Page 5 - 2015 OE Sample Guidebook
P. 5
WHAT’S NEW IN 2014
Wellness Program Enhancements—Earn Spousal Employer Coverage
Up to $700/$1,400 in Wellness Incentive Certification
Credits
[Client] is committed to offering a comprehensive
Our health plans recognize and reward healthy decisions we beneit package to you and your family, but also
make for ourselves and our families. [Client] has expanded realizes many spouses have medical coverage
its menu of wellness activities for 2014 to seven options. available to them through their own employer. For
this reason, spouses with medical coverage available
For each activity you complete, you will receive $100 in through their employer will be required to take that
Wellness Dollars to use towards your healthcare expenses. coverage.
Participate in all seven activities and earn up to $700 for
your Health Reimbursement or Health Savings Account. If
you have a covered spouse, he/she can also participate in
these wellness activities and earn up to $700 in additional Frequently Asked Questions
Wellness Dollars, as described above, for a potential total Q. What is Spousal Employer Coverage Certiication?
of $1,400. Wellness Dollars are wellness incentives earned A. Spousal Employer Coverage Certiication requires
and credited to your Health Reimbursement Account working spouses of eligible employees to enroll in
which can be used to pay out-of-pocket deductible and their employer’s medical plan.
coinsurance expenses. Wellness Dollars earned and credited Q. Who must complete a Spouse Coverage
to your Health Savings Account can be used to pay for IRS Veriication Form?
qualiied medical expenses. The wellness activities include: A. All married eligible employees must complete the
Spouse Coverage Veriication Form and return
$100 for completion of a Health Risk Assessment to the Human Resources team by December 15,
$100 for completion of a biometric screening 2013.
$100 for non-Tobacco use or completion of a tobacco Q. Is my spouse required to enroll other family
cessation program members into his/her employer sponsored
$100 for completion of one approved online Well On coverage?
Target health improvement program A. No, only the spouse is required to enroll in their
employer’s medical plan.
$100 for completion of an annual physical exam
$100 for completion of an annual dental check-up Q. My spouse’s employer sponsored medical plan
has open enrollment later in the year. What
$100 if you receive a lu shot should we do?
A. As of January 1, 2014, your spouse has a “special
Within approximately ninety days of providing evidence of enrollment right” under his/her employer’s
your completion of each speciic wellness activity, [Client] medical plan upon loss of coverage under our
will fund your HRA or HSA. plan. The employer must allow your spouse to
enroll immediately if application for coverage is
made within 30 days after losing coverage under
our plan.
5
Wellness Program Enhancements—Earn Spousal Employer Coverage
Up to $700/$1,400 in Wellness Incentive Certification
Credits
[Client] is committed to offering a comprehensive
Our health plans recognize and reward healthy decisions we beneit package to you and your family, but also
make for ourselves and our families. [Client] has expanded realizes many spouses have medical coverage
its menu of wellness activities for 2014 to seven options. available to them through their own employer. For
this reason, spouses with medical coverage available
For each activity you complete, you will receive $100 in through their employer will be required to take that
Wellness Dollars to use towards your healthcare expenses. coverage.
Participate in all seven activities and earn up to $700 for
your Health Reimbursement or Health Savings Account. If
you have a covered spouse, he/she can also participate in
these wellness activities and earn up to $700 in additional Frequently Asked Questions
Wellness Dollars, as described above, for a potential total Q. What is Spousal Employer Coverage Certiication?
of $1,400. Wellness Dollars are wellness incentives earned A. Spousal Employer Coverage Certiication requires
and credited to your Health Reimbursement Account working spouses of eligible employees to enroll in
which can be used to pay out-of-pocket deductible and their employer’s medical plan.
coinsurance expenses. Wellness Dollars earned and credited Q. Who must complete a Spouse Coverage
to your Health Savings Account can be used to pay for IRS Veriication Form?
qualiied medical expenses. The wellness activities include: A. All married eligible employees must complete the
Spouse Coverage Veriication Form and return
$100 for completion of a Health Risk Assessment to the Human Resources team by December 15,
$100 for completion of a biometric screening 2013.
$100 for non-Tobacco use or completion of a tobacco Q. Is my spouse required to enroll other family
cessation program members into his/her employer sponsored
$100 for completion of one approved online Well On coverage?
Target health improvement program A. No, only the spouse is required to enroll in their
employer’s medical plan.
$100 for completion of an annual physical exam
$100 for completion of an annual dental check-up Q. My spouse’s employer sponsored medical plan
has open enrollment later in the year. What
$100 if you receive a lu shot should we do?
A. As of January 1, 2014, your spouse has a “special
Within approximately ninety days of providing evidence of enrollment right” under his/her employer’s
your completion of each speciic wellness activity, [Client] medical plan upon loss of coverage under our
will fund your HRA or HSA. plan. The employer must allow your spouse to
enroll immediately if application for coverage is
made within 30 days after losing coverage under
our plan.
5
