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P A G E 8

Wellness Plan - Engaged vs. Non-Engaged

Engaged

Non-Engaged

Covered Employee MUST:

Accept and sign the Health Risk Incentive

Contract

AND

Covered Employee and/or Spouse

MUST:

Complete an initial Health Risk Assessment

(HRA) in a timely manner, including all of

the following:

Online questionnaire

Height/Weight/BMI

Body Composition*

Fasting blood lipid panel*

Fasting blood glucose*

Blood pressure

*Waived for pregnant participants

AND

Satisfy engagement requirements if Risk

Factors are identified**

Covered Employee FAILS to:

Accept the Health Risk Incentive Contract

AND/OR

Covered Employee and/or Spouse FAILS

to

Complete an initial Health Risk Assessment

(HRA) in a timely manner, including any of

the following:

Online questionnaire

Height/Weight/BMI

Body Composition*

Fasting blood lipid panel*

Fasting blood glucose*

Blood pressure

*Waived for pregnant participants

AND/OR

Satisfy engagement requirements if Risk

Factors are identified**

**Additional Information regarding engagement is available in the Incentive Contract and Policy

Wellness Engagement

For those employees and covered spouses that have identified risk factors,

ENGAGEMENT

each quarter* is

REQUIRED

to remain an

ENGAGED

member.

* Some risk factors may only require semi-annual engagement instead of quarterly.

Quarterly Check-ins occur:

September 1 – 30, 2016

December 1 – 31, 2016

March 1 – 31, 2017

If any covered member, including spouses, with an identified risk factor

FAILS

to engage during the quarter*, the

employee will move to

NON-ENGAGED

status and the

NON-ENGAGED

premium will apply until the covered member

complies with all of the engagement requirements.

If any covered member, including spouses,

FAILS

to respond to the Conifer Personal Health Nurse when contacted,

the employee will move to

NON-ENGAGED

status and the

NON-ENGAGED

premium will apply until the covered

member complies with all of the engagement requirements.