Page 26 - 2019 Benefit Guide Non-CA

IMPORTANT NOTICES

ADA Wellness Notice: Company Name (the “Company”)
Your health plan is committed to helping you American Advisors Group
achieve your best health. Rewards for participating in
a wellness program are available to all employees. If Effective Date
you think you might be unable to meet a standard
for a reward under this wellness program, you might January 1, 2019
qualify for an opportunity to earn the same reward by
different means. Contact your HR Department and Creditable Plan Name(s)
we will work with you (and if you wish with your doctor) American Advisors Group Welfare Benefits Plan or the
to find a wellness program with the same reward that “Plan”
is right for you in light of your health status.
Plan Administrator
NOTICE REGARDING WELLNESS PROGRAM
American Advisors Group Human Resources
American Advisors Group Wellness program is a 3800 W. Chapman Avenue Orange, CA 92868
voluntary wellness program available to all 866.948.0003
employees. The program is administered according
to federal rules permitting employer-sponsored HIPAA Privacy Official
wellness programs that seek to improve employee
health or prevent disease, including the Americans Ari Sanchez
with Disabilities Act of 1990, the Genetic Information Benefits & Compensation Manager
Nondiscrimination Act of 2008, and the Health 949.224.3727
Insurance Portability and Accountability Act, as
applicable, among others. If you choose to HIPAA Special Enrollment Deadline
participate in the wellness program you will be asked 30 days
to complete a voluntary health risk assessment or
“HRA” that asks a series of questions about your Members of Organized Health Care
health-related activities and behaviors and whether
you have or had certain medical conditions (e.g., Arrangement
cancer, diabetes, or heart disease). You will also be » American Advisors Group
asked to complete a biometric screening, which will
include a blood test for a fasting expanded profile. » Cigna Healthcare
You are not required to complete the HRA or to » HSABank
participate in the blood test or other medical » Gallagher Benefit Services
examinations.
However, employees who choose to participate in Women’s Health and Cancer Rights Notice
the wellness program will receive an incentive of
being entered in a raffle for giveaways provided by The Company is required by law to provide you with
insurance carriers. Although you are not required to the following notice: The Women’s Health and
complete the HRA or participate in the biometric Cancer Rights Act of 1998 (“WHCRA”) provides
screening, only employees who do so will receive the certain protections for individuals receiving
entry to the raffle. mastectomy- related benefits. Coverage will be
provided in a manner determined in consultation
If you are unable to participate in any of the health- with the attending physician and the patient, for:
related activities or achieve any of the health
outcomes required to earn an incentive, you may be » All stages of reconstruction of the breast on which
entitled to a reasonable accommodation or an the mastectomy was performed;
alternative standard. You may request a reasonable » Surgery and reconstruction of the other breast to
accommodation or an alternative standard by produce a symmetrical appearance;
contacting your HR Department.
» Prostheses; and
The information from your HRA and the results from
your biometric screening will be used to provide you » Treatment of physical complications of the
with information to help you understand your current mastectomy, including lymphedemas, in a
health and potential risks, and may also be used to manner determined in consultation with the
offer you services through the wellness program. You attending physician and the patient.
also are encouraged to share your results or
concerns with your own doctor.

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