Regulation .03 Components of a Wellness Benefit.
Regulation .03 Components of a Wellness Benefit.LinkCopy Citation
A.
Each wellness benefit shall include:
(1)
A health risk assessment that is:
(a)
Available at no cost to all employees covered under the small employer's wellness benefit; and
(b)
Completed by each employee on a voluntary basis;
(2)
Written feedback to each employee who completes the health risk assessment, with recommendations for lowering risks identified in the completed health risk assessment; and
(3)
A financial incentive to promote:
(a)
Preventive care;
(b)
Healthy behavior and lifestyle choices; or
(c)
Participation in a disease management program or case management program.
B.
The financial incentive described in §A(3) of this regulation may be in the form of:
(1)
A direct reward of financial value given to the employee, such as a monetary reward or a gift card; or
(2)
A reduction in the employee's copayments, coinsurance, or deductible that would otherwise be payable under the small employer's health benefit plan.
C.
A carrier shall be considered to have satisfied the requirement of §A(3) of this regulation, if the wellness benefit offered by the carrier eliminates the deductible for preventive services only.