Individual Health Care Management Requirements and Savings Sample Clauses

Individual Health Care Management Requirements and Savings. All Employees who receive city health insurance must pay the Employee’s share of health insurance as specified in this collective bargaining agreement. Though this Wellness program is voluntary, the Employee Health Insurance Payment can be reduced by as much as 10% (or 5% each for Employee and spouse, if applicable) if enrolled Employees and/or applicable spouses (participants) meet the requirements of all Category program elements listed below. Participants will achieve savings by meeting the four categorical program requirements are as follows: CAT CATETORY REQUIREMENTS FOR EMPLOYEE AND APPLICABLE SPOUSE Single & Employee w/Child Reward Premium Savings Employee & Spouse (family coverage) Reward Premium Savings each COMMENTS 1 Annual HCE appointment or providing spouse waiver (if approved in this CBA); evidence of participation in HCE/Provider (doctor) risk assessment plan; providing HCE with written proof of annual Provider physical for coverage year 3.50% 1.75% Failure to comply with any part of this Category item will result in the NON- ISSUANCE OF ALL FOUR CATEGORY REWARDS (SEE ITEM D BELOW FOR CATEGO- RY WAIVER ELIGIBILITY) 2 Exercise program approved by HCE (may be reviewed by the participant's Provider) 1.75% 0.875% (SEE ITEM D BELOW FOR CATEGORY WAIVER ELIGIBILITY) 3 Non-tobacco product use. Also prohibits the smoking, inhaling, vaporizing ("vaping") or consumption of nicotine-based products through so called "e-cigarette", "vapor" or similar non- tobacco nicotine delivery devices that utilize non- prescribed nicotine that can be ingested or delivered in any way into the body this is not part of a provider approved and supervised tobacco or nicotine cessation program. Written proof must be submitted to the HCE that Participant has enrolled into a Provider approved and medically supervised tobacco or nicotine cessation program. 1.75% 0.875% (SEE ITEM D BELOW FOR CATEGORY WAIVER ELIGIBILITY) 4 Reward is possible by achieving one of three of the following metrics: A. BMI (body mass index) as scored by the WebMD calculator (or similar public health agency calculator);or B. WHtR (waist-to-height ratio) as scored by the Penn State calculator (or similar public health agency calculator);or C. waist measurement health metric requirements as recommended by the Harvard School of Public Health up to 3.0% up to 1.50% Applicable scoring and program savings listed in charts below (SEE ITEM D BELOW FOR CATEGORY WAIVER ELIGIBILITY) TOTAL SAVINGS UP TO >>>>>> 10% ...
Sample 1
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Individual Health Care Management Requirements and Savings. All Employees who receive city health insurance must pay the Employee’s share of health insurance as specified in this collective bargaining agreement. Though this Wellness program is voluntary, the Employee Health Insurance Payment can be reduced by as much as an additional 10% (5% for each Employee and spouse if applicable) if enrolled Employees and/or applicable spouses (participants) achieve with all Category program elements listed in this section.
Sample 1

Related to Individual Health Care Management Requirements and Savings

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