We hired StayWell with J+J being a very
close second.
3. Program lasted approximately 2 years until
the truck market went in the tank (3 to 4
year cyclical market)
North America
History
4. Program more of a delightful add on rather
than a Company sponsored cultural change
effort.
5. World Headquarters building was already
smoke free. Factories went smoke free in
2000
6. Began the program again,with StayWell,
June 2004.
North America
Why Wellness Now??
1. AB Volvo bought Mack Trucks late 2001.
a. Work life balance very important in
Sweden
b. Corporate Value: Respect for the
Individual.
c. Successful global company with large
pocketbook.
North America
Why Wellness Now??
d. Already had versions of wellness in
Sweden ex. Lifestyle West
e. Trying to get control of, and understand,
American health care and American labor
costs.
North America
Why Wellness Now??
2. Jeff Burtaine works at Volvo/Mack
a. Started one of the first hospital based
wellness centers, 1982.
b. Had gotten high enough in the Company
to have political influence.
c. Had the enthusiasm and energy to
pursue this dream.
North America
Why Wellness Now??
d. Understood that it had to be part of the
culture, not an add on.
3. Joe Huxta, health benefits manager, works
at Mack.
a. Understood that the health care cost
trend was out of control.
b. Understood that a multi-faceted
approach was needed.
North America
Why Wellness Now??
c. Understood the link between healthier
employees and healthcare costs without
insisting on hard data to start with.
4. Kaye McLeod is in charge of benefits for
Volvo NA, Joes boss.
a. Also understood the link between
healthier employees and costs. Had faith in
Joe and his analysis.
North America
Why Wellness Now??
5. The CEO of AB Volvo had a heart attack.
a. When he recovered he called the
Presidents of Mack and Volvo NA and told
them to put state of the art fitness facilities
in their administrative office buildings.
North America
What Results Do We Hope For?
1. Highly successful participation figures
memberships in fitness centers, % of HRA
participants, numbers attending classes, lectures,
stop by booths etc.
2. Behavior change results stop smoking, lost
weight, controlled blood pressure etc.
3. Number of employees in high risk groups
dropping to medium or low risk, StayWell data.
North America
What Results Do We Hope For?
4. Changes in presenteeism as judged by self
report questions on HRA.
5. Changes in absenteeism presently this
data is not available until we switch to SAP.
6. Changes in dollars spent on health care
claims. StayWell is currently working with
our third party vendors.
North America
Global Implications
1. We want the same programs globally,
starting with the big three: France, Sweden,
USA
2. Another corporate value Volvo will have
among the healthiest employees in the
world.
3. A corporate health and well being steering
committee at AB Volvo
North America
Global Implications
4. Three major expectations for Volvo employees:
Business objectives, Personal growth objectives,
Health and well being objectives. Put all three in
the Personal Business Plan (PBP)?
5. Cultural Support/Buddy System Peer
encouragement.
6. Health Risk Analysis Screening (HRA) in the big
three countries.
North America
Global Implications
7. EAP (employee assistance programs) in
Europe following the American model.
North America
Results
Health care expense trend is flattening
2003 11.7%
2004 8.9%
2005 2.1% (Partly due to union
negotiations and cost
sharing)
North America
26%
34%
58%
56%
15%
10%
0%
25%
50%
75%
100%
Past Cur r ent
Percent
at Risk
0-2 Risks 3-5 Risks 6+ Risks
Mack Trucks
2/23/2006
31%
36%
57%
56%
12% 8%
0%
25%
50%
75%
100%
Past Cur r ent
Percent
at Risk
0-2 Risks 3-5 Risks 6+ Risks
Volvo
2/23/2006
Program yielded a
6.5% reduction in
health risks for Mack
employees, which
exceeds expectations
by 3.5%. [N=734]
Program yielded a
4.5% reduction in
health risks for Volvo
employees, which
exceeds expectations
by 1.5%. [N=801]
North America
$4,183
$3,946
$3,800
$3,850
$3,900
$3,950
$4,000
$4,050
$4,100
$4,150
$4,200
$4,250
Past Current
A
v
o
i
d
a
b
l
e

C
o
s
t
s

(

0
0
0
s

)
2
$3,803
$3,543
$3,400
$3,500
$3,600
$3,700
$3,800
$3,900
Past Current
A
v
o
i
d
a
b
l
e

C
o
s
t
s

(

0
0
0
s

)
2
Based on health risk reduction,
program yielded an estimated
savings of $322/participant
Based on health risk reduction,
program yielded an estimated
savings of $320/participant
Mack
Volvo
North America
HEALTH FOR LIFE

