Annual Benefi ts Election Period November 14 – December 9, 2011

What’s New in Brief!

Health Care Flexible Spending Account

Voluntary Tax Deferred Annuity 403(b) Plan

Wellness/To Your Health!

Voluntary Benefi ts

Human ResourcesBenefi ts Offi ce

To All North Division Registered Nurses

Each year during the Annual Benefi ts Election Period, you have the opportunity to elect a Health Care Flexible Spending Account (FSA) or change your contribu-tions. You must make a new election if you want a Health Care FSA in 2012. Your 2011 election will not automatically continue into 2012.

You may make your 2012 Health Care FSA election beginning November 14th through December 9th by:

• Logging on to the Benefi ts Website at www.montebenefi ts.com

or

• Contacting the Benefi ts Enrollment Call Center at 888.860.6166 Monday through Friday, between 8am and 8pm EST.

If you need assistance, contact the HR-Benefi ts Offi ce by email at montebenefi ts@montefi ore.org or call 914.378.6531.

Sincerely,

William ShanahanVice President, Human Resources – Total Compensation

For Your Benefi t2012 North Division Registered Nurses Benefi ts Program

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Heath Care Flexible Spending Account Can Save You Money!

If you want to take advantage of the tax-savings opportunity a Health Care Flexible Spending Account (FSA) provides in 2012, you must make a new election during the Annual Benefits Election Period. Your current Health Care FSA election does not carry over into the following year.

Health Care FSA

Use this account to pay out-of-pocket healthcare expenses you and your dependents incur. Your dependents are anyone you claim as a dependent for federal income tax purposes – as well as children up to age 26 whether or not they are dependent on you for financial support. For example, you can pay deductibles, coinsurance, copays, amounts above reasonable and customary limits and other unreimbursed medical, dental, prescription drug, vision and hearing expenses. Using a Health Care FSA to cover expenses you would have paid for anyway reduces your taxable income by that amount, which in turn lowers your taxes.

Make Your FSA Election CarefullyEstimate your out-of-pocket health care expenses and corresponding Health Care FSA election conservatively to avoid forfeiture. Remember that you can always increase your contributions next year. To see how a Health Care FSA can save you money, try the WageWorks Health Care FSA Calculator (www.wageworks.com/employee/health-care/calculators/fsa.aspx).

To Make Your FSA Election

Log on to Montefiore’s Benefits Website − www.montebenefits.com − or call the Benefits Enrollment Call Center at 888.860.6166, Monday through Friday, between 8am and 8pm EST. You’ll speak to an enrollment specialist who will help you enroll.

•Review your current information (address, phone number, etc.) and notify HR of any corrections on a Change of Information Form (a copy is on Montefiore’s Intranet eMontefiore under HR).

•Health Care Flexible Spending Account − You must make a new Health Care FSA election if you want this account in 2012. Your current election will not roll over into next year.

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If you:The maximum you can contribute for 2012 is:

•Are under age 50 $17,000

•Qualify for the full annual 15+ Years of Service Catch-up Contribution $20,000 (17,000 + $3,000)

•Qualify for the Age 50+ but not the 15+ Years of Service Catch-up Contribution

$22,500 ($17,000 + $5,500)

•Qualify for the Age 50+ and the 15+ Years of Service Catch-up Contributions

$25,500 ($17,000 + $3,000 + $5,500)

At any time during the year, to elect the Voluntary Tax Deferred Annuity 403(b) Plan, change your election and/or if you are eligible for and want to make a “catch up” contribution contact Principal at 800.547.7754 or go online to www.principal.com.

Montefiore Voluntary Tax Deferred Annuity 403(b) Plan

The Montefiore Voluntary Tax Deferred Annuity 403(b) Plan provides an excellent tool to help you save for your future financial security. Your before-tax contributions are automatically deducted from your paycheck and accumulate earnings on a tax-deferred basis. You make your own investment decisions based on your investment strategy and the level of risk you are willing to accept. You can change your allocations and transfer amounts among investment options.

Maximum contributions are determined by the IRS and are adjusted annually. Plus, there are two “catch-up” opportunities.

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Montefiore’s Wellness Program To Your Health! provides you with access to up-to-date resources and interactive tools that can help you become active, stay healthy and reach your health goals.

Online Resources (Health Information Resources, powered by WEBMD)

Register at www.ToYourHealth.Montefiore.org and take the first step to a healthier you. To register your spouse or domestic partner, go to www.ToYourHealth.Montefiore.org/spouse and use W5E7B2M9D4 as your access code.

Nutrition Counseling Service

A nutrition consultation can help you manage your weight, lower your health risks, or learn to eat wisely while maintaining a busy lifestyle. You’ll receive a complete nutritional analysis, realistic recommendations, and up-to-date nutritional information that will allow for long-lasting results. For more information or to make an appointment call 855.775.1655.

Weight Watchers @ Work

Weight Watchers is a weight loss program based on nutritional guidelines and scientific research that encourages both healthy eating and exercise/activity. Montefiore is providing a 25% upfront subsidy for Weight Watchers meetings and online programs. After participating in the program, you will be eligible for an additional 25% rebate.

