E L P

PROGRAM

S

A

M

GUIDE October 1, 2017 – September 1, 2018

welcome

E

[CLIENT] has recently partnered with Wellworks For You, a corporate wellness management company, to provide a new wellness program for the 2017 benefit year. All benefit-eligible employees, spouses, and domestic partners will have opportunities to participate in various wellness activities that can reward you with an incentive at the end of the benefit year. Your new program details are outlined throughout this brochure.

Overview

Complete the requirements below by their designated deadlines (outlined on page 3) to earn a premium reduction next year.

Wellness Portal

P

L

 STEP 1 – Complete the Know Your Number Health Assessment  STEP 2 – Complete the Annual Preventative Screening  STEP 3 – Healthy Ranges OR Additional Activities

M

Beginning this year, all participants will be accessing the new Wellworks For You Wellness Portal for the wellness program. Your personal Wellness Portal contains all the tools you need to get started on your path to wellness. Once you login, you will have access to weekly recipes and grocery lists, a fitness and nutrition dashboard, access to all program forms, ability to track your incentive progress, and more!

Your Wellness Portal account credentials have been generated for you. Please refer to the chart below to find the username and password format. 1. 2.

Go to www.wellworksforyoulogin.com Login to the Portal as an existing member. Use the chart below to find the username and password format

A

Please Note: You will be required to create a new password upon logging into the Portal the first time.

Username Format

Password Format

Employee

[PREFIX]_ + Employee ID

Date of birth: MMDDYYYY

Spouse

[PREFIX]_ + Employee ID + S

Date of birth: MMDDYYYY

Example UN: PREFIX_1234 PW: 06021975 UN: PREFIX_1234S PW: 10241972

S

Member Type

2|Page Wellness Coordinator: [NAME] | 800.425.4657 | [email protected]

steps to earn an incentive Steps to Earn an Incentive STEP 1: Know Your Number Assessment Deadline: September 1, 2018

STEP 2: Annual Preventative Screening Deadline: September 1, 2018

L

E

Upon logging into the Wellness Portal, you will be prompted to complete the Know Your Number Assessment. Complete all questions, except for the Health Metrics section. Wellworks will upload your screening results once you complete the Annual Preventative Screening (see step 3 below).  If you see that your metrics are entered, complete all questions and click Finish to submit your responses.  If you see that your metrics are not yet entered, complete all other questions and click Save. The assessment will be completed once your metrics are entered by Wellworks For You. Once your assessment is completed in its entirety (questionnaire and health metrics), your results report will be generated and uploaded to the Wellness Toolbox under the Health Records section.

P

You must complete at least one (1) of the options below to earn credit for this requirement.  Complete the Onsite Biometric event in February (details to be announced separately)  Visit a LabCorp facility. Print the LabCorp voucher located on the Wellness Portal under My Profile>Wellness Toolbox and follow the instructions to complete the screening.  Complete an Annual Physical Exam with your Primary Care Physician (PCP). Print out the Physician Results Form located on the Wellness Portal under My Profile>Wellness Toolbox and take it with you to your visit. Your physician must fill in all of the required screening results. Submit the completed form to Wellworks For You.

STEP 3: Healthy Ranges OR Additional Activities

M

Deadline: September 1, 2018 Once you have completed the Annual Preventative Screening requirement your results from the screening will be used to determine healthy ranges. Please Note: You cannot re-submit results if your initial measurements do not fall within healthy ranges. If you do not meet three (3) out of the five (5) healthy ranges, you must complete two (2) additional activities listed below.

Healthy Ranges Metric

Healthy Range

Men: greater than or equal to 40 mg/dL; Women: greater than or equal to 50 mg/dL

Blood Pressure

Systolic: less than or equal to 129; Diastolic: less than or equal to 84

Waist Circumference

Men: less than or equal to 40 inches; Women: less than or equal to 35 inches

Fasting Glucose

Less than or equal to 126 mg/dl

Healthy Triglycerides

Less than or equal to 150 mg/dl

A

HDL Cholesterol

S

Additional Activities (More details about the activities are located in the Wellness Portal.) Activity

Details

Wellness Challenges

All details regarding the wellness challenges will be announced via email during the year.

Preventative Exams

Submit proof of vision, dental, mammogram, OB/GYN, prostate, or colonoscopy exam.

e-Learning Series

Complete an e-Learning Series on the Wellness Portal located under the Learning tab.

Race Participation

Participate in a walking, running, swimming, or bicycling event with a minimum distance of 5K.

Physical Activity Log

Track 100 workouts throughout the year.

3|Page Wellness Coordinator: [NAME] | 800.425.4657 | [email protected]

incentives and add’l information Incentives Additional Information View Details for all Programs, Events, and Activities

E

All employees and spouses/domestic partners must complete the Know Your Number Assessment, Annual Preventative Screening, Healthy Range OR Additional Activities to earn a premium reduction next year.

View and Download Documents for Completion

L

Events are listed on your personal Wellness Portal (www.wellworksforyoulogin.com) under My Profile>Programs and Events. To view extended details about each program, select Click Here for Details next to the event title.

All required forms are located on the Wellness Portal under My Profile>Wellness Toolbox. Participants can download and print all PDF forms for completion.

View Your Participation

P

Wondering what you have completed? 1. Log into your Wellness Portal (www.wellworksforyoulogin.com) 2. Go to My Profile>ResultsNow

Please allow at least 2 weeks for participation to be updated in the Wellness Portal after completing an activity. If there are any questions about your participation or completion, please contact [NAME] at [EMAIL].

M

Device/App Technology

Users can sync various devices and smartphone applications to the Wellness Portal and track the data in the fitness and nutrition dashboard, WellBalance. Devices and apps include Fitbit, Apple watch, Garmin, Jawbone, Apple Health, Google Fit, MyFitnessPal, and more! Fitbit users can sync their device under Devices/Apps>Fitbit. To view a full list of all additional compatible devices, login to your Wellness Portal and select Devices/Apps>Device/App Connect.

A

iPhone/Android App

S

The Wellworks For You Portal App includes all of your favorite features from the Portal including Weekly Recipes and Grocery Lists, Pedometer Tracking, and more! Simply search for “Wellworks For You” in the Play Store or App Store.

4|Page Wellness Coordinator: [NAME] | 800.425.4657 | [email protected]

the fine print

E

[Name of wellness program] is a voluntary wellness program available to all employees. The program is administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008, and the Health Insurance Portability and Accountability Act, as applicable, among others. If you choose to participate in the wellness program you will be asked to complete a voluntary health risk assessment or "HRA" that asks a series of questions about your health-related activities and behaviors and whether you have or had certain medical conditions (e.g., cancer, diabetes, or heart disease). You will also be asked to complete a biometric screening, which will include a blood test for [be specific about the conditions for which blood will be tested.] You are not required to complete the HRA or to participate in the blood test or other medical examinations. However, employees who choose to participate in the wellness program will receive an incentive of [indicate the incentive] for [specify criteria]. Although you are not required to complete the HRA or participate in the biometric screening, only employees who do so will receive [the incentive].

L

Additional incentives of up to [indicate the additional incentives] may be available for employees who participate in certain healthrelated activities [specify activities, if any] or achieve certain health outcomes [specify particular health outcomes to be achieved, if any]. If you are unable to participate in any of the health-related activities or achieve any of the health outcomes required to earn an incentive, you may be entitled to a reasonable accommodation or an alternative standard. You may request a reasonable accommodation or an alternative standard by contacting Wellworks For You at 800-425-4657.

P

The information from your HRA and the results from your biometric screening will be used to provide you with information to help you understand your current health and potential risks, and may also be used to offer you services through the wellness program, such as [Health Coaching, online Learning Series, and Wellness Challenges]. You also are encouraged to share your results or concerns with your own doctor. PROTECTIONS FROM DISCLOSURE OF MEDICAL INFORMATION

M

We are required by law to maintain the privacy and security of your personally identifiable health information. Although the wellness program and [name of employer] may use aggregate information it collects to design a program based on identified health risks in the workplace, Wellworks For You will never disclose any of your personal information either publicly or to the employer, except as necessary to respond to a request from you for a reasonable accommodation needed to participate in the wellness program, or as expressly permitted by law. Medical information that personally identifies you that is provided in connection with the wellness program will not be provided to your supervisors or managers and may never be used to make decisions regarding your employment.

A

Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted by law to carry out specific activities related to the wellness program, and you will not be asked or required to waive the confidentiality of your health information as a condition of participating in the wellness program or receiving an incentive. Anyone who receives your information for purposes of providing you services as part of the wellness program will abide by the same confidentiality requirements. The only individual(s) who will receive your personally identifiable health information are the Wellworks For You team in order to provide you with services under the wellness program.

S

In addition, all medical information obtained through the wellness program will be maintained separate from your personnel records, information stored electronically will be encrypted, and no information you provide as part of the wellness program will be used in making any employment decision. [Specify any other or additional confidentiality protections if applicable.] Appropriate precautions will be taken to avoid any data breach, and in the event a data breach occurs involving information you provide in connection with the wellness program, we will notify you immediately. You may not be discriminated against in employment because of the medical information you provide as part of participating in the wellness program, nor may you be subjected to retaliation if you choose not to participate. If you have questions or concerns regarding this notice, or about protections against discrimination and retaliation, please contact Wellworks For You at 800-425-4657.

5|Page Wellness Coordinator: [NAME] | 800.425.4657 | [email protected]