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QSC is committed to providing you with a workplace
that fosters good health and well being. Rewards Protections from Disclosure of
for participating in a voluntary wellness program Medical Information
are available to all employees. The program is
administered according to federal rules permitting
employer-sponsored wellness programs that seek We are required by law to maintain the privacy and
to improve employee health or prevent disease, security of your personally identifiable health
information. Although the wellness program and QSC
including the Americans with Disabilities Act of
1990, the Genetic Information Nondiscrimination may use aggregate information it collects to design a
Act of 2008, and the Health Insurance Portability program based on identified health risks in the
workplace, QSC’s wellness program will never disclose
and Accountability Act, as applicable, among others. any of your personal information either publicly or to
If you choose to participate in the wellness
program, you may be asked to complete certain the employer, except as necessary to respond to a
request from you for a reasonable accommodation
voluntary health-related activities. needed to participate in the wellness program, or as
Examples of these voluntary activities may include: expressly permitted by law. Medical information that
personally identifies you that is provided in connection
• A biometric screening, which may include a with the wellness program will not be provided to your
blood test for certain conditions including total supervisors or managers and may never be used to
cholesterol, HDL cholesterol, LDL cholesterol, make decisions regarding your employment.
triglycerides and glucose, as well as potentially
blood pressure, weight, height, waist Your health information will not be sold, exchanged,
circumference, and body mass index (BMI) , and transferred, or otherwise disclosed except to the
• A Tobacco Cessation Program- a program that extent permitted by law to carry out specific activities
encourages quitting/ reducing utilization of any related to the wellness program, and you will not be
form of tobacco product and offers an asked or required to waive the confidentiality of your
opportunity to enroll/ participate and receive health information as a condition of participating in
support (example: CIGNA Quit Today®). the wellness program or receiving an incentive.
Anyone who receives your information for purposes of
Incentives may be offered to employees who providing you services as part of the wellness program
participate in the wellness program and complete will abide by the same confidentiality requirements.
the applicable activities above. Additional incentives The only individual(s) who will receive your personally
may also be available for employees who identifiable health information will be doctors, nurses,
participate in certain other health-related activities health coaches and related health care and/or
or achieve certain health outcomes if applicable. wellness professionals, in order to provide you with
Although you are not required to complete the services under the wellness program.
applicable tasks listed above, employees who do so
will receive the incentive. If you have questions In addition, all medical information obtained through
about your company’s wellness program and the the wellness program will be maintained separate
incentives, please contact the Human Resources from your personnel records, information stored
Department. electronically will be encrypted, and no information
you provide as part of the wellness program will be
If you are unable to participate in any of the health- used in making any employment decision. Appropriate
related activities or achieve any of the health precautions will be taken to avoid any data breach,
outcomes required to earn an incentive, you may be and in the event a data breach occurs involving
entitled to a reasonable accommodation or an information you provide in connection with the
alternative standard. You may request this wellness program, we will notify you immediately.
accommodation or an alternative standard by
contacting the Human Resources Department. You may not be discriminated against in employment
because of the medical information you provide as
The information from your biometric screening will part of participating in the wellness program, nor may
be used to provide you with information to help you you be subjected to retaliation if you choose not to
understand your current health and potential risks, participate.
and may also be used to offer you services through
the wellness program. You also are encouraged to If you have questions or concerns regarding this
share your results or concerns with your own notice, or about protections against discrimination and
doctor. retaliation, please contact the Human Resources
Department.