To join, call the Montefiore dedicated Weight Watchers number: 866.882.2226.

Smoking Cessation

Over the past year, Montefiore has initiated a tobacco-free campus and offered RNs a number of education and help options to assist them to quit using tobacco products.

We are all aware that using tobacco is hazardous to your health. And those health risks translate to a huge cost in quality of life, overall life expectancy and dollars spent on healthcare. Here are a few facts (from the Centers for Disease Control and Prevention website).

•Cigarette smoking is the leading preventable cause of death in the United States.

•Compared with nonsmokers, smoking is estimated to increase the risk of:

ocoronary heart disease by 2 to 4 times

ostroke by 2 to 4 times

o lung cancer – for men by 23 times, for women by 13 times

ochronic obstructive lung disease related death (such as chronic bronchitis and emphysema) by 12 to 13 times

•Smoking also has many adverse reproductive and early childhood effects, including increased risk for:

o infertility

opreterm delivery

ostillbirth

o low birth weight, and

osudden infant death syndrome (SIDS).

TO YOUR HEALTH!

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If you use tobacco, these reasons alone should prompt you to quit.

Occupational Health Services provides information on nicotine replacement therapy and offers a no-cost nicotine replacement therapy starter kit from Montefiore in-house pharmacies at the Moses, Weiler and North campuses. For more information call 914.378.6531 or email montebenefits@montefiore.org.

Ongoing Opportunities to Quit

•To Your Health! www.toyourhealth.montefiore.org – Smoking Cessation Lifestyle Improvement Program

•Employee Assistance Program (EAP) www.theEAP.com. 800.666.5EAP (5327)

•New York State Quitline 866-NY-QUITS or 866.697.8487 or visit www.nysmokefree.com

•Bronx Breathes 718.430.2601/4069 www.bronxbreathes.org

“Helping Others” Healthy Points Program

Feel good about yourself as you take charge of your health and you help us improve the lives of others. Through the “Helping Others” Healthy Points Program, you earn and accumulate points by participating in To Your Health! activities.

Accumulating Healthy Points is easy. Here’s how.

•5 points each quarter for simply registering and/or visiting and exploring the To Your Health! website

•40 points for completing for the first time or updating your To Your Health! (Health Risk) Assessment

•20 points for completing any one of the six Lifestyle Improvement Programs that are offered

•5 points for using the Symptom Checker on the website

•5 points for completing a Self-assessment

•25 points for having a routine physical/preventive exam and/or undergoing a health screening

•25 points for consulting with the OHS Nutrition Consultant

Healthy Points are automatically recorded when you complete an online activity. You have to self-report all other activities on the Rewards Lobby screen. Enter your activity date, check the box next to the activity and click ‘Submit’ to record your Healthy Points.

At the end of the year, a program selected to benefit from your participation will automatically receive an allocation based on the total number of points you – and all Montefiore associates – have earned. In 2012, a donation based on points earned in 2011, will be made to the Children’s Hospital at Montefiore.

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Montefiore offers voluntary benefits that provide you with direct access to a variety of products and services. You manage your benefits and can enroll at any time during the year.

Commuter Benefits Program

If you enroll in the Commuter Benefits Program, you can save money on your commutation expenses whether you use mass transit, drive or a combination of both. The savings come from the significant tax advantages you receive by paying your commuting expenses through pre-tax payroll deductions. Your contributions are automatically deducted from your paycheck before taxes are calculated and withheld – lowering your taxable income and reducing the taxes you must pay! See how much you can save by using the WageWorks Commuter Benefits Calculator (https://www.wageworks.com/employee/commuter/calculator.htm)!

For more information contact WageWorks at 877.924.3967 or www.wageworks.com.

Critical Illness Insurance

Critical Illness Insurance complements your medical and disability income coverage and can reduce the financial impact of disability or serious illness. A lump sum benefit is paid directly to you for the first occurrence of a covered critical illness. You have full control over how the benefit is used. Additional occurrence benefits are available for specific multiple medical conditions. Family coverage options are available. For information call Winston Financial at 866.795.0355.

Disability Income Insurance

Eligible 1199 Members can purchase additional insurance designed to coordinate with other disability benefits.

•Voluntary Short Term Disability Insurance through Transamerica Financial Life Insurance Company – after 60 days of disability, you may receive benefits equal to 60% of your salary – up to a maxi-mum benefit of $5,000 each month for up to 365 days.

•Voluntary Long Term Disability Insurance through First Reliance Standard of New York – after one year of disability, you may receive benefits equal to 60% of your salary – up to a maximum benefit of $5,000 each month for as long as you remain disabled or up to age 65.

For more information call the Voluntary Insurance Program (VIP) Service Center at 866.795.0355.

Employment/Income Verification

The Work Number is an automated service that allows you to provide proof of your employment and/or income, either online at www.theworknumber.com or by telephone 800.367.5690. Montefiore’s Employer Code is 13663.