A Snapshot of Wellness at Volvo and Mack
North America
North America
Millions of years
50 years
THINK ABOUT IT
North America
Mack Top Health Risks
Weight (72%)
Eating (72%)
Stress (65%)
Exams (62%)
Cholesterol (57%)


Mack # of Chronic Conditions
68% report having 1 or more
41% - 1 Chronic Condition
28% - 2 Chronic Conditions
31% - 3+ Chronic Conditions

Volvo Top Health Risks
Weight (71%)
Eating (66%)
Stress (62%)
Cholesterol (61%)
Exams (58%)


Volvo # of Chronic Conditions
65% report having 1 or more
43% - 1 Chronic Condition
22% - 2 Chronic Conditions
25% - 3+ Chronic Conditions

WHY WELLNESS ? THIS IS WHY
2004 Results of Company Health Risks for Non-Bargaining Unit Employees: Total Participants 2,162
Tool: StayWell HealthPath Health Risk Assessment
North America
Mack Top Health Risks
Weight (75%)
Eating (72%)
Exams (69%)
Stress (67%)
Cholesterol (66%)


Mack # of Chronic Conditions
65% report having 1 or more
41% - 1 Chronic Condition
27% - 2 Chronic Conditions
32% - 3+ Chronic Conditions

Volvo Top Health Risks
Eating (77%)
Weight(76%)
Exams (70%)
Stress (68%)
Cholesterol (68%)


Volvo # of Chronic Conditions
66% report having 1 or more
36% - 1 Chronic Condition
29% - 2 Chronic Conditions
35% - 3+ Chronic Conditions

2005 Results of Company Health Risks for Bargaining Unit Employees: Total Participants 1,846
Tool: StayWell HealthStep Health Risk Assessment
WHY WELLNESS ? THIS IS WHY
North America

Health for Life
North America
Components
On-Site Management: Mack and Volvo Headquarters NA
Expansion: Manufacturing Plants: NRV & Powertrain Q4 2006
Committee: Eleven active members participating monthly
HRA: HealthStep

and HealthPath

: Online and Paper

Biometric Screenings: Total Cholesterol, HDL, Glucose, BP
Campaigns: Nutrition, Stress, Exercise, Weight Management
Workshops: Focused delivery on a variety of topics
Disease Management: Work with health plans
Next Steps: Intervention Program Health Behavior Change
Fitness Programming: Fitness Centers on-site


North America
Mack Program Participation

N (2005) % N (2004) %
Mack HRA
NBU
940
70%
976
73%
Mack HRA
BU
985
36%
N/A N/A
Biometric
Screenings
1,861*
43%
872
63%
Onsite
Programs
15,000** N/A N/A N/A

*Program expanded from 1,300 eligibles to 4,300 in 2005
**Includes total touches for onsite programs such as: campaigns, workshops, courses,
massage, stop by booths and more.
Mack Trucks
North America
Volvo Program Participation

N (2005) % N (2004) %
Volvo HRA
NBU
1,183
61%
1,186
61%
Volvo HRA
BU
861
30% N/A N/A
Biometric
Screenings
1,809*
40%
1,034
54%
Onsite
Programs
13,000** N/A N/A N/A

*Program expanded from 1,950 eligibles to 4,600 in 2005
**Includes total touches for onsite programs such as: campaigns, workshops, courses,
massage, stop by booths and more.

Volvo
North America
Winners of the INDIVIDUAL INDIVIDUAL Competition:
1
st
Place: Participant Lost 16.91%
2
nd
Place: Participant Lost 15.33%
3
rd
Place: Participant Lost 14.98%
Winners of the TEAM TEAMCompetition:
1
st
Place: Team BTL Lost 13.05%
2
nd
Place: Team Dead Weight Lost 12.76%
3
rd
Place: Team Gut Busters 11.34%
Total Weight Loss for Volvo and Mack
7,957 lbs
7,957 lbs
North America
Our Strengths
Philosophy: Not Just Another Wellness Program: Progressive
Company Support: North America (Mack / Volvo NA) and Global
(AB Volvo- Jeff Burtaine Influence on Global Application)
Programming: Comprehensive Program Delivery to Mack / Volvo
Employee Participation/Support: Bargaining and Non-Bargaining
On-Site Delivery Team: Wellness & Fitness Components
Dedicated Committee: Representation by Key Personnel/Locations
Research Tools: Building the Case/Outcomes Study

North America
Moving into the
Future.