Wellness Programs


We would like to encourage employees with chronic conditions like diabetes, arthritis, and high blood pressure to participate in this program that provides "Disease Management." What kinds of incentives to participate in such a program are allowed and can we provide rewards for achieving goals such as reducing blood pressure by a specified amount?<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

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  • there are new regs on HIPAA's nondiscrimination requirements covering wellness programs, so you should check them out. i did some digging and found this article that has a link to the regs:  http://hr.blr.com/news.aspx?id=75136

    the article says:


    A wellness program that conditions a reward on an individual satisfying
    a standard related to a health factor must meet these five requirements:

    1. The
      total reward must be limited--generally, it must not exceed 20 percent
      of the cost of employee-only coverage under the plan.
    2. The program must be reasonably designed to promote health and prevent disease.
    3. The program must give individuals eligible to participate the opportunity to qualify for the reward at least once per year.
    4. The
      reward must be available to all similarly situated individuals. The
      program must allow a reasonable alternative standard (or waiver of
      initial standard) for obtaining the reward to any individual for whom
      it is unreasonably difficult due to a medical condition, or medically
      inadvisable, to satisfy the initial standard.
    5. The plan must disclose in all materials describing the
      terms of the program the availability of a reasonable alternative
      standard (or the possibility of a waiver of the initial standard).  
  • Gilsbar, Inc. in Lousisiana (www.gilsbar.com) has been offering health risk assessments to its employees since the mid-1980s, long before “wellness” was a hot topic. Employees interested in participating in the wellness program take a health risk assessment, have blood tests done, and meet with a physician to review test results and set appropriate, individual-specific goals. Employees who meet their goals can earn up to an extra week of vacation! 

  • Thanks. Do the regs say anything about rewards that don't involve a health factor? Is there suuch a thing?
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