Employee Discount Program

•Automobile and Homeowners Insurance – offered through MetLife and Travelers Insurance at group rates that may be lower than you could obtain on your own. For information contact Travelers (888.695.4640 www.travelers.com) or MetLife Auto & Home® (800.438.6388 www.metlife.com).

•Credit Union – Savings accounts, ATMs and loans at favorable rates plus a holiday club and a travel club. You may participate by payroll deduction.

•Health Club Membership – Montefiore has made arrangements with various Health Clubs in the area. Up-to-date information is available on Montefiore’s Intranet – eMontefiore – Benefits Information, Human Resources, click on Employee Affinity/Discount Programs.

•Home Mortgage – You may obtain below market origination fees and competitive rates for financing a home.

•LASIK Surgery – Montefiore Laser and Eye Care Center at Montefiore Medical Specialists of Westchester offers LASIK Surgery discounts of 20% off of the regular charge for you and your family members. For information call 718.920.2020.

Voluntary Benefits Program

Universal Life Insurance Whole Life Insurance

•Variable Coverage – You may increase or decrease the face value of your policy.

•Fixed Coverage

•Variable Premiums – You may vary the amount and/or timing of premium payments.

•Fixed Premiums

•Variable Interest Rate on Tax-Deferred Cash Value Accumulation.

•Fixed Interest Rate on Tax Deferred Cash Value Accumulation.

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You can purchase Universal Life Insurance coverage at any time.

•Call the Voluntary Insurance Program Service Center at 866.795.0355

•Sit down with a Professional Benefit Counselor to understand the appropriate coverage options available to you and your family. Benefit Counselors will be onsite throughout the Annual Benefits Enrollment Period. 7

•PerksCard – offers you and your family discounts on products and services from nationally recognized merchants as well as local businesses. There are no fees to register and you pay nothing to use the card. Contact Perkscard at 877.253.7100 or online at www.perkscard.com.

•Plum Benefits – Special offers on live entertainment with discounts on tickets for sporting events, theme parks, Broadway and more. You can complete an online profile and receive alerts about specific offers that might be of special interest to you. Register at www.plumbenefits.com/signup. Enter your home email address and Access Code: ac1025828. Remember to use the Plum Benefits promotional code when you buy tickets from the box office, online or over the phone.

•Purchasing Power – allows you to purchase new, brand-name computers, electronics and home appliances through the convenience of payroll deduction and home delivery direct from the manufacturer. Register online at www.Montefiore.PurchasingPower.com or order by phone – 800.537.3134.

•Wireless Discounts – on service plans and products provided by:

oVerizon Connections – offers monthly savings on qualifying TV, Internet & Voice bundles for your home. www.verizon.com/verizonconnections oSprint – www.sprint.com/montefiore corporate code: HCMDA_MMC_ZZZ.

Universal & Whole Life Insurance with Long Term Care

Life Insurance offers financial protection for your family against possible financial hardship in the event of your death. Montefiore offers two different types of Life Insurance – Universal and Whole Life.

Both policies offer:

•Convenience – You may arrange for automatic premium payments through payroll deduction.

•Portability – You own your policy and can take it with you if you leave Montefiore, without any rate or coverage changes.

•Tax-Deferred Cash Value Accumulation – A portion of your premium payments may be deposited into an interest earning account. The earnings on your account grow tax-deferred as long as the policy remains in force.

•Accessibility – You may borrow against the cash value of your policy at a set rate of interest. While the loan is outstanding, you continue to earn interest on the remaining cash value, which helps offset the interest you pay on the loan.

•Dependent Coverage is available for your spouse and children.

•Long Term Care – use a portion of your benefit to help cover the cost of qualifying long term care events.

•Optional Riders – You may purchase and add to your policy.

The differences are:

Corporate Human Resources Division HR-Benefits Office 111 East 210th Street, Bronx, NY 10467-2490 montebenefits@montefiore.org www.montebenefits.com

This Overview provides only highlights of the Montefiore Medical Center Health Care Flexible Spending Account and Voluntary Tax Deferred Annuity 403(b) Plan and serves as a Summary of Material Modifications to the Summary Plan Description dated August 2010 describing the Montefiore Medical Center Health Care Flexible Spending Account and Voluntary Tax Deferred Annuity 403(b) Plan with respect to North Division Registered Nurses benefits. It describes benefit changes as well as additional Plan administrative information required by the Employee Retirement Income Security Act of 1974 (ERISA) and the Health Insurance Portability and Accountability Act (HIPAA). You can find additional information about the Health Care Flexible Spending Account and Voluntary Tax Deferred Annuity 403(b) Plan on Montefiore’s Benefits Website at www.montebenefits.com.

The actual provisions of the plans are governed by the legal documents. If there is a discrepancy between the information presented here, in the Summary Plan Descriptions and the legal documents, the legal documents will govern.

Montefiore Medical Center expects to continue these plans indefinitely, but reserves the right to change, modify or terminate the Plans, in whole or in part, at any time and for any reason. In addition, the tax treatment of these benefits is subject to change without notice, as determined by federal, state or local tax authorities.