thRed Wellness Challenge Consent

Rules published under the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act (GINA) require employers that offer wellness programs to provide you notification about the type of information that will be collected, how it will be used, who will receive it, and what will be done to keep it confidential. These rules are simply meant to protect you and give you an understanding of how the information you provide to your employer though a wellness program will be used. Please take a minute to review and voluntarily choose to participate in your wellness program so we can help you stay motivated and on track with your personal health and fitness goals.

NOTICE REGARDING WELLNESS PROGRAM

Your employer makes a voluntary wellness program available to 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 rewarded for claims-verified clinical activities such as completing an annual wellness visit, receiving your annual flu shot or Telenutrition visits. You will also be rewarded for self-reported activities such as physical activity, proper nutrition, a routine dental cleaning and participating in community volunteerism.

The information from this voluntary Employer-Sponsored Wellness Program may 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 programs and/or Health Plan which may include Member Servicing, Health Coaching, Disease Management, and Case Management. You also are encouraged to share your results or concerns with your own doctor. Parties who will receive your personally identifiable health information will be your Health plan's Engagement Specialists, Health Coaches, Nurses, or Physicians, in order to provide you with services under the wellness program.

Your personal information will not be disclosed publicly or to your 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 by your Health Plan to your supervisors or managers and is not to be used by your employer to make decisions regarding your employment.

Subscribers who choose to participate in thRed Rewards will be eligible to receive up to $300 Health Extras allowance. Although this program is voluntary and you are not required to participate, only Subscribers who do participate will be eligible to receive the incentive.

Claims-Verified Activities are tracked by Independent Health. Health Extras dollars will be awarded once the claim from your health care provider is received and verified by Independent Health.

Health Extras dollars will also be awarded for various Self-Reported Activities.

Rev 08/20