WELLNESS INCENTIVES REQUIREMENTS EXHIBIT A APRIL 2016.DOCX
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Exhibit A Wellness Incentives Requirements Program Years 2016-17 and 2017-18 Continuation of Wellness Premium Reduction Incentives: Employees who receive wellness premium reduction incentives for Program Year 2015-2016 will be allowed to continue to receive the same incentive amount without an interruption in their incentive, provided they complete the requirements to qualify for Program Year 2016-2017 wellness premium reduction incentives by September 30, 2016. Employees who do not complete Program Year 2016-2017 incentive requirements by September 30, 2016 deadline will stop receiving the incentive, but can earn and receive their 2016-2017 wellness premium reduction incentive on a prospective basis. Program Year 2016-2017 Wellness Premium Reduction Incentives: Employees enrolled in a County-sponsored medical benefits plan will qualify to receive the $60.00 per month premium reduction incentive for the Program Year 2016-2017 if they satisfy the following criteria: a. Biometric screening b. Health Assessment c. Tobacco-Free Pledge Eligibile employees must complete both the Health Assessment and Biometric Screening to qualify for a premium reduction of $40.00 per month. Employees must complete the Tobacco-Free Pledge and indicate that they are tobacco free to qualify to receive an additional $20.00 per month premium reduction; employees who cannot indicate that they are tobacco free may receive the premium reduction if they complete a County-sponsored tobacco cessation program in Program Year 2016-2017. By completing the tobacco cessation program during Program Year 2016-2017, the employee will also qualify for wellness incentive points needed in order to qualify for Program Year 2017-2018 wellness premium reduction incentives. Program Year 2017-2018 Wellness Premium Reduction Incentives: In order for employees enrolled in a County-sponsored medical benefits plan to qualify to receive the wellness premium reduction incentives in Program Year 2017-2018, employees will be required to earn 80 to 100 points no later than May 31, 2017. Wellness incentive points will be earned by completing specific activities, as listed in Table 1. Employee Benefits and Health will be authorized to specify and clarify requirements for earning points, and may add to the list of eligible activities. For Program Year 2017-2018, earning 100 or more points will qualify an employee for a $60 per month premium reduction; earning 80 to 99 points will only qualify an employee for a $40 per month premium reduction. An employee who does not earn at least 80 points by May 31, 2017 will be ineligible to receive the wellness premium reduction incentives in Program Year 2017-2018. Employees who indicate that they are tobacco users and who do not complete one of the alternative tobacco cessation programs by the required deadline will only be eligible to receive a maximum of 80 points ($40.00 per month premium reduction). New employees: Employees who are hired before March 1st, 2017 and wo enroll in a County-sponsored medical benefits plan (or current employees who newly enroll in a County-sponsored medical benefits plan before March 1, 2017) may earn wellness premium reduction incentives prospectively as follows: For Program Year 2016-2017, by completing a biometric screening and health assessment (both required), and by completing a tobacco-free pledge indicating that they do not use tobacco products, or by completing a County-sponsored tobacco cessation program by May 31, 2017. For Program Year 2017-2018, earn points (totaling 80 or 100 points) by May 31st, 2017 to qualify for either the $40 per month or $60 per month premium reduction incentive, depending on whether at least 80 or 100 points are earned. Employees who are hired on or after March 1st, 2017 and who enroll in a County-sponsored medical benefits plan (or current employees who newly enroll in a County-sponsored medical benefits plan by on or after March 1, 2017) will not be eligible for Program Year 2016-2017 wellness premium reduction incentives, but may earn wellness premium reduction incentives prospectively for Program Year 2017- 2018 as follows: Qualifies at the start of the new Program Year (July, 2017) and earn required points (totaling 80 or 100 points) by October 31, 2017. Points earned will also qualify for premium reduction incentives for Program Year 2018-2019. Table 1 Program Year 2017-2018 Category Min Max Activity Points Gateway Activities (required) 40 40 Health Assessment 20 Biometric Screening 20 Tobacco-Free Activities 20 20 2017/18 Tobacco-Free Pledge 20 (Required to be eligible for full 100 points) Maricopa County Tobacco Free 20 Class Tobacco Cessation Telephonic 20 Coaching Tobacco Cessation Onsite Coaching 20 Be Well Activities 40 40 Phone Coaching 40 Onsite Coaching 40 Self Directed Coaching 10 Digital Workshop 5 Fitness Pledge 10 Nutrition Pledge 10 Stress-Less Pledge 10 Flu Vaccine Pledge 10 Well Adult Preventative Exam 10 Pledge Online StayWell Challenge 